The indigenous community in Australia is an at risk population for oral dis
eases such as dental caries. The majority of communities are isolated and d
ental services in these areas are limited. Oral hygiene standards are poor
acid this combined with a diet rich in refined carbohydrates has led to hig
h incidences of dental caries. In addition, diabetes, which is related to o
besity (and a diet high in sugar and fat) has been linked to increases in o
ral disease. Caries prevalence was found to be low in areas where fluoridat
ion levels in the water were high. The fact that the fluoride supplementati
on appears to improve oral health to a significant degree suggests that imp
lementation of fluoride treatment programmes for school children and, where
viable, fluoridation of water sources would be appropriate. In addition, d
ental education programmes should receive high priority. As with the rest o
f the community, these preventive measures will result in less need for eme
rgency dental treatment in the future, better oral health for the community
and reduced financial burden on the State. It is under these circumstances
that oral health planners and providers must, in consultation with the rel
evant community representatives, develop appropriate mechanisms to address
the needs of this group. The development of strategies that integrate with
the plethora of general health strategies currently being implemented is ju
st one means of achieving improved oral health outcomes for indigenous Aust
ralians.