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

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

  • Navigating the ASTDD Website: This 10 minute tutorial provides tips on how to navigate the ASTDD website more efficiently and productively.
  • Oral Health Matters - The summer 2018 edition of the ASTDD newsletter; meet members and associate members, check out state shots, and much more. (August 2018)
  • ASTDD White Paper: Opportunities for Improving Oral Health and Chronic Disease Program Collaboration and Medical-Dental Integration (October 2018)
  • Call for 2019 National Oral Health Conference Seminar and Workshop Proposals is Now Open

    2019 National Oral Health Conference®, April 15-17, 2019  in Memphis, Tennessee

    Submission deadline is 11:45pm EST, November 2, 2018

    The Planning Committee for the 2019 National Oral Health Conference® invites proposals for seminars and workshops addressing medical/dental integration; oral health programs/health promotion; new and emerging practices; policy/advocacy; surveillance/epidemiology related to dental public health. Seminar submissions will be considered for either a plenary or a concurrent session. 

    This invitation is not for individual oral, poster or roundtable abstracts. The requests for Poster and Oral Abstracts and Roundtable abstracts will be issued in a separate call.

    New for 2019 - Session proposals must be submitted electronically. No manual submissions will be accepted. Be sure to complete all the submission tasks -- This includes contact information and credentials for all speakers. Only completed submissions will be reviewed by the Planning Committee.

    Click here for details.

    Click here for Seminar and Workshop formats

    Click here to begin your submission.

    Please contact the Sandi Steil with questions.

  • ASTDD Chronic Disease and Older Adult Oral Health Webcast - As the older adult population in the U.S. increases, there is a greater need for those in public health and clinical oral healthcare settings to incorporate chronic disease assessment for older adult patients. Our speakers discussed how various chronic disease conditions can impact treatment planning and oral health outcomes. Ms. Park is a chronic disease consultant to the ASTDD and the National Association of Chronic Disease Directors. She provided an overview of the connection between a healthy mouth and overall health. Dr. Cartier provided information on national trends and how they impact the delivery of oral healthcare. He also discussed the Seattle Care Pathway and how this can be applied to "prioritize" the type of oral care that is delivered to older adults. (August 2018).

    Additional Resources
  • ANNOUNCEMENT: NEW Best Practice Approach Report – Use of Fluoride in Schools.
    The ASTDD Fluorides and Best Practices Committees are pleased to announce the NEW Best Practice Approach Report (BPAR) Use of Fluoride in Schools (Updated July 2018) has been posted to the ASTDD website! This new BPAR report contains updated information on K-12 school-based fluoride mouthrinse or fluoride supplement programs.  In addition, the report reviews information on the use of other fluoride products as they are used in school settings including fluoride varnish, silver diamine fluoride, school water fluoridation and fluoride toothpaste/brushing.

    States, communities and territories have submitted State Activity Submissions as examples of success stories and lessons learned to serve as models of implementation strategies for best practices or promising practices.  Thank you to all the members of the Fluorides Committee, Best Practices Committee and the School and Adolescent Health Committee for feedback and multiple reviews.

    For corrections or more information please contact either Lori or LeeAnn.

    Lori Kepler Cofano. BSDH                     LeeAnn Hosglin Cooper
    Best Practices Committee Consultant     Fluorides Committee Consultant
    Email:                    Email:
  • What is the Defining Line Between Policy and Advocacy? - Has your program engaged in a discussion about how to "move the dial" in your state and then worried about what you can and cannot do to elicit changes? In this session, Ms. Nicole Johnson, CDC Division of Oral Health Associate Director for Policy, Partnerships, and Strategic Communications, describes CDC's view of health policy, both formal and informal; and discusses the difference between providing education, policy development, and lobbying. She walks the audience through the federal language that addresses lobbying restrictions and explains what it means. Ms. Johnson also provided the audience with CDC resources that support policy development to promote health. (June 2018)
2019 National Oral Health Conference
April 15-17, 2019  |  Memphis, TN
Memphis, TN
2018 NOHC Sponsors
Thank you!
Platinum Sponsor:
Gold Sponsors:
American Dental Association
Young Innovations
Plak Smacker
Silver Sponsors:
Elevate Oral Care
Spry/Xlear, Inc

For Additional information visit the NOHC Website

Campaign for Dental Health: Life is Better with Teeth

Advertising on ASTDD's website does not imply an endorsement by ASTDD of a company's products or services.

Fluoride Varnish Program Report and Fluoride Varnish Program Catalog - The Association of State and Territorial Dental Directors (ASTDD) is pleased to share the results of the survey of the  school-based fluoride varnish programs (children 6-17 years old) operating in the U.S in 2015-2016. In addition to the description of the survey, we were able to create a catalog of fluoride varnish programs by state. We found that responders defined fluoride varnish programs differently and we were not able to clearly identify programs that offered only fluoride varnish. We also identified states that did not answer in the affirmative while incorporate fluoride varnish into existing school-based programming. The number of programs and contacts may have changed since the survey was conducted. Please send any additions, corrections or other clarifications directly to our consultant, LeeAnn HoaglinCooper. The complete survey questions and responses are available to ASTDD members in the Members Only section of the ASTDD website.  (October 2017)