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Rural Health Information Hub

Rural Project Examples: Oral health

Effective Examples

Regional Oral Health Pathway

funded by the Federal Office of Rural Health Policy

Updated/reviewed August 2023

  • Need: To address the oral health needs of low-income uninsured and underinsured residents in rural Appalachia.
  • Intervention: An oral health education program was implemented in Appalachian Maryland, Pennsylvania, and West Virginia.
  • Results: This program increased oral health visits in the area and provided residents with valuable information on oral health resources and services.

Promising Examples

School-Based Health Center Dental Outreach

funded by the Federal Office of Rural Health Policy

Updated/reviewed July 2020

  • Need: To improve the oral health status of children ages 3 to 17 living in underserved rural areas of Louisiana.
  • Intervention: School-based nurse practitioners perform oral health assessments, apply fluoride varnishes when indicated, and make dental referrals, with completion rates of the latter tracked by dental case managers.
  • Results: Significant numbers of school children are receiving oral health examinations, fluoride varnish applications, and receiving care coordination to improve numbers of completed dental appointments.

Other Project Examples

Regional Initiatives in Dental Education (RIDE)

funded by the Health Resources Services Administration

Updated/reviewed June 2024

  • Need: Address oral health disparities in Washington's rural and underserved communities.
  • Intervention: The University of Washington School of Dentistry (UWSOD) developed the Regional Initiatives in Dental Education (RIDE) program to increase the number of culturally and clinically competent dentists prepared for practice in rural and underserved areas.
  • Results: Since its start in 2009 and as of 2024, nearly 100 dentists have completed the program with over 81% practicing in rural and underserved communities.

Cavity Free at Three

funded by the Health Resources Services Administration

Updated/reviewed October 2023

  • Need: In Colorado, 31% of children have experienced dental decay by the time they reach kindergarten. With several frontier and rural counties in Colorado considered Dental Care Health Professional Shortage Areas (HPSAs), options for oral healthcare are limited.
  • Intervention: Cavity Free at Three (CF3) works to improve access to preventive oral health for pregnant women and young children.
  • Results: CF3 has trained over 6,000 medical and dental professionals in performing preventive dental health. The percentage of children who received oral healthcare from a medical or dental provider before the age of 2 has progressively increased, and Colorado saw reduced cavities starting in 2007.

Delta Dental Mobile Program

Updated/reviewed March 2023

  • Need: Lack of access to oral healthcare for children from limited-income families in the rural and urban areas of South Dakota.
  • Intervention: Delta Dental of South Dakota launched the Delta Dental Mobile Program in 2004 to expand access to oral healthcare services to children throughout the rural state.
  • Results: The Delta Dental Mobile Program has provided over $38 million in dental care to more than 68,000 South Dakota children.