Hawaii  In spring 2012 the Washington D.C. think-tank Pew Center completed an analysis “The Cost of Delay -- State Dental Policies Fail One in Five Children” (27 U.S. States earned grades of an A or B) was blunt and stark in its “F” assessment of Hawai’i and dental health. 
The 2010 report’s failing grade reviewed the state of Hawai’i’s children and oral health: “Contributing to a high demand for accessible dental care is the fact that children in Hawai’i continue to exhibit among the highest rates of dental caries in the nation.

I think you should do some research from reliable sources