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Updated: Oct 31, 2025

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Oral Health Stakeholders: A Time for Alignment and Action.

Shenam Ticku1, Jane Barrow1, Ralph Fuccillo2

  • 1Harvard School of Dental Medicine.

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Summary

Despite advocacy efforts since 2000, oral health policy has seen little change. Uniting diverse stakeholders around common goals and leadership is crucial for comprehensive policy reform.

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Area of Science:

  • Health Policy
  • Public Health
  • Health Services Research

Background:

  • Multiple stakeholder groups have advocated for oral health policy changes since the 2000 Surgeon General's report.
  • Key policy priorities include expanding oral health coverage, integrating medical and dental care, and improving the dental workforce.

Purpose of the Study:

  • To map stakeholder engagement across major oral health policy priorities.
  • To analyze how stakeholder groups influence the oral health policy landscape.
  • To identify barriers and opportunities for achieving policy change.

Main Methods:

  • Utilized a stakeholder map to analyze groups influencing oral health policy.
  • Examined policy changes in relation to stakeholder advocacy efforts over the century.

Main Results:

  • Numerous stakeholders are involved, yet significant policy change has been limited.
  • Current efforts and resources have not translated into substantial policy advancements.
  • A fragmented approach among stakeholders hinders progress.

Conclusions:

  • Coalescing diverse movements around shared goals and messages is essential for policy change.
  • Emergence of a strong leader or champion is critical to drive reform.
  • The COVID-19 pandemic and 2020 political shifts present a potential opportunity to unite stakeholders for comprehensive policy reform.