In remote areas of Montana, accessing dental care has historically posed significant challenges for residents of the Northern Cheyenne and Crow Indian Reservations. Recognizing this pressing need, USDA Rural Development partnered with the University of Washington School of Dentistry (UWSOD) and its Regional Initiatives in Dental Education (RIDE) program to implement an innovative telehealth initiative to bridge the gap in rural dental services. This program is not only improving health outcomes but also training the next generation of dental professionals and increasing their interest in serving rural and Tribal communities.

For over 12 years, the RIDE program has focused on preparing dentists who are dedicated to addressing the needs of rural and Tribal populations. With a proven record of success—70% of RIDE graduates currently practice in these communities—the initiative has expanded to include five-week dental service-learning rotations in rural regions of Washington and Montana for senior dental students. This expansion enhances clinical reach and strengthens community ties.

With a grant award from USDA’s Distance Learning and Telemedicine (DLT) program, the UWSOD’s RIDE initiative received funding for equipment to allow patients to consult with remote dental specialists while receiving care locally from their provider, translation services where needed, and other essential support at the time of service. “This program exemplifies our commitment to improving opportunities for rural and Tribal residents in Montana. By leveraging telehealth technology, we’re breaking down barriers to care and ensuring broader access to critical dental services,” said Kathleen Williams, the USDA Rural Development State Director for Montana.

One element of the RIDE program specifically addresses is the significant oral health disparities and access issues in these communities, including diverse populations, low-income families, and patients with special needs. The RIDE initiative aims to provide essential dental care that is often difficult to obtain in these rural settings.

And, the initiative emphasizes preventive care, encouraging community members to take charge of their dental health. Dr. Frank A. Roberts, Associate Dean for Regional Affairs & RIDE at the UW School of Dentistry noted, “The telehealth program has made it easier for our patients to engage in preventive care, leading to better overall health outcomes.” This proactive approach is essential in fostering health sovereignty for the Northern Cheyenne and Crow and the other communities UW’s RIDE program serves.

A RIDE student currently Brian Bladwen, shared his perspective: “As a future dentist, I recognize how this program is breaking down barriers to care. It allows us to reach more patients and provide the dental services they need right here in our community.” His firsthand experience highlights the program’s dual role in serving community needs while training emerging dental professionals.

The total project cost for the University of Washington’s DLT award is $1,153,386, with a grant request of $1,000,000 from USDA and a matching contribution of $153,386