Child brushing teeth

Oral Health In Colorado

By the Numbers

Diverse communities call Colorado home.

Across the state, Coloradans talk about how their communities offer connection and support. People identify communication and education as sources of strength. These connections enable people to get information from trusted members in their own community like school staff, faith leaders, resource centers, families and friends. These relationships contribute to the resilience communities demonstrate as they confront barriers to optimal oral health.

The challenges Colorado communities face are as varied as the landscape. Each encounters unique barriers that contribute to state-wide inequities. Factors including insurance status, cost, region, language, and cultural variations impact social determinants of health for people across Colorado.

Coloradans are more likely to have poor oral health if they encounter barriers such as earning low wages, are not covered by insurance, are a racial or ethnic minority, have immigrated recently, have disabilities, or live in a rural community. The following infographics highlight factors that may contribute to oral health disparities

Diverse communities call Colorado home.

Across the state, Coloradans talk about how their communities offer connection and support. People identify communication and education as sources of strength. These connections enable people to get information from trusted members in their own community like school staff, faith leaders, resource centers, families and friends. These relationships contribute to the resilience communities demonstrate as they confront barriers to optimal oral health.

The challenges Colorado communities face are as varied as the landscape. Each encounters unique barriers that contribute to state-wide inequities. Factors including insurance status, cost, region, language, and cultural variations impact social determinants of health for people across Colorado.

Coloradans are more likely to have poor oral health if they encounter barriers such as earning low wages, are not covered by insurance, are a racial or ethnic minority, have immigrated recently, have disabilities, or live in a rural community. The following infographics highlight factors that may contribute to oral health disparities.

REGIONAL DISPARITITES

Pie chart illustrating 83% of coloradans live in areas without adequate dental health

Dental Health Professional Shortage Areas

83% of Colorado’s rural or frontier counties are designated as Dental Health Professional Shortage Areas

map illustrating 64 miles of driving

64 Miles For Dental Care

Rural residents with a reliable source of dental care must travel 64 miles for care, on average. (That’s an equivalent distance of travel from Denver to Fort Collins).

image illustrating care disparities in Colorado.

Care Shortage

50 out of 64 Colorado counties are designated as either geographic or low- income population Dental Health Professional Shortage Areas (HPSA)

illustration of a barn on a farm

Rural populations have a lower supply of dentists

Oral Health Disparities

Rural populations have a lower supply of dentists, receive less dental care for adults and children, and have higher rates of tooth loss for adults. They are also more likely than urban populations to have inadequately fluoridated drinking water[…] and have lower health literacy.

– Colorado Rural Health Center, 2022

colorado rural landscape with windmill

1 : 1,453

Ratio of dentists to residents in Colorado

Clinical treatment capacity is unevenly distributed across the state of Colorado.

Colorado Oral Health Stats

23

counties do not have a dental hygienist who accepts Medicaid

10

counties do not have a dentist

6

counties do not have a hygienist

ECONOMY, RACE AND CULTURE

Social determinants of health (including economic stability, neighborhood and built environment, education access and quality, social and community context, and health care access and quality) are directly related to oral health. Hispanic/Latino community members and those in low-wage earning households experience poorer oral health than their white and higher-income counterparts.

Language Barriers

Though the state is becoming more diverse, the dental profession remains overwhelmingly comprised of White, nonHispanic professionals who often only practice in English.

Illustration of the globe

315,000

Coloradans speak English “less than very well,” which result in additional barriers to navigating insurance and health care.3

bar chart showing 20%

20% Dentists Over 60 Yrs

20% of the dentists with active licenses are over age 60.

Pie chart illustrating 12%

12% of Household Prefer Spanish

12% of Colorado households report Spanish is their preferred language.

two bar charts showing disparity in insurance between Hispanic/Latino & Whites

Insurance Status

49% Hispanic/Latino Have Insurance

Treatment is not equally available to all persons because of insurance status or the inability to pay for needed oral health services.

Medicaid Gaps

Pie chart showing 55%

55% Accept Medicaid

Of dentists who accept Medicaid, only 55% had at least one Medicaid claim as a rendering provider.2

Pie chart showing 34%

34% Hygienists Accept Medicaid Had Claim

And only 34% of hygienists who accept Medicaid had at least one Medicaid claim as a rendering provider.2

dentist with patient

Spanish Speaking Participants

A dentist that speaks their language

Many Coloradans are unable to receive care in a language they are comfortable speaking. Spanish-speaking participants noted that they would prefer seeing a dentist that speaks their language.

graphic showing 250%

Federal Poverty Level

adults living at or below

Hispanic/Latino adults and adults living at or below 250% of the federal poverty level have statistically similar rates of tooth loss resulting from decay or gum disease.1

ORAL HEALTH AND CHILDREN

The inequities in social determinants of health impact and shape the lives of Colorado’s children and are barriers in accessing oral health care in the state.

graphic showing #1

Cavities Remain Number One

one chronic disease in children, with potential developmental, economic, and social ramifications.

graphic showing 3 of 10 people

3 in 10

Children have tooth decay by kindergarten

Childhood Tooth Decay by Ethnicity

bar charts showing tooth decay by kindergarten between white and hispanic students

Kindergarten Students

40.9% of Hispanic / Latino and 23.4% of white kindergartners experience tooth decay

bar charts showing tooth decay by third graders between white and hispanic students

Third Grade Students

57.9% of Hispanic / Latino and 37.9% of white kindergartners experience tooth decay

illustration of a tooth

Nearly Half

Nearly half of Colorado children experience a cavity by third grade

Mother brushing baby's teeth