The Sisseton Service Unit operates outpatient and dental clinics in Sisseton, SD. The Sisseton Whapeton Oyate Health Care Center also boasts a well-developed referral system. Spring of 2007 we moved into a new facility with 16 dental operatories equiped with digital radiography with plans of going live with EDR as soon as it is available. Cavity-Free in 2-0-1-3 is a three-year initiative established to achieve a public health goal set by the Tribal Council “for all Sisseton-Wahpeton children beginning kindergarten in the year 2013 to be free of tooth decay” through innovative oral health strategies. "It takes all three to be cavity-free," utilizes the following tri-pronged approach [1] good diet and dental hygiene, [2] remineralization to strengthen the tooth enamel, and [3] a product to promote a normal, healthy balance of oral bacteria and prevent overgrowth of cavity-causing bacteria.