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A Kentucky Head Start Program Supports Oral Health but Suffers Due to Lack of Providers

Paducah’s Head Start program is dedicated to supporting the oral health of kids and families, but an overwhelming shortage of pediatric dentists is leaving children waiting months for care. As demand climbs and Medicaid access shrinks, the program’s ability to serve its most vulnerable kids hangs in the balance.

In Western Kentucky, Paducah Head Start is on the front lines of early childhood oral health, but a deepening shortage of pediatric dentists threatens its mission. Designed to support children from lower-income families, the long-running preschool hosts oral health exams throughout the year and connects families with local dentists for follow-up care. However, the scarcity of pediatric specialists means some children wait 6 months or longer to be seen, missing critical windows for preventive and restorative care.

The program is especially vital for children who are disabled or covered by Medicaid, yet many local providers do not accept public insurance, further narrowing options for families in need. Pediatric dental needs don’t pause for paperwork: early caries, pain, speech development, and self-esteem are all at stake. Educators at Head Start are doing their part, engaging students in circle brushing, reminding parents of appointments, and distributing oral health resources, but they can’t fill the clinical gap alone.

With only a few pediatric dentists serving the region, the challenge is urgent and growing. The solution may lie in collaboration, outreach, expanding the scope of practice for dental hygienists, and increased Medicaid participation, so every child can smile with confidence. Click here to read more.

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