{"id":86743,"date":"2026-06-10T19:52:16","date_gmt":"2026-06-10T19:52:16","guid":{"rendered":"https:\/\/www.ewu.edu\/magazine\/?post_type=stories&#038;p=86743"},"modified":"2026-06-10T19:52:16","modified_gmt":"2026-06-10T19:52:16","slug":"dentistrys-missing-middle","status":"publish","type":"stories","link":"https:\/\/www.ewu.edu\/magazine\/news\/dentistrys-missing-middle\/","title":{"rendered":"Dentistry\u2019s  Missing Middle"},"content":{"rendered":"<h6 class=\"p1\">A new dental therapy program aims to address a gap in need.<\/h6>\n<p class=\"p4\"><span class=\"s2\"><br \/>\nA<\/span><span class=\"s3\">cross much <\/span><span class=\"s4\">of Washington, getting a toothache is a pain that goes well beyond a throbbing jaw \u2014 even for those who can afford treatment. Thanks to a shortage of rural practitioners, <\/span>dental patients can wait weeks for an appointment, face long drives to a clinic and, too often, experience care deferred to the point of crisis.<\/p>\n<p class=\"p6\">According to a 2023 report by the Washington Department of Health, 38 of 39 counties are federally designated as complete or partial Dental Health Professional Shortage Areas. Our situation is hardly unique. Millions of Americans lack reliable access to even basic dental services. The pipeline of dentists has simply not kept pace with the nation\u2019s needs.<\/p>\n<p>&nbsp;<\/p>\n<figure id=\"attachment_86745\" aria-describedby=\"caption-attachment-86745\" style=\"width: 550px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"img-fluid wp-image-86745\" src=\"https:\/\/www.ewu.edu\/magazine\/wp-content\/uploads\/sites\/12\/2026\/06\/dental-therapy-300x183.jpg\" alt=\"Dainela Michel leans into EWU\u2019s hands-on dental hygiene curriculum.\" width=\"550\" height=\"336\" srcset=\"https:\/\/www.ewu.edu\/magazine\/wp-content\/uploads\/sites\/12\/2026\/06\/dental-therapy-300x183.jpg 300w, https:\/\/www.ewu.edu\/magazine\/wp-content\/uploads\/sites\/12\/2026\/06\/dental-therapy-768x468.jpg 768w, https:\/\/www.ewu.edu\/magazine\/wp-content\/uploads\/sites\/12\/2026\/06\/dental-therapy.jpg 900w\" sizes=\"auto, (max-width: 550px) 100vw, 550px\" \/><figcaption id=\"caption-attachment-86745\" class=\"wp-caption-text\">Dainela Michel leans into EWU\u2019s hands-on dental hygiene curriculum. In 2028, a new dental therapy training program is poised to expand Eastern\u2019s already considerable contribution to regional oral health. Photo by Chris Thompson.<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<p class=\"p6\">Into the gap steps an old idea that\u2019s gaining new momentum: the \u201cdental therapist,\u201d a mid-level provider operating under the supervision of a dentist who is trained to do more than a typical hygienist. Dental therapists examine patients, administer anesthetics, fill cavities, place temporary crowns and, in some cases, pull teeth. The model is common in dozens of countries and has been used in parts of the United States, particularly in tribal communities, for more than a decade.<\/p>\n<p class=\"p6\"><span class=\"s1\">Unfortunately, academic training for dental therapists is rare. Only three programs in the country hold accreditation from the Commission on Dental Accreditation, and just one offers a master\u2019s degree. Eastern intends to become the next. Backed by a $10.5 million commitment from the Legislature and a $1 million grant from Delta Dental, EWU is developing a master\u2019s-level dental therapy program in the College of Health Science and Public Health. Dawn Lewis-Kinnunen, the college\u2019s dean, says accreditation work is underway, with a target of enrolling the first cohort of students in fall 2028. \u201cRural communities don\u2019t have adequate access to oral care in Washington state,\u201d Lewis-Kinnunen says. \u201cOur goal is to improve availability by educating a new tier of providers.\u201d<\/span><\/p>\n<p class=\"p6\">Development of the dental therapy master\u2019s program is occurring as EWU enters the beginning stages of its plan to create a health sciences hub in Spokane\u2019s University District. The new program will be located in the SIERR Building, adjacent to EWU\u2019s Dental Hygiene program and the university-run clinic that provides oral health services to underserved members of the Spokane community.<\/p>\n<p class=\"p6\">The dental programs also will be in close proximity to the School of Nursing, which is also housed in SIERR. The Regional Initiatives in Dental Education (RIDE) program, meanwhile, a partnership between EWU and the University of Washington School of Dentistry, will stay in the 840 Building located next door.<\/p>\n<p class=\"p6\"><span class=\"s1\">\u201cThis is the ideal plan for the interprofessional work we want to foster,\u201d says Lewis-Kinnunen. \u201cIt\u2019s going to be pretty, and productive.\u201d<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A new dental therapy program aims to address a gap in need.<\/p>\n","protected":false},"author":484,"featured_media":86745,"menu_order":0,"template":"","class_list":["post-86743","stories","type-stories","status-publish","has-post-thumbnail","hentry","stories_categories-science","stories_tags-spring-summer-2026"],"acf":{"subheading":"","featured_image_format":"cover","display_byline":false,"display_featured_image":false,"display_date_published":false,"featured_video":"","Links":false,"Resources":false,"page_override_title":"","page_hide_sidebar":false,"page_enable_page_nav":false,"page_persona_bar_default_tab":""},"_links":{"self":[{"href":"https:\/\/www.ewu.edu\/magazine\/wp-json\/wp\/v2\/stories\/86743","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ewu.edu\/magazine\/wp-json\/wp\/v2\/stories"}],"about":[{"href":"https:\/\/www.ewu.edu\/magazine\/wp-json\/wp\/v2\/types\/stories"}],"author":[{"embeddable":true,"href":"https:\/\/www.ewu.edu\/magazine\/wp-json\/wp\/v2\/users\/484"}],"version-history":[{"count":7,"href":"https:\/\/www.ewu.edu\/magazine\/wp-json\/wp\/v2\/stories\/86743\/revisions"}],"predecessor-version":[{"id":86913,"href":"https:\/\/www.ewu.edu\/magazine\/wp-json\/wp\/v2\/stories\/86743\/revisions\/86913"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.ewu.edu\/magazine\/wp-json\/wp\/v2\/media\/86745"}],"wp:attachment":[{"href":"https:\/\/www.ewu.edu\/magazine\/wp-json\/wp\/v2\/media?parent=86743"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}