The cost of dental care is skyrocketing in the U.S., while the availability of care remains stagnant. A 2018 report shows that the ratio of people to dentists in Texas is 1,790:1, compared to a national ratio of 1,480:1. Thirty-five Texas counties do not have a single dentist, and there are 322 designated dental health profes- sional shortage areas (HPSAs) across the state. Furthermore, the U.S. Department of Health and Human Services (HHS) projects that Texas’ dentist shortage will increase by 38% between 2012 and 2025.