Children's Dental Health

The Pew Children’s Dental Campaign works to ensure that more children receive dental care and benefit from policies proven to prevent tooth decay.

We are spearheading a national campaign to raise awareness of the problem, recruit influential leaders to call for change, and showcase states that have made progress and can serve as models for pragmatic, cost-effective reform. Our advocacy efforts are targeted at states where policy changes can dramatically improve children’s lives. For example, Pew is working with policymakers and advocates in several states to explore the creation of new types of dental providers—similar to nurse practitioners for dental care—to provide care to underserved kids. Minnesota authorized new providers, called dental therapists, in 2009. A 2010 article by the New York Times highlights the positive effects that dental therapists are having in Alaska.

Alaska is not alone. The problems affecting children’s dental health are severe all across the country.  Dental care is the single greatest unmet need for health services among children. More than 16 million disadvantaged children do not receive the care they need every year. Tooth decay is the most common childhood disease, affecting nearly 60 percent of children. Eighty percent of dental disease in children is concentrated in 25 percent of kids and children from poor families face disproportionately high barriers to getting care. The consequences can be devastating to those from low-income and minority households.

Some problems may be intractable. This one is not. Working in concert with lawmakers and other government officials, dental providers, national, state and local organizations, researchers, advocates and the private sector, the Pew Center on the States can help millions of kids maintain healthy teeth—making it possible for young children to thrive in school and become healthy, productive adults.

What We Do

The Pew Children’s Dental Campaign works on four efficient, cost-effective solutions:

• ensure that Medicaid and the Children’s Health Insurance Program – the programs that serve  low-income children – work better for kids and for providers so that insurance coverage translates into real access to needed care
• expand sealant programs for kids who need them most
• help expand access to optimally fluoridated water
• expand the number of professionals who can provide dental care to low-income children

May 12 Dental Webinar 

Want to inform others in your state or community about the dental health provisions in the new health care reform law?  This four-page handout (PDF) provides an overview of the key provisions related to dental health, the funding levels and other key info.

Reports

It Takes a Team: How New Dental Providers Can Benefit Patients and Practices
Dec 06, 2010 - Most private-practice dentists who hire new types of dental providers can serve more patients while maintaining or improving their financial bottom line. | Pew Children's Dental Campaign 

Read: Summary View: Full Report (Adobe PDF)
Expanding Children's Access to Dental Care: The Minnesota Story
Sep 13, 2010 - Advocates campaigned for the law to license dental therapists, expanding dental coverage to underserved children in the state. | Pew Children's Dental Campaign 

Read: Summary View: Full Report (Adobe PDF)
Improving Dental Care for Medicaid-Insured Children in Washington State
Jun 29, 2010 - A program in Washington state has made a remarkable impact in confronting dental disease among Medicaid-insured children under six. | Pew Children's Dental Campaign

Read: Summary View: Full Report (Adobe PDF)
The Cost of Delay: State Dental Policies Fail One in Five Children
Feb 23, 2010 - An estimated one in five children go without dental care each year. States play a key role in ensuring that low-income children have access to basic, preventive dental care. A new report finds that two-thirds of states are doing a poor job.

Read: Summary View: Full Report (Adobe PDF)
Reimbursing Physicians for Fluoride Varnish
Dec 16, 2009 - Fluoride varnish is an inexpensive but important tool in improving children's dental health. A new Pew factsheet shows that states can reduce the significant barriers children face in accessing cavity-preventing varnish by reimbursing physicians for dental health care.

Read: Summary
Help Wanted: A Policy Maker’s Guide to New Dental Providers
May 28, 2009 - The Pew Center on the States and the National Academy for State Health Policy, with support from the W.K. Kellogg Foundation, conducted a comprehensive literature review and interviews with leading experts in several states to learn about existing proposals for new dental providers.  The report explores three provider types—dental therapists, community dental health coordinators and advanced dental hygiene practitioners — along with steps that state policy makers can consider to develop these new providers in their states. A companion brief is also available.

Read: Summary View: Full Report (Adobe PDF)

News

News Article
Jan 20, 2012 - Building a Business With Unwanted Customers
News Article
Aug 11, 2011 - Millions in U.S. Lack Access To Dental Care: Shelly Gehshan
News Article
Jul 25, 2011 - U.S. Budget Issues Put Oral Care Programs in Peril
News Article
Jun 19, 2011 - Many Blame Dental Care Woes on Medicaid, Not Shortage
News Article
May 28, 2011 - State Lags Neighbors in Needy Children's Dental Care
News Article
May 26, 2011 - State Gets Top Ranking on Oral Health for Kids
Press Release
May 23, 2011 - 22 States Raise Their Grades on Dental Care For Children Even in Tough Fiscal Times
Opinion Editorial
Mar 14, 2011 - Deamonte Driver's Death From Toothache Grants More Kids Dental Care Access
Press Release
Dec 08, 2010 - Pew: New GAO Report Points to Persistent Dental Access Problem
Opinion Editorial
Jun 23, 2010 - Deamonte's Legacy
News Article
Jun 23, 2010 - Too Few Dentists, Too Much Pain in Rural Wisconsin Communities
Pew in the Media
May 20, 2010 - What Philanthropy is Doing to Promote Oral Health Care
Pew in the Media
May 02, 2010 - Mobile Dental Unit Aims to Give Ohio Kids Healthier Mouths
News Article
Apr 30, 2010 - U.S. Government Announces Oral Health Initiative 2010
Press Release
Apr 28, 2010 - Pew Urges Congress to Fund Reforms Meant to Improve Children's Dental Health
News Article
Feb 23, 2010 - Study: 1 in 5 Kids Don't See Dentist Each Year
News Article
Feb 23, 2010 - Study: 1 in 5 U.S. Kids Get No Dental Care
Press Release
Feb 23, 2010 - Study: Majority of States Fail To Ensure Proper Dental Health and Access to Care for Children
Event
Feb 05, 2009 - Sufficiency of the U.S. Oral Health Workforce in the Coming Decade: A Workshop
Fact Sheet
Aug 19, 2008 - Children's Dental Health Fact Sheet and Director's Biography

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Q&A

Shelly 96

From our weekly Q&A with Pew experts, Shelly Gehshan discusses the gap in care.

50-State Report

Pew's 2011 survey of children's dental health shows that many states have made progress despite tough fiscal times, but there is still work to be done.

The Minnesota Story

Learn more about Minnesota’s first-in-the-nation law licensing dental therapists.

It Takes a Team

A Pew report sheds light on both the productivity and profit impact of new dental providers on private practices. View the webinar to see top line findings from the report.

Update: In March 2011, the American Dental Association challenged the conclusions of It Takes a Team by developing its own economic model.

Pew stands by its conclusions and has responded to the ADA’s findings.

Dental Health Matters

Policies that strengthen children’s dental health benefit not only kids, but these strategies support a growing economy and save states money in unnecessary medical costs and other expenses.

Download our brief (PDF).

Fluoride Varnish Facts

Reimbursing physicians for fluoride varnish is a cost-effective way to improve access to dental care. Read a factsheet on reimbursing physicians.

Keeping Kids Healthy

Download our webinar highlighting how two states have engaged primary care medical providers in children’s dental health.

Get on the List!

We'd like to keep you updated as we organize our children’s dental health campaign and prepare our research agenda. If you'd like to be added to our future contact list, please e-mail us today. We take your privacy seriously and promise to be good stewards of your information. View Pew’s privacy policy.

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