June 12, 2025

In South Carolina, many children head to school with more than just a backpack. For some, a toothache or untreated cavity tags along — causing pain, missed days and trouble focusing. Oral health is an often overlooked part of a child’s well-being. However, it plays a vital role in learning, nutrition, self-esteem and even future health.

The BlueCross BlueShield of South Carolina Foundation is committed to helping communities tackle this challenge by supporting programs that provide preventive care and education, especially in underserved parts of the state.

Why Oral Health Matters for Children

Tooth decay is the most common chronic condition among children — more common than asthma, according to the Centers for Disease Control and Prevention (CDC). Left untreated, cavities can cause pain, infections and problems with eating, speaking and sleeping. These issues can lead to missed school days and lower self-confidence.

Poor oral health also affects long-term health. The CDC notes that untreated oral diseases can lead to infections and are linked to chronic conditions such as diabetes, heart disease and respiratory illnesses. For children, this means that early dental care is about more than just clean teeth — it’s part of overall well-being.

The Challenge in South Carolina

In some parts of South Carolina, as high as 63 percent of children have experienced tooth decay. According to a study highlighted by the South Carolina Department of Public Health, children in rural areas are less likely to receive preventive dental services, including sealants, compared to their urban counterparts.

These numbers show how income and geography can shape a child’s health outcomes. Families in underserved areas often face transportation challenges, fewer dental providers and less access to educational resources.

The Power of Prevention

The good news is that tooth decay is largely preventable. Simple daily habits such as brushing twice a day with fluoride toothpaste, flossing and drinking tap water help strengthen teeth and prevent cavities. The American Academy of Pediatrics recommends children see a dentist by their first birthday.

Dental sealants — thin, protective coatings applied to the chewing surfaces of back teeth — can prevent 80 percent of cavities, according to the CDC. Fluoride treatments are another effective tool that dentists and pediatricians can apply quickly during visits.

Programs That Make a Difference

Across the state, the Foundation supports programs that help children receive preventive care and build healthy habits early in life:

• School-Based Oral Health Initiative (SBOHI): Launched in 2019, this program brings dental professionals directly into schools to provide screenings, cleanings, sealants and fluoride treatments — making care accessible where children already are.
• Head Start Expansion: Building on the SBOHI model, the Foundation supports services for children ages 3 to 5 in Head Start centers across the state. This early intervention helps reduce decay before children enter kindergarten.
• Healthy Learners: This program provides vision, hearing and dental screenings in schools. It also offers transportation and case management to ensure students receive follow-up care. The initiative serves children in both rural and urban areas, with a goal of statewide coverage.
• Reach Out and Read — Oral Health Model: Pediatric providers in this program apply fluoride varnish during well-child visits and educate families about dental care, helping connect children to a “dental home.” This partnership promotes literacy using a dental-themed book to spark conversations and health in one visit.
• Federally Qualified Health Centers and Clinics: The Foundation partners with community health centers and technical colleges to improve access to dental services. These collaborations help reach more children in rural areas and support workforce development for future dental professionals.

A Healthier Smile for Every Child

By focusing on prevention, education and access, these efforts are helping children across South Carolina avoid the pain of tooth decay — and gain the confidence that comes with a healthy smile.

The Foundation’s investments in oral health reflect a belief that early care creates a foundation for lifelong health. When families, providers and schools work together, small steps — such as a fluoride treatment or a lesson on brushing — can lead to big changes.

To learn more about the Foundation’s oral health initiatives, visit www.bcbsscfoundation.org/priorities/oral-health.

*The CDC and the American Academy of Pediatrics are independent organizations that provide health information you may find useful.