Health care system approach to meet the oral health needs of medically indigent children:

North and South Carolina are 85% and 91% fluoridated:

"Access to dental services in the mid-Carolinas was the most pressing unmet need in local school children, with greatest disparities among children eligible for public assistance or the free and reduced lunch program. Annual screenings in the schools documented that nearly 50% had dental needs with half presenting with urgent needs"