The Collaborative Effect: Transforming Oral Health in North Carolina

Published 06/04/2025
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This report evaluates the impact of a learning community comprising 14 safety-net dental practices across North Carolina with a goal to transform oral health for the 47 counties and 87,000 patients they serve. The initiative was a partnership between the North Carolina Oral Health Collaborative, the Blue Cross and Blue Shield of North Carolina Foundation, and CareQuest Institute.  

Noteworthy results from the community include:

  • Teledentistry visits increased 635% (from 402 to 2,953 visits), significantly expanding access to preventive care for underserved and rural populations.
  • Silver diamine fluoride applications grew by 423% (from 1,112 to 5,819 applications), reflecting a shift toward prevention and minimally invasive care.
  • Chronic disease screenings rose by 434% and care coordination/referrals by 563%, reflecting an emphasis on whole-person health and integrated care.

Lessons and recommendations in the report offer a road map for safety-net dental practices nationwide to sustain and scale oral health transformation and achieve long-term systemic change.

The authors write:

The initiative underscores that true oral health equity requires structural change: investment in infrastructure and workforce, data-informed practices, patient-centered models, and integrated care.”

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