IMAGINE a Jamaica where every smile reflects not just happiness but also robust health — a nation where access to dental care is a right, not a privilege. This world can be possible with universal health care. Universal health coverage (UHC) aims to ensure that all individuals receive necessary health services without financial hardship. However, oral health often remains on the periphery of these discussions. To truly embody the principles of UHC, the Ministry of Health and Wellness must implement strategic measures to alleviate the financial burdens associated with preventive and restorative dental care.

In May 2023, the ministry made a positive move in this direction by launching the ‘Second Chance Smiles’ programme, aiming to provide dentures to 10,000 Jamaicans under 60 years old, with a budget of $60 million over 18 months (Ministry of Health and Wellness, 2023).

However, more work needs to be done in providing affordable oral health care. One way is to expand public dental services to include comprehensive preventive and restorative treatments which can significantly reduce long-term oral care and health-care costs. Integrating such services into all existing health centres ensures that dental care becomes an accessible part of primary health care.

Children are the cornerstone of our future, and their oral health is paramount. Collaboration with the Ministry of Education to establish school-based dental programmes and clinics that offer regular check-ups, cleanings, and fluoride treatments can drastically reduce the prevalence of dental diseases among the youth. Early intervention and education have proven effective in other regions, emphasising the importance of fostering lifelong oral hygiene habits.

Access to dental care in rural and underserved areas remains a significant challenge. Deploying more mobile dental clinics can bring essential services directly to these communities, eliminating transportation barriers. Additionally, embracing teledentistry for remote consultations, follow-ups, and preventive education makes dental care more accessible and cost-effective (National Conference of State Legislatures, 2023).

Integrating oral health services with primary health care can lead to better health outcomes

Training primary care providers to conduct basic dental screenings and offer preventive advice ensures that oral health is addressed during routine medical visits. This approach has been successful in other health-care settings, demonstrating the interconnection between oral health and overall well-being.

To address the uneven distribution of dental professionals, the Government can introduce incentives such as loan forgiveness programmes, housing allowances, or tax benefits to encourage dentists to practice in underserved regions. This strategy not only improves access to care but also fosters economic growth within these communities.

Collaborating with private entities can enhance the reach and quality of dental services

Public-private partnerships can lead to affordable dental insurance plans, community outreach programmes, and the establishment of more dental clinics, reducing the financial strain on public health-care systems.

Integrating oral health into Jamaica’s UHC is a commitment to equity and well-being. By implementing these strategies, the Ministry of Health and Wellness can alleviate the financial hardships of dental care, ensuring that every Jamaican can smile brightly without concern for cost.

Jade Cohall-Cunningham is a University of Technology, Jamaica, College of Oral Health Sciences student, and Dr Meleka Daley is a dentist and lecturer. The article looks at strategies the Ministry of Health and Wellness can use in making oral health care accessible to all Jamaicans, and was written in celebration of World Oral Health Day on March 20, 2025.

Dr Meleka Daley.

Jade Cohall-Cunningham