The ODA reviewed the impact of hospital restructuring, downsizing and cutbacks on access to hospital-based dentistry. Questionnaires were sent to dentists and oral surgeons with hospital privileges. Dental departments are most common in teaching hospitals that have an on-site dental clinic. Dental clinics are far less common in community hospitals and are almost non-existent in small hospitals. The ODA notes a trend towards the dismantling of dental departments in Toronto. There is also a trend towards the closure of hospital dental clinics--18 clinics across Ontario have been closed (the total number of dental clinics was not provided in the report).