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Understanding Access to Dental Care: A Key to Overall Health

  • Writer: Heather Waldron
    Heather Waldron
  • Jun 5
  • 4 min read

Oral Health is an essential part of overall health, yet many individuals face significant barriers to accessing Dental Care. From physical obstacles like transportation issues to systemic challenges such as provider shortages, insurance limitations, and long wait times, access to care is a multifaceted issue that affects thousands of Hoosiers. To ensure the well-being of our communities, it is crucial to address these barriers and empower Dental Hygienists and Oral Health advocates to take an active role in preventive care and education.


The Importance of Oral Health to Overall Health

Oral Health is not just about having a bright smile; it is directly linked to overall health and well-being. Poor oral health has been connected to serious conditions such as diabetes, heart disease, respiratory infections, and pregnancy complications. Additionally, untreated dental disease can lead to chronic pain, difficulty eating and speaking, and a decline in mental health. Fear of dental procedures, misinformation, and lack of awareness about the importance of preventive care further exacerbate the issue.



Understanding the Barriers to Access

Access to Dental Care is influenced by many factors, including:

  • Provider Availability: Many areas in Indiana face a shortage of dental professionals, making it difficult for individuals to find a provider nearby.

  • Insurance and Cost Barriers: Not all dentists accept Medicaid or certain insurance plans, leaving many people without affordable care options.

  • Transportation Issues: Limited or unreliable transportation can prevent individuals from reaching a dental office, especially in rural or underserved communities.

  • Long Wait Times: Some dental offices have extensive waitlists for new patients, delaying necessary treatment and increasing the risk of complications.

  • Dental Anxiety and Misinformation: Fear of dental procedures and a lack of understanding about the importance of oral health prevent some individuals from seeking care until they are in pain or experiencing serious issues.

  • Beyond Rural and Low-Income Communities: While access to care is often discussed in the context of rural and low-income populations, it is a challenge that affects individuals across all socioeconomic backgrounds, including middle-class families and urban residents who struggle with provider shortages, insurance limitations, and scheduling barriers.


The Impact of Limited Access: Data and Statistics

Limited access to Dental Care has significant implications for Oral Health outcomes. According to the Centers for Disease Control and Prevention (CDC):

  • Prevalence of Untreated Dental Caries: Between 2015 and 2018, 13.2% of children aged 5–19 years and 25.9% of adults aged 20–44 had untreated dental caries(cavities).

  • Disparities in Oral Health: About 3 in 5 children (60%) aged 6 to 9 years from lower-income households have had cavities in their primary(baby teeth) or permanent (adult) teeth, compared with 2 in 5 children (40%) from higher-income households. 

  • Impact of Chronic Conditions: Adults aged 20 or older with diabetes are 40% more likely to have untreated cavities than similar adults without diabetes. 


Source: National Health Statistics Reports, Number 158, June 14, 2021
Source: National Health Statistics Reports, Number 158, June 14, 2021

These statistics highlight the widespread nature of oral health issues and the disparities that exist among different populations.


Innovative Solutions to Improve Access

To address these barriers, Indiana must embrace new and innovative ways to expand access to Dental Care. Some potential solutions include:

  • Expanding the Role of Dental Hygienists: Through initiatives like the Access Practice Agreement (APA), Dental Hygienists can provide preventive services in community settings, bringing care directly to those who need it most.

  • Teledentistry: Virtual consultations and remote evaluations can help individuals receive timely care and referrals without the need for immediate in-person visits.

  • Virtual Dental Home or Community Partnerships: Partnering with schools, community centers, and local organizations can provide preventive and emergency dental services to underserved populations.

  • Education and Advocacy: Raising awareness about the link between oral and overall health, as well as promoting preventive measures, can help reduce dental disease and emergency visits.

  • Interprofessional Collaboration: Bridging the gap between medical and Dental Care by working with physicians, nurses, social workers, and community health organizations can lead to a more holistic approach to patient well-being and ensure timely interventions.


Empowering Oral Health Champions

Dental Hygienists and Oral Health Advocates play a critical role in improving access to care. By educating communities, providing preventive services, and working within innovative care models, they help ensure that every Hoosier has the opportunity to achieve optimal oral health. We can help empower Oral Health companies by joining the movement, by advocating for Oral Health as part of Whole-Boyd Health. Oral Health is about more than just teeth—it’s a key part of your overall health and well-being. We all have a role to play in ensuring that every Hoosier can access the care they need. 


Reflect and Act:

  • Rethink how you view your own Oral Health and how it connects to your overall health. 

  • Share this message and advocate for better access to Dental Care in your community. 

  • Support and celebrate the work of Dental Hygienists and Oral health advocates who are leading the charge. 

  • Stay informed and explore innovative ways to bridge the gap in care, from Teledentistry to Community-Based programs.


Access to Dental Care is a public health issue that requires collaboration, innovation, and advocacy. By addressing the barriers that keep people from getting the care they need and empowering professionals to take action, we can create a healthier future for Indiana.


References:


Heather Waldron, MHI, LDH, CDHC is an innovative healthcare strategist and clinician specializing in oral health. With extensive experience in program development and implementation, she partners with leaders to create impactful, community-based initiatives that improve oral health outcomes for healthier communities.


Summit Managed Solutions is a management consulting and professional services firm that partners with healthcare organizations across the private, public, and social sectors to create value. By providing comprehensive solution management and inclusive business operation services, Summit helps deliver specific, transformative outcomes. With consulting and managed service offerings, Summit helps partners overcome the critical challenges associated with people, process, and technology, while providing partners with flexibility, reliability, and innovation that will propel growth.

 
 
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