1. Dental Workforce Supply and Demand CPCA Oral Health Summit June 7, 2002

3. Dentists per 100,000 U.S. Population 1950-2020 (Valachovic et al. JDE, 2001) Source: Bureau of Health Professions, HRSA, DHHS. Data from the Eighth Report to Congress 1991 and unpublished reports. 1950 1960 1970 1980 1990 2000 2005 2010 2015 2020 Actual Projected

5. Estimated Additions of Dentists to the Dental Workforce: 1995-2040 (Valachovic et al. JDE, 2001) Assumptions: number of graduates remains at 4050 retirement age of 65 year 2014 year 2023 -1706 year 1995 year 2040 year 2031 Source: American Association of Dental Schools

6. MSSAs with a Shortage of Primary Care Dentists: California Counties, 1998

7. Percent of Professionally Active Dentists by Gender and Race/Ethnicity (Valachovic et al. JDE, 2001) Source: American Dental Association Bureau of Health Professions, HRSA 86.3% White/Caucasian 3.3% Hispanic/Latino 3.4% Black/African American 6.9% Asian/Pacific Islander 0.1% Native American 14.1% Female 85.9% Male

10. Value Trends of Entering College Freshmen: 1966-1996 (Valachovic et al. JDE, 2001) 1966 1977 1996 Be well-off financially Develop a meaningful philosophy of life Source: Higher Education Research Institute, Univ. of California, Los Angeles

11. First-Time, First-Year Minority Enrollees in U.S. Dental Schools: 1990-1999 (Valachovic et al. JDE, 2001) 971 576 205 245 174 215 15 25 Source: American Dental Education Association

18. Supply vs. Demand Consumers need perception location costs Providers cultural comp supply prevention costs BIG GAP System Issues: Reimbursement, Safety Net, Public Health There is a disconnect between the professional agenda and practice realities of dental professionals and the public health goal of equity in access and optimally healthy communities. Access Barriers : Financial, Process, Attitudinal, Physical