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December 31.2025
3 Minutes Read

Facing the Dental Care Crisis: Insights from CareQuest's CEO on Access Priorities for 2026

Concerned CEO addresses the oral health crisis amid Medicaid cuts in modern office.


Understanding the Urgent Need for Enhanced Dental Access

As we stand on the precipice of 2026, the dental care landscape in the United States appears increasingly precarious. According to Wade Rakes, CEO of CareQuest Institute for Oral Health, we are arguably in a state of crisis, with one in five Americans lacking access to a dental care plan. This statistic starkly underscores the pressing need for action as both public policy and health service delivery trends threaten to exacerbate disparities in oral health.

The Interconnection of Oral Health and Overall Wellbeing

Rakes eloquently highlights the integral role oral health plays in overall health. The adverse impacts of neglecting dental care extend far beyond cavities and gum disease; they are closely linked to serious conditions such as diabetes and heart disease. Access to preventive dental care is not just a matter of comfort—it's a necessity for maintaining overall health. According to various studies, like those referenced by Melissa Burroughs in an opinion piece for STAT, improved funding and access to preventive measures, including fluoridation, could significantly reduce emergency room visits tied to dental issues, thereby alleviating burdens on both patients and healthcare systems.

The Role of Policy Shifts in Dental Care Accessibility

The American dental care system is facing a multitude of challenges, from increasing costs and workforce shortages to significant Medicaid cuts that could affect millions. With these systemic flaws in mind, Rakes emphasized the importance of advocating for enhanced access to dental coverage, particularly for vulnerable communities. The ongoing reduction of Medicaid coverage, as highlighted in Burroughs’ analysis, stands to strip vital care from those who need it most, leading to untreated conditions that escalate into emergencies.

Crisis in the Pediatric Dental Care Space

The accessibility crisis takes on a particularly alarming dimension when we focus on children. Reports indicate a shocking 60% increase in emergency dental visits for kids under 14 from previous years. This trend highlights a systemic failure in providing adequate preventive care, which often leads to severe health repercussions overall—the dental health crisis is quite literally affecting the health of the next generation. Rakes and Burroughs are not alone in recognizing this critical juncture. Experts argue that a comprehensive approach, including advocating for community water fluoridation and expanding dental care coverage, is necessary to mitigate the looming risk of deteriorating childhood oral health.

The Push for Inclusion of Dental Therapists

One potential solution to the dental access crisis is the introduction of dental therapists—trained professionals who can perform basic procedures under the supervision of licensed dentists. This model has proven effective in various states and countries, as highlighted in insights from Florida's dental care initiatives. By empowering mid-level practitioners, we can address the severe dentist-to-population ratio, especially in underserved areas, ultimately increasing access to crucial dental services.

Looking Ahead: Expanding Access and Improving Outcomes

The path forward is fraught with challenges, yet it is clear that a multi-faceted strategy is essential. Policymakers, healthcare providers, and health advocates must unite to drive policy reforms that prioritize preventive dental care. This includes garnering public support for community fluoridation efforts, addressing the workforce shortages, and ensuring coverage for veterans who too often fall through the cracks of available resources.

As we look to 2026 and beyond, it is evident that the time for action is now—both to secure policy changes and to address the glaring gaps in access to dental care. CareQuest’s mission to advocate for improved oral health for all souls must inform our collective actions moving forward. Only by uniting efforts can we hope to climb out of this crisis and steer the nation towards better holistic health outcomes.


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