Access to dental care: solving the problem for underserved populations
Related Experiment Video
Updated: Aug 20, 2026

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
1American Dental Association, Chicago, Ill. 60611, USA. guaya@ada.org
Background:
Americans are enjoying an increasing level of oral health. However, oral health improvements are not being experienced evenly across the population. The poor, some minorities, institutionalized elderly people and other groups do not have adequate access to dental care.
Overview:
The author discusses the need to understand clearly the barriers to care affecting underserved populations and presents a framework for designing access-to-care programs.
Conclusions:
The author concludes that access-to-care problems are complex and will not be solved easily or quickly. A complete understanding of the barriers to care being experienced by any group under consideration must be achieved, and an improvement plan must be designed to address those specific barriers considering the demand for care, the dental work force and the economic environment.
Practice Implications:
Failure to understand the barriers to care and address them adequately will result in limited success in enhancing access to dental care for underserved populations.
Related Concept Videos
Introduction To Health Care Delivery System
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Teeth
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin and...
Tooth Anatomy
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or grinding food.
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
