Access to dental care is becoming an increasing problem in the United States, as in other parts of the world. The dental program at the University of Rochester clinic in Honduras, as well as other projects, have demonstrated that the ability to deliver quality care can be enhanced by expanded use of medical personnel, other than dentists, and even by civic action. While there is no substitute for the trained dentist, perhaps techniques learned in these projects can alleviate some of the predicaments until such a dentist is accessible.