Dental disease results from poor oral hygiene practices, compounded by a lack of oral health education and promotion. Oral diseases have been described as the neglected epidemic,[1] posing problems for the individual, the family and the community. Oral health care is often omitted from primary care services and is not seen as a priority. Health professionals need to develop strategies at the community and public policy level to reposition oral health as a critical element of a healthy image.[2] More individuals lack dental insurance than those who lack health insurance, for example, 150 million and 37 million respectively in the United States.[3]

Negative attitude, lack of information and access to affordable care are integral factors associated with the epidemic. Some people associate oral care with pain and suffering and believe it is compulsory to lose teeth as you age. Good oral health is important because in addition to freedom from pain, suffering and infection, it allows for the development of speech, facilitates the eruption of permanent teeth and aids in chewing, which contributes to digestion and adequate nutrition. The contour of the face is maintained by ones dentition and a healthy smile is important to ones self-image and self-esteem.