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Rural Health Information Hub
Rural Health Information Hub

Rural Project Examples: Oral health

Promising Examples

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 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

Updated/reviewed April 2025

  • 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 $44 million in dental care to more than 73,000 South Dakota children.

Added August 2024

  • Need: To improve oral health among the residents of the Rosebud Reservation in South Dakota.
  • Intervention: St. Francis Mission founded a dental clinic, staffed by volunteers from across the country, to offer free oral healthcare to residents of the Rosebud Reservation.
  • Results: The clinic typically offers 20 one-week clinics every year and has served 3,000 patients since transitioning to electronic records in 2021.

Added July 2024

  • Need: To increase access to preventive dental care among children living in rural Arizona.
  • Intervention: A nonprofit organization formed to offer free, school-based preventive dental services to children in two rural Arizona counties.
  • Results: Throughout the 2023-24 school year, Tooth B.U.D.D.S. provided preventive services to 1,710 students in rural Graham and Greenlee Counties. Program staff use a telehealth platform to connect children to local dentists for follow-up care.
funded by the Health Resources Services Administration

Updated/reviewed June 2024

  • Need: Address oral health disparities in Washington's rural communities.
  • Intervention: The University of Washington School of Dentistry (UWSOD) developed the Regional Initiatives in Dental Education (RIDE) program to increase the number of dentists prepared for the various languages and custom-specific attitudes concerning oral health in addition to the clinical competence required to practice in rural areas.
  • Results: Since its start in 2009 and as of 2024, nearly 100 dentists have completed the program with over 81% practicing in rural communities.
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.

For examples from other sources, see: