According to U.S 2014 census, the total number of Native Americans living in Nebraska was 15,459 (1% of total population). Eight American Indian Tribes are located in Nebraska, which are Santee Sioux Tribe, Omaha Tribe, Ogallala Sioux Tribe, Otoe Tribe, Pawnee Tribe, Ponca Tribe, Sac and Fox Tribe, and the Winnebago Tribe. In Nebraska, four clinic/health centers exist for Native Americans which are: the Carl T. Curtis Education Center in Macy, Fred Leroy Health Center in Omaha, Santee Dental Clinic in Niobrara, and Winnebago Dental Clinic in Winnebago Nebraska. In addition, many Ogallala Sioux, who live in northwestern Nebraska, receive their dental care at the Pine Ridge Hospital located just north of the border in South Dakota. Dental care is provided in a culturally sensitive manner utilizing respectful and effective approaches.

Much of the dental services for this population are managed and coordinated through the Indian Health Service (IHS). The IHS monitors American Indian and Alaska Native (AI/AN) dental information through their Dental Data System . Dental services are tracked and based on the extent of access to care to the service population. Nebraska is part of the Aberdeen Area along with North Dakota, South Dakota and Iowa. Local program managers and area dental directors establish guidelines, evaluation and future direction. IHS Headquarters uses this data as a whole in order to manage the overall IHS Area Dental Programs and to advocate on a national level for the oral health needs of American Indians and Alaska Natives.

According to Nebraska BRFSS 2007-2010 results, only 55.5% of Native Americans had preventive care in the form of teeth cleanings in the past year compared to whites in who had a rate of 70.2%. Native Americans had much higher rates of permanent tooth extractions due to dental decay or gum disease with 50.9% for adults and 23.1% for elders with all permanent teeth extracted. These results indicate much poorer dental health when compared with Whites that had 38.9% extraction rates for adults and 15.9% for elders.

Source: Nebraska Department of Health and Human Service Age 18+BRFSS 2007-2010

Most recent BRFSS data shows that American Indians compared to Whites were 19 percent less likely to have visited a dentist or dental clinic for any reason in the past year, 1.6 times more likely to report having any permanent teeth extracted due to tooth decay or gum disease among 45-64 year olds, and 2.9 times more likely to report having all their permanent teeth extracted due to tooth decay or gum disease among those 65 and older.