Summary: Finger Lakes Community Health (FLCH) in New York has established a successful teledentistry program. FLCH does not have pediatric dentists on staff. Additionally, they do not offer any types of sedation for dental services. Prior to the teledental program, FLCH would refer their pediatric patients with health concerns, anxiety, or large amounts of dental disease to the Eastman Institute of Oral Health in Rochester, New York. The Eastman Institute has a pediatric dental program with sedation and access to the operating room (OR). At that time, a paper referral was given to the parent who would then schedule a consultation visit at the Eastman Institute. FLCH providers often found that the parent would not schedule an appointment at the Eastman Institute and return to FLCH with worsened oral health conditions a few months later. The Eastman Institute is located 1 to 2 hours away from FLCH dental sites which proved to be a difficult barrier for parents. Typically, the patient would travel to the Eastman Institute to get a consultation with the pediatric dentist, then have to return another day for the treatment. Additionally, many of the parents and children had language barriers which made it challenging to call and schedule appointments. FLCH patients also experienced a 6 to 8-month waitlist to get treatment at the Eastman Institute.