February is National Children’s Dental Health Month, a time to focus on the importance of strong oral health habits for children and to raise awareness about the unique dental health challenges facing American Indian and Alaska Native (AI/AN) youth.
Oral health is more than just a bright smile. It affects a child’s ability to eat, sleep, learn, and feel confident. Yet dental disease remains one of the most common chronic conditions among children, and its impact is especially severe in Tribal communities.
According to the Indian Health Service (IHS), by the age of 2, about 40% of AI/AN children have already experienced tooth decay, and by age 5, that number rises to nearly 80%. For children ages 6–9, the situation remains alarming: IHS data shows that more than 87% of AI/AN children have experienced tooth decay in either their baby or permanent teeth. Even more concerning is the rate of untreated decay. Over half of AI/AN children ages 6–9 have untreated cavities, meaning active dental disease that has not yet been addressed.
Compared to other racial and ethnic groups, AI/AN children experience the highest rates of tooth decay and untreated dental problems. This is not due to a lack of care from families, but rather longstanding barriers such as limited access to dental providers, geographic isolation, and systemic inequities in healthcare resources.
During National Children’s Dental Health Month, communities can take meaningful steps to support healthier smiles:
- Encourage regular dental checkups
- Promote daily brushing with fluoride toothpaste
- Reduce sugary drinks and snacks
- Support school-based dental programs and clinics
This National Children’s Dental Health Month, let’s work together to protect smiles, strengthen futures, and ensure every child has access to the care they deserve.