The challenges of resolving the oral health disparities among children and other vulnerable populations requires a well-organized community safety net, along with a sincere commitment to prioritize the elimination of this common, but preventable, dental disease. Adequate funding for basic health needs, while incorporating oral health care into a comprehensive primary care model in our neighborhoods provides the best chance for a successful outcome. In order to build better communities for our children, improvement in the access and delivery of dental care must be part of the equation.