Most Americans' dental health has never been better—but that is not true for an estimated 17 millionchildren in low-income families who lack access to dental care. A 2000 report by the U.S. Surgeon General called dental disease a "silent epidemic." Ten years later, too little has changed. Our report—a collaboration of the Pew Center on the States, the DentaQuest Foundation and the W.K. Kellogg Foundation—finds that two-thirds of the states are failing to ensure that disadvantaged children get the dental health care they need. Our report describes the severe costs of this preventable disease: lost school time, challenges learning, impaired nutrition and health, worsened job prospects in adulthood, and sometimes even death. The good news? This problem can be solved.