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We are committed to introducing a new dental contract based on capitation, registration and quality, with the aim of improving oral health, especially that of children. Dental contract pilots, which will test aspects of the new contract, are about to become operational. In addition, to reinforce the benefits of the contractual changes, we are exploring how general dental practices can develop closer links to primary schools, and we have included rates of dental decay among five year old children in “Healthy Lives, Healthy People: proposals for a public health outcomes framework”. Dental practices in Northamptonshire, where there is already support on oral health promotion for children and young adults, will be well placed to take advantage of these changes.