Many West Virginians have trouble with their teeth. In fact, there’s a big gap between folks who can reliably access an affordable dentist and those who can’t. That’s no surprise when half the state’s counties have fewer than six dentists. A recent national ranking shows West Virginia is second to last in overall oral health care. A state report shows that by third grade, 56 percent of children show signs of tooth decay, and 12 percent of adults have had all their teeth extracted.

People who don’t have good oral health habits and access to regular and quality dental care elevate their risk of other critical health care issues such as heart disease, cancer and diabetes. About more than aesthetics or any toothless hillbilly stereotype, access to dental care is a dangerous culture divide that might look like a class gap but is deeper and far more serious.

This episode was recently honored with a regional award from the Associated Press of the Virginias. The first place honor was for best documentary.