How Variations in Orthodontic Treatment Access, Materials, and Prescription Practices Across Countries Contribute to Social Inequality in Dental Health

Abstract

This paper examines the medical necessity of orthodontic braces and the significant discrepancies in the availability of orthodontic care between urban and rural areas in the United States. Using studies on malocclusion, oral health risks, geographic barriers to treatment, and shortages in rural dental care, this paper further analyzes how these factors contribute to significant disparities in oral health outcomes and access to orthodontic services. Finally, a few suggestions regarding the care framework to reduce the gap, which include easing travel restrictions, expanding local treatment capacity, and improving access to orthodontic treatments through technology and community-based assistance, are examined. These approaches are especially practical solutions to underserved communities that can lessen disparities in oral health and preserve long-term dental wellness.