The Lion's Pride Volume 9 (January 2018) | Page 54

adults miss literally millions of hours of school and work due to dental disease or visits (Sanders, 2012). This shows that there is a real impact on people who have poor dental care. There are significant barriers to proper dental care for low-income and minority families in the US: high costs, language and cultural barriers, transportation challenges, and difficulty finding work and childcare arrangements (Sanders, 2012). While it’s true that these barriers apply in some degree to any person who needs dental care, they disproportionately affect low-income and minority populations because they have more limited resources to overcome these barriers. Populations like low-income families, minorities, and people with special health needs face tougher challenges in receiving dental care. As the US Surgeon General said in 2000, “there are profound and consequential disparities in the oral health of our citizens” (US Department of Health and Human Services, 2000); and the populations who need health services the most, the ones who experience oral disease at higher rates, receive the least attention under the current US health and dental care system (Sanders, 2012). Children from these disproportionately impacted groups are particularly vulnerable to poor oral health outcomes and they have higher rates of “unmet health needs” (Mouradian et al., 2000). Understanding the shortcomings in health care coverage and who is impacted is important because it helps inform