Social determinants of health are the conditions in which people are born, grow, live, and work that shape the lives of each individual. Factors including socioeconomic status, transportation, education, and access to healthcare  services influence how women receive oral care. Additionally, these factors create deeper disparities that leave rural  women as well as pregnant individuals more at risk. Research suggests that poor oral health in pregnant women can predispose their children to similar complications; thus, failure to address issues such as gum disease during pregnancy can subject future generations of women to experience those same oral health concerns. Pregnant women living in Region 9 may experience gingivitis from hormonal changes in the body  and previous unhealthy behaviors; however, because of limitations in access to facilities, providers, transportation, oral health education, and fluoridated public water supply, these womenhave become more susceptible to oral health issues.