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Stephen Beetstra, DDS, Daniel Derksen, MD, Marguerite Ro, DrPH, Wayne Powell, MA, Donald E. Fry, MD and Arthur Kaufman, MD

Stephen Beetstra is with the Department of Surgery, the Division of Dental Services, and the Center for Community Partnerships, University of New Mexico, Albuquerque. Daniel Derksen is with the Department of Family and Community Medicine and the Center for Community Partnerships, University of New Mexico, Albuquerque. Marguerite Ro is with the School of Dental and Oral Surgery, Columbia University, New York, NY. Wayne Powell is with the Center for Community Partnerships, University of New Mexico, Albuquerque. Donald E. Fry is with the Department of Surgery, University of New Mexico, Albuquerque. Arthur Kaufman is with the Department of Family and Community Medicine, University of New Mexico, Albuquerque.

Correspondence: Requests for reprints should be sent to Stephen Beetstra, DDS, UNM Center for Community Partnerships, CRTC B-78, 900 Camino de Salud NE, Albuquerque, NM 87131-5019 (e-mail: sbeetstra{at}salud.unm.edu).

Oral health needs are urgent in rural states. Creative, broad-based, and collaborative solutions can alleviate these needs.

"Health commons" sites are enhanced, community-based, primary care safety net practices that include medical, behavioral, social, public, and oral health services. Successful intervention requires a comprehensive approach, including attention to enhancing dental service capacity, broadening the scope of the dental skills of locally available providers, expanding the pool of dental providers, creating new interdisciplinary teams in enhanced community-based sites, and developing more comprehensive oral health policy.

By incorporating oral health services into the health commons primary care model, access for uninsured and underserved populations is increased. A coalition of motivated stakeholders includes community leaders, safety net providers, legislators, insurers, and medical, dental, and public health providers.

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