This presentation describes how the Oyate Health Center Dental Department redesigned its approach to care using Care Circles and a structured Care Progression Pathway. Instead of treating isolated dental problems, care is organized in a purposeful sequence that prioritizes relationships, coordination, and long-term outcomes. By defining the order of care and engaging the entire care team—providers, assistants, families, and community—the model focuses on eliminating oral disease and guiding Relatives toward sustained oral health.