Tooth decay remains one of the most common chronic diseases of childhood especially for Arizona children. Many Arizona Children start school with tooth decay, a disease that is largely preventable. Early tooth decay can start in children as soon as the first teeth erupt and progresses with age. By the time Arizona children reach 3rd grade, over 75% of them have experienced tooth decay. Arizona’s oral health workforce is challenged by the high dental needs of the state’s children, especially in rural areas which extend into 80% of the state’s land.