The rationale of the Virtual Dental Home is to address the lower utilization of dental services by special groups (young children, the frail elderly, and institutionalized adults) using a model similar to those of tele-dermatology or tele-optometry. In the case of the Virtual Dental Home, the technique is designed to build on the already existing relationships between dentist and dental hygienist, by leveraging technology to aid in communication between professionals, in this case, separated by many miles. This entailed a health pilot workforce model that relied on expanded duties of the registered dental hygienist in alternative practice (RDH-AP). Recognizing the limited capacity in private practices and FQHCs in the Bay Area, where wait lists are long and children often go without care, the Virtual Dental Home was created to explore opportunities to provide preventive services to children in their communities to minimize the need for dental treatments in the future and to improve oral health status in the present.