The Dental Health Aide Therapist (DHAT) model that the tribe has endorsed has been used in many parts of the world, including Alaskan tribal areas, as a way of expanding services in poor, isolated and minority communities.
The Oregon Health Authority has strictly enforced a rule requiring members to get dentures six months after they lose their last tooth, effectively denying false teeth to newly insured members, some of whom have been left without any teeth for years.