Disparities in Access to Oral Health Care

Mary E Northridge, Anjali Kumar, Raghbir Kaur

Research output: Contribution to journalArticlepeer-review


In the United States, people are more likely to have poor oral health if they are low-income, uninsured, and/or members of racial/ethnic minority, immigrant, or rural populations who have suboptimal access to quality oral health care. As a result, poor oral health serves as the national symbol of social inequality. There is increasing recognition among those in public health that oral diseases such as dental caries and periodontal disease and general health conditions such as obesity and diabetes are closely linked by sharing common risk factors, including excess sugar consumption and tobacco use, as well as underlying infection and inflammatory pathways. Hence, efforts to integrate oral health and primary health care, incorporate interventions at multiple levels to improve access to and quality of services, and create health care teams that provide patient-centered care in both safety net clinics and community settings may narrow the gaps in access to oral health care across the life course.

Original languageEnglish (US)
Article number8
Pages (from-to)513-535
Number of pages23
JournalAnnual Review of Public Health
StateE-pub ahead of print - Jan 3 2020


  • interventions to reduce disparities
  • oral health care equity
  • disadvantaged populations
  • oral disease prevention
  • dental services
  • life course approach
  • United States
  • Humans
  • Middle Aged
  • Male
  • Ethnicity/statistics & numerical data
  • Healthcare Disparities/statistics & numerical data
  • Rural Population/statistics & numerical data
  • Quality of Health Care/statistics & numerical data
  • Aged, 80 and over
  • Delivery of Health Care/statistics & numerical data
  • Adult
  • Female
  • Health Services Accessibility/statistics & numerical data
  • Poverty/statistics & numerical data
  • Oral Health/statistics & numerical data
  • Risk Factors
  • Minority Groups/statistics & numerical data
  • Aged
  • Medically Uninsured/statistics & numerical data

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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