This article presents data on the use of a wide range of dental services by insured patients between 1980 and 1995. The patterns of dental care revealed in this study show clear trends that indicate profound improvements in oral health. These improvements are evident in all age groups, and the effect of the caries decline in children that began about 20 years ago has moved well into the adult population. As those born since about 1950 continue to age and represent an ever increasing proportion of the population, the overall need for restorative care of all types will continue to diminish.