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Dental Deserts: Millions Struggle for Basic Care

by Dr. Navapriya S on Jan 25 2025 11:42 AM
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Imagine driving hours for a basic dental cleaning or waiting days to treat a toothache. For 1.7M Americans, this is their reality.

Dental Deserts: Millions Struggle for Basic Care
Imagine driving hours just to get a basic dental cleaning or waiting days for relief from a toothache. For nearly 1.7 million people in the United States, this is an everyday reality.
Nearly 24.7 million people live in areas with a severe shortage of dental services. A new study published in JAMA Network Open highlights the issue of “dental deserts,” areas with few or no dentists, leaving millions without access to care(1 Trusted Source
Dental Clinic Deserts in the US: Spatial Accessibility Analysis

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).

Rural Areas Face a Severe Shortage of Dentists

The study, led by researchers at Harvard School of Dental Medicine, provides a detailed national map of dental care accessibility. Using advanced methods to assess availability and demand, the researchers identified specific neighborhoods, known as block groups, where dental services are scarce. This data offers a much clearer picture of access issues compared to previous studies.

In rural regions, there is just one dentist for every 3,850 people. By contrast, urban areas have a much better ratio, with one dentist for every 1,470 people. Alaska, Montana, and North Dakota have the highest percentage of residents living in dental deserts.

In Alaska, 10.4% of the population lacks access to nearby dental care. Four states—Connecticut, Delaware, Indiana, and New Jersey—as well as Washington, D.C., reported no significant shortages.

Dental Care Disparities in Underserved Communities

These shortages don’t just affect where you live but also who you are. The study revealed that in rural areas, predominantly white populations are more likely to live without dental access, while in urban areas, Hispanic and Black populations face shortages due to poverty and segregation. Many people in these areas are uninsured, making it even harder to get care.

Lack of dental care isn’t just a minor inconvenience—it can lead to serious health problems. Untreated tooth decay or gum disease can result in pain, infections, and even complications like heart disease or diabetes. “When people can’t access routine care, they often delay treatment until it becomes an emergency,” said lead researcher Hawazin Elani.

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“This is a serious issue for both oral and overall health,” said lead researcher Hawazin Elani. She explained that people on Medicaid and Medicare face additional hurdles since many dentists don’t accept these programs. This often forces people to delay much-needed dental treatments, which can lead to more severe health problems.

The researchers hope their findings can lead to better workforce planning, such as offering incentives for dentists to work in underserved areas or expanding community dental clinics. “We want this data to drive change and reduce these disparities,” Elani said.

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Access to dental care is vital for maintaining health, and addressing these gaps could relieve millions of Americans living in dental deserts.

Reference:
  1. Dental Clinic Deserts in the US: Spatial Accessibility Analysis - (https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2828397)


Source-Medindia


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