The oral health community broadly agrees that obtaining dental care during pregnancy is a priority. A strong body of evidence affirms that supporting oral health during pregnancy is important to the health of both children and parents. Good oral health during pregnancy benefits the families’ long- term success. However, we have collectively struggled to break down barriers to access and oral health needs during. This brief outlines some of the key challenges and starting points to improve oral health during pregnancy and take an honest look at what has stalled success.