While the dentist might be a dreaded visit for some, it turns out some people in Southwest Virginia aren't going at all.
It's an alarming fact that Sheree Madison is working to turn around. She's helped start a widespread initiative in the New River Valley to provide free dental care to low income families.
Families Sheree says can't afford it.
"There is a lot of people who fall through the cracks," Sheree said. " They don't have dental insurance and they can't afford to have the dentistry completed. Our emergency rooms are overfilling with people that have dental problems."
According to Dental Aid Partners of the NRV, 25 percent of people over the age of sixty in the New River Valley have lost all of their teeth.
21 percent of adults in Montgomery county haven't been to the dentist in over two years.
In Floyd County a dentist is hard to come by. For every 1 dentist, there are sixty eight hundred patients.
That's one of the highest rations in the state of Virginia.
While several hundred patients will be treated for free on Friday, the list continues to grow.
"The need for dental care is great," Dr. Frank Serio said.
And soon a new dental school though Bluefield College is hoping to meet that need. Dr. Frank Serio is the dean for the Bluefield Dental School of Medicine. When it opens it will be only the second of its kind in the commonwealth.
Those senior students will also be providing free dental services in various clinics through out Southwest Virginia. It's an opportunity Dr. Serio says is great for low income families.
Serio says the school will also encourage students to open up more dental practices in our area.
"It's giving young people reasons to stay in this community where they find out one they can make a difference in their community and two they can make a living doing it."
The school is set to open in the summer of 2016 in Tazewell County.
Tuesday is the first night for volunteers enrolled in this fall's Citizen's Academy. Some choose to continue that training through the Citizens on Patrol Academy.