Georgia prisoners wait months for dental care. When they finally see someone, extraction is the only option offered. The state ranked 44th nationally in healthcare spending per inmate. People lose teeth—and sometimes their lives—because Georgia refuses to fund basic preventive care. This isn’t just neglect. It’s a constitutional violation. 1
The Legal Standard
The Eighth Amendment requires prisons to provide adequate medical care, including dental care. Estelle v. Gamble (1976) established that deliberate indifference to serious medical needs violates the Constitution. This applies to:
- Treatment for dental pain and infections
- Preventive dental care
- Emergency dental services
- Care by licensed professionals
Georgia fails on every count.
What GPS Has Documented
Reports from incarcerated people and families reveal patterns of dental neglect:
- Months-long waits for appointments while infections spread
- Extraction as default — saving teeth costs more than pulling them
- Inadequate pain management — people suffer while waiting for care
- Outdated equipment — facilities lack basic modern dental tools
- Staff shortages — not enough dentists to treat the population
The Department of Justice investigation found medical care failures throughout Georgia’s prison system. Dental care is no exception. 2
The Health Consequences
Dental neglect doesn’t stay in the mouth. Untreated dental problems cause:
- Systemic infections — Bacteria enter the bloodstream, causing sepsis
- Heart complications — Oral bacteria linked to cardiovascular disease
- Nutritional deficiencies — Missing teeth make eating difficult
- Chronic pain — Affecting mental health and daily functioning
- Preventable deaths — People die from infections that started in their teeth
At 52.1 years, the average age at death in Georgia prisons falls decades below the state’s life expectancy. Dental neglect contributes to this gap.
Proving Constitutional Violations
To establish an Eighth Amendment dental neglect claim, prisoners must show:
| Element | What Must Be Proven | Evidence Examples |
|---|---|---|
| Serious medical need | Condition requiring treatment | Pain, infection, documented dental disease |
| Official knowledge | Staff knew of the problem | Sick call requests, grievances, medical records |
| Deliberate indifference | Failure to respond adequately | Delayed treatment, denied appointments, inadequate care |
| Resulting harm | Injury from the neglect | Worsened condition, tooth loss, infection spread |
Document everything. Keep copies of all sick call requests, grievances, and responses. This evidence becomes essential for legal action.
Why This Keeps Happening
Georgia’s dental care crisis stems from systemic failures:
- Underfunding — Healthcare receives inadequate budget allocation
- Staff shortages — Low pay and difficult conditions make recruitment hard
- Contractor immunity — Private healthcare providers profit whether people receive care or not
- No accountability — No one faces consequences when care fails
Georgia spent $700 million more on corrections between FY2022-2026. Healthcare outcomes got worse. The money doesn’t reach prisoners’ mouths. 3
Take Action
Use Impact Justice AI to send advocacy emails demanding adequate dental care in Georgia prisons. The free tool crafts personalized messages to Georgia lawmakers—no experience required.
Demand:
- Adequate dental staffing at all facilities
- Preventive care instead of extraction-only policies
- Timely treatment within constitutional standards
- Independent oversight of prison healthcare
If you or a loved one has experienced dental neglect in Georgia prisons, report it to GPS. Your account becomes evidence.
Further Reading
- Cruel and Unusual Dentistry: Inside Georgia’s Prison Dental Crisis
- $700 Million More—And Nothing to Show for It
- GPS Informational Resources
- Pathways to Success
About Georgia Prisoners’ Speak (GPS)
Georgia Prisoners’ Speak (GPS) is a nonprofit investigative newsroom built in partnership with incarcerated reporters, families, advocates, and data analysts. Operating independently from the Georgia Department of Corrections, GPS documents the truth the state refuses to acknowledge: extreme violence, fatal medical neglect, gang-controlled dorms, collapsed staffing, fraudulent reporting practices, and unconstitutional conditions across Georgia’s prisons.
Through confidential reporting channels, secure communication, evidence verification, public-records requests, legislative research, and professional investigative standards, GPS provides the transparency the system lacks. Our mission is to expose abuses, protect incarcerated people, support families, and push Georgia toward meaningful reform based on human rights, evidence, and public accountability.
Every article is part of a larger fight — to end the silence, reveal the truth, and demand justice.

