Association‌ of‌ State‌ &‌ Territorial‌ Dental‌ Directors
3858‌ Cashill Blvd.,‌ Reno,‌ NV‌ ‌89509
Phone‌ 775-626-5008‌‌ Fax‌ 775-626-9268

The Association of State and Territorial Dental Directors (ASTDD) is a national non-profit organization representing the directors and staff of state public health agency programs for oral health. It was organized in 1948 and is one of 17 affiliates of the Association of State and Territorial Health Officials (ASTHO). ASTDD formulates and promotes the establishment of national dental public health policy, assists state dental programs in the development and implementation of programs and policies for the prevention of oral diseases; builds awareness and strengthens dental public health professionals' knowledge and skills by developing position papers and policy statements; provides information on oral health to health officials and policy makers, and conducts conferences for the dental public health community.

A strong and effective governmental oral health presence in states and territories to assure optimal oral health.

ASTDD provides leadership to:
  • advocate for a governmental oral health presence in each state and territory,
  • increase awareness of oral health as an important and integral part of overall health,
  • address health equity,
  • promote evidence-based oral health policy and practice, and
  • assist in the development of initiatives to prevent and control oral diseases.

The ASTDD Membership consists of the chief dental public health officer (state dental director) of the state health department or equivalent agency, and the U. S. Territories. ASTDD also offers Individual or Organizational Associate Membership which is open to any public agency, voluntary organization, tribal entity and/or health professionals employed or interested in dental public health. Members and Associate members serve on and chair committee's or work groups, receive the ASTDD newsletter, are enrolled on the ASTDD list serve, and participate in the ASTDD Annual Business Meeting held in conjunction with the annual National Oral Health Conference. Individual Associate member dues are $75.00 per year. Organizational Associate Membership dues are $400 per year.

Apply online for ASTDD Membership

ASTDD Key Messages

State Oral Health Programs make an essential contribution to public health and must be continued and enhanced. Resources to Support ASTDD Key Messages.

  • 1. A successful SOHP must have diversified funding that includes funding for state and local evidence-based programs.
  • 2. A successful SOHP needs a continuous, strong, credible, forward-thinking leader.
  • 3. A successful SOHP needs a complement of staff, consultants and partners with proficiency in the ASTDD Competencies for SOHPs.
  • 4. A successful SOHP needs one or more broad-based coalitions that include partners with fiscal and political clout.
  • 5. A successful SOHP must have valid data (oral health status and other) to use for evaluation, high quality oral health surveillance, a state oral health plan with implementation strategies, and evidence-based programs and policies.

Announcements, Publications & Documents

  • Oral Health Matters - The fall 2016 edition of the ASTDD newsletter; meet members and associate members, check out state shots, and much more. (October 2016)
  • Dental Trade Alliance Report on Cost Savings 
    ASTDD is pleased to be able to share a report that was commissioned by the Dental Trade Alliance entitled "An Assessment of Costs and Savings Associated with Oral Care in the United States in 2014" authored by Uma Kelekar, PhD. This study evaluates the various costs and savings associated with the provision of oral care. It reviews the medical, economics, and the epidemiology literature and combines findings in order to determine the direct and indirect costs associated with oral care. Savings arising from various medical conditions are also estimated. Additionally, it attempts to quantify what, if any, savings can result from efficiency-enhancing reforms to the oral health delivery system. The financial implications of preventive strategies are also discussed. The main data sources analyzed include the National Health and Nutrition Examination Survey (NHANES), US Census Bureau, Surveillance, Epidemiology and End Results (SEER), Center for Disease Control and Prevention (CDC), National Center for Health Statistics and the Nationwide Emergency Department Sample (NEDS). All the costs are reported in 2014 US dollars, using the Implicit Price Deflators for Gross Domestic Product (GDP), and extrapolated to the US population in 2014. The report can be downloaded by going to Once you provide your name and email, a link to download the report will be sent to you. You can also access white papers and brochures about the report from the Dental Trade Alliance Press section. (November 2016)
  • State Oral Health Programs: make them part of your public health experience and future career
    One-pager to promote state oral health program experiences and careers to dental and dental hygiene students and dental public health residents. (September 2016)
  • Natural Fluoride in Drinking Water Coffee Break On September 14, 2016, the ASTDD Fluoridation and Fluorides Committee hosted a "coffee break" during which Dr. Howard Pollick, BDS, MPH, reviewed the information contained in a fact sheet the committee has developed on naturally occurring fluoride in drinking water. (If you experience bandwidth issues that result in the slides and the audio not being synchronized, pause and restart the recording with the cursor arrow at the bottom of the screen).
    Natural Fluoride in Drinking Water PowerPoint slides (September 2016)
    Natural Fluoride in Drinking Water Fact Sheet (September 2016)
  • Synopses of State Oral Health Programs Summary Report (June 2016)
  • ASTDD Social Media Library - These messages and images are intended for our members, associate members, state oral health program personnel, health departments and our partner organizations to use with social media outlets, such as Twitter and Facebook. Each message is 140 characters or less, per Twitter requirements. Messages may be used as written or customized to address local or other specific needs. This list will be updated regularly, so check back often. (June 2016)
Albuquerque Convention & Visitors Bureau

Campaign for Dental Health: Life is Better with Teeth

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