The below ranking shows the change in access to dental care by state over five years, with 1st position showing the largest decline in population to dentist ratio.
| Ranking | State | Population To Dentist Ratio 2024 | Population To Dentist Ratio 2020 | Ratio Change Over 5 Years |
|---|---|---|---|---|
| 1 | Mississippi | 1939:1 | 2121:1 | -182 |
| 2 | North Carolina | 1634:1 | 1779:1 | -145 |
| 3 | Texas | 1590:1 | 1735:1 | -145 |
| 4 | Maine | 1406:1 | 1547:1 | -141 |
| 5 | Florida | 1563:1 | 1694:1 | -131 |
| 6 | Kansas | 1583:1 | 1712:1 | -129 |
| 7 | Virginia | 1329:1 | 1457:1 | -128 |
| 8 | South Carolina | 1682:1 | 1809:1 | -127 |
| 9 | Louisiana | 1692:1 | 1817:1 | -125 |
| 10 | Missouri | 1596:1 | 1721:1 | -125 |
| 11 | Arizona | 1509:1 | 1626:1 | -117 |
| 12 | South Dakota | 1561:1 | 1677:1 | -116 |
| 13 | Arkansas | 2044:1 | 2156:1 | -112 |
| 14 | North Dakota | 1425:1 | 1536:1 | -111 |
| 15 | West Virginia | 1705:1 | 1813:1 | -108 |
| 16 | Minnesota | 1287:1 | 1394:1 | -107 |
| 17 | California | 1076:1 | 1182:1 | -106 |
| 18 | Georgia | 1856:1 | 1960:1 | -104 |
| 19 | Wisconsin | 1363:1 | 1463:1 | -100 |
| 20 | Michigan | 1246:1 | 1344:1 | -98 |
| 21 | Nevada | 1528:1 | 1625:1 | -97 |
| 22 | Indiana | 1681:1 | 1777:1 | -96 |
| 23 | Colorado | 1161:1 | 1256:1 | -95 |
| 24 | Illinois | 1189:1 | 1283:1 | -94 |
| 25 | Iowa | 1411:1 | 1499:1 | -88 |
| 26 | Nebraska | 1217:1 | 1303:1 | -86 |
| 27 | Tennessee | 1779:1 | 1856:1 | -77 |
| 28 | Oklahoma | 1561:1 | 1637:1 | -76 |
| 29 | Oregon | 1177:1 | 1253:1 | -76 |
| 30 | Ohio | 1535:1 | 1609:1 | -74 |
| 31 | Washington | 1152:1 | 1226:1 | -74 |
| 32 | Wyoming | 1408:1 | 1481:1 | -73 |
| 33 | Alabama | 2016:1 | 2076:1 | -60 |
| 34 | Massachusetts | 915:1 | 971:1 | -56 |
| 35 | Maryland | 1238:1 | 1292:1 | -54 |
| 36 | New Mexico | 1436:1 | 1487:1 | -51 |
| 37 | Pennsylvania | 1400:1 | 1449:1 | -49 |
| 38 | Alaska | 954:1 | 1001:1 | -47 |
| 39 | Kentucky | 1502:1 | 1543:1 | -41 |
| 40 | New Hampshire | 1302:1 | 1342:1 | -40 |
| 41 | Montana | 1350:1 | 1389:1 | -39 |
| 42 | Hawaii | 1111:1 | 1148:1 | -37 |
| 43 | Utah | 1441:1 | 1470:1 | -29 |
| 44 | Connecticut | 1152:1 | 1176:1 | -24 |
| 45 | Vermont | 1377:1 | 1398:1 | -21 |
| 46 | New York | 1205:1 | 1217:1 | -12 |
| 47 | New Jersey | 1157:1 | 1164:1 | -7 |
| 48 | Idaho | 1534:1 | 1536:1 | -2 |
| 49 | Rhode Island | 1574:1 | 1546:1 | 28 |
| 50 | Delaware | 2181:1 | 2149:1 | 32 |
