Aim:The purpose of the present study was to consider racial differences across three survey questions related to adult oral health in the National Oral Health Surveillance System (NOHSS) between 1999 and 2014. Methods:The NOHSS tracks population-level progress made toward improved oral health in the USA. NOHSS adult indicators of oral health data were extracted for 1999-2014, and trends were studied by race.Results: Among adults ≥18 years in 1999, 70.7% of whites and 60.3% of blacks had visited a dentist in the past year. By 2014, 68.4% of whites and 56.5% of blacks had visited a dentist in the past year. Among adults aged ≥65 years in 1999, 24.5% of whites and 33.2% of blacks had lost all natural teeth due to dental caries or gingival/ periodontal disease. By 2014, 14.3% of whites and 22.1% of blacks had lost all natural teeth.

Objectives: Due to lower fees, dental school clinics (DSCs) may provide dental care for vulnerable populations. This study evaluates factors associated with patients deciding to discontinue care at a DSC. Methods: This is a retrospective analysis of a patient transfer form that was implemented to smooth transition of a patient when their student provider graduated. Forms provided deidentified information about characteristics and unmet dental needs. Descriptive and bivariate statistics were used to identify associations between patient characteristics and deciding to continue treatment in the student practice. Results: Of 1894 patients, 73.4% continued care. Financial limitations were most commonly reported as the reason for discontinuing care (30.1%). Patients speaking a language other than English or who had reported financial barriers were significantly less likely to continue care. Conclusions: Dental school patients from vulnerable groups are more likely to discontinue care. Dental schools should implement programs that will assist patients in maintaining a dental home.