Dental SealantsA Resource Guide

Fourth Edition

Prepared by

Jolene Bertness, M.Ed., CHESKatrina Holt, M.P.H., M.S., R.D., FAND

February 2017

Cite as

National Maternal and Child Oral Health Resource Center. 2017. Dental Sealants: A Resource Guide (4th ed.). Washington, DC: National Maternal and Child Oral Health Resource Center.

Dental Sealants: A Resource Guide (4th ed.) © 2017 by National Maternal and Child Oral Health Resource Center, Georgetown University

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Depart-ment of Health and Human Services (DHHS) under grant #H47MC00048 in the amount of $3,000,000 over 5 years. This information or content and conclusions are those of the authors and should not be construed as the official position or policy of HRSA, DHHS, or the U.S. government, nor should any endorsements be inferred.

Permission is given to photocopy this publication or to forward it, in its entirety, to others. Requests for permission to use all or part of the information contained in this publication in other ways should be sent to the address below.

National Maternal and Child Oral Health Resource CenterGeorgetown UniversityBox 571272Washington, DC 20057-1272(202) 784-9771 E-mail: OHRCinfo@georgetown.eduWeb site: http://www.mchoralhealth.org

ContentsIntroduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Data and Surveillance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Professional Education, Tools, and Training . . . . . . . . . . . . . . . . 7Public Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14State and Local Program Reports . . . . . . . . . . . . . . . . . . . . . . . . 15

Organizations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Materials Produced by the National Maternal and Child Oral Health Resource Center . . . . . . . . . . . . . . . . . . . . . . . 21

Introduction

AcknowledgmentsWe are grateful to the following individuals

for their review and contributions to the resource guide: Matt Crespin, Children’s Health Alliance of Wisconsin, and Kathy Geurink, Association

of State and Territorial Dental Directors. And we would like to thank those who submitted items for inclusion in the guide.

The National Maternal and Child Oral Health Resource Center (OHRC) developed this pub-

lication, Dental Sealants: A Resource Guide (4th ed.), to provide information to health profession-als, program administrators, educators, policy-makers, and others about the use and application of dental sealants.

Dental sealants have been used to reduce the incidence and severity of dental caries in the pits and fissures of teeth for over 40 years. Dental sealants placed by appropriately trained oral health professionals are safe and effective, although underused, in preventing pit-and-fissure dental caries on at-risk tooth surfaces.

The resource guide is divided into three sec-tions. The first section describes materials, such as brochures, fact sheets, guidelines, curricula, and reports published from 2011 through 2016. The second section lists federal agencies, national pro-fessional associations, and resource centers that may serve as resources. And the third section lists materials on dental sealants produced by OHRC.

Our intent is to share resources that are useful and that represent current science and practice. For further information, we encourage you to contact the organizations listed. Your state and local departments of health, state and local oral-health-related associations and societies, and university-based libraries are additional sources of

information. OHRC will update the resource guide periodically, and we would appreciate hearing from you if you know of any relevant resources that are not included in this edition.

D E N TA L S E A L A N T S : A R E S O U R C E G U I D E3

Materials

D E N TA L S E A L A N T S : A R E S O U R C E G U I D E5

Data and Surveillance

DENTAL CARIES AND SEALANT PREVALENCE IN CHILDREN AND ADOLESCENTS IN THE UNITED STATES, 2011–2012

This report describes the prevalence of dental caries and dental sealants in children and ado-lescents by age and race/ethnicity in the United States. Topics include disparities for dental car-ies and dental sealant prevalence in children and adolescents in 2011–2012. Definitions, the data source, and a discussion of methods are included.

Dye BA, Thornton-Evans G, Li X, Iafolla TJ. 2015. Dental Caries and Sealant Prevalence in Children and Adolescents in the United States, 2011–2012. Hyattsville, MD: National Center for Health Statis-tics. 7 pp. http://www.cdc.gov/nchs/data/data briefs/db191.pdf.

DENTAL SEALANT UTILIZATION AMONG RURAL AND URBAN CHILDREN

This document presents findings from a study to examine the proportion of children and ado-lescents ages 6–14 from rural and urban areas who have dental sealants. Topics include paren-tally reported dental sealant use, characteristics associated with reported sealant use, and a comparison of data in the Survey of Income and Program Participation (Census Bureau) and data in the National Health and Nutrition Examination Survey.

Martin AB, Gallagher A, Probst JC. 2013. Den-tal Sealant Utilization Among Rural and Urban Children. Columbia, SC: South Carolina Rural Health Research Center. 10 pp. http://rhr.sph.sc.edu/report/(9-2)%20Dental%20Sealant%20Utilization%20Among%20Rural%20and%20Urban %20Children%20full.pdf.

NATIONAL ORAL HEALTH SURVEILLANCE SYSTEM

This data system provides information about the burden of oral disease, use of oral-health-care-delivery systems, and status of community water fluoridation on both a national and a state level. The system is designed to track oral-health-surveillance indicators based on data sources and surveillance capacity available to most states. Indicators include the percentage of students in third grade with dental sealants on at least one permanent molar tooth.

Centers for Disease Control and Prevention, Divi-sion of Oral Health, and Association of State and Territorial Dental Directors. 2015. National Oral Health Surveillance System. Atlanta, GA: Cen-ters for Disease Control and Prevention. Mul-tiple items. http://www.cdc.gov/oralhealthdata/overview/nohss.html.

ORAL HEALTH DISPARITIES AS DETERMINED BY SELECTED HEALTHY PEOPLE 2020 ORAL HEALTH OBJECTIVES FOR THE UNITED STATES, 2009–2010

This report presents findings on oral health dis-parities from the 2009–2010 National Health and Nutrition Examination Survey. The report focuses on Healthy People 2020 objectives covering select age groups by race and ethnicity and poverty status. Topics include the prevalence of dental sealants among children and adolescents by age, race and ethnicity, and poverty level.

Dye BA, Li X, Thornton-Evans G. 2012. Oral Health Disparities as Determined by Selected Healthy People 2020 Oral Health Objectives for the United States, 2009 –2010. Hyattsville, MD: National Center for Health Statistics. 7 pp. http://www.cdc.gov/nchs/data/databriefs/db104.pdf.

Materials

D E N TA L S E A L A N T S : A R E S O U R C E G U I D E6

THE ORAL HEALTH OF 13–15 YEAR OLD AMERICAN INDIAN AND ALASKA NATIVE CHILDREN: COMPARED TO THE GENERAL U.S. POPULATION AND HEALTHY PEOPLE 2020 TARGETS

This brief presents findings from a national sur-vey to assess the oral health status of American Indian and Alaska Native (AI/AN) adolescents ages 13–15. Contents include information on the prevalence of dental sealants in the permanent molars of AI/AN adolescents in this age group compared to the prevalence in their counterparts in the general U.S. population and to Healthy People 2020 targets.

Phipps KR, Ricks TL, Blahut P. 2014. The Oral Health of 13–15 Year Old American Indian and Alaska Native Children: Compared to the General U.S. Population and Healthy People 2020 Targets. Rockville, MD: Indian Health Service, Division of Oral Health. 6 pp. http://www.ihs.gov/DOH/documents/surveillance/Data%20Brief%20IHS%20Adolescent%2005-05-2014.pdf.

USE OF DENTAL CARE AND EFFECTIVE PREVENTIVE SERVICES IN PREVENTING TOOTH DECAY AMONG U.S. CHILDREN AND ADOLESCENTS: MEDICAL EXPENDITURE PANEL SURVEY, UNITED STATES, 2003–2009 AND NATIONAL HEALTH AND NUTRITION EXAMINATION SURVEY, UNITED STATES, 2005–2010

This report provides information about the receipt of a dental sealant among children and adolescents ages 5–19 within the calendar year. The report presents measures and trends by sex, age, race and ethnicity, health insurance status, dental insurance status, and disability status; fam-ily income-poverty ratio; and head-of-household level of educational attainment.

Griffin SO, Barker LK, Wei L, Li CH, Albuquerque MS, Gooch BE, Centers for Disease Control and Prevention. 2014. Use of dental care and effec-tive preventive services in preventing tooth decay among U.S. children and adolescents: Medical Expenditure Panel Survey, United States, 2003–2009 and National Health and Nutrition Examination Survey, United States, 2005–2010. Morbidity and Mortality Weekly Report 63(2):54–60. http://www.cdc.gov/mmwr/preview/mmwrhtml/su6302a9.htm.

THE ORAL HEALTH OF 1–5 YEAR OLD AMERICAN INDIAN AND ALASKA NATIVE CHILDREN: RESULTS OF THE 2014 IHS ORAL HEALTH SURVEY

This brief presents findings from a national sur-vey to assess the oral health status of American Indian and Alaska Native (AI/AN) children ages 1–5. Contents include information on the preva-lence of tooth decay in the primary and perma-nent teeth of AI/AN children in this age group in 2014 at both the national and the Indian Health Service Area level, as well as trends in the oral health of this population since 2010. The brief also provides information about the prevalence of having a dental sealant on a primary molar tooth among this population.

Phipps KR, Ricks TL. 2015. The Oral Health of 1–5 Year Old American Indian and Alaska Native Children: Results of the 2014 IHS Oral Health Survey. Rockville, MD: Indian Health Service, Division of Oral Health. 9 pp. http://www.ihs.gov/doh/documents/IHS_Data_Brief_1-5_Year-Old.pdf.

THE ORAL HEALTH OF 6–9 YEAR OLD AMERICAN INDIAN AND ALASKA NATIVE CHILDREN COMPARED TO THE GENERAL U.S. POPULATION AND HEALTHY PEOPLE 2020 TARGETS

This brief presents findings from a national survey to assess the oral health status of Ameri-can Indian and Alaska Native (AI/AN) students in kindergarten through third grade. Contents include information about the prevalence of tooth decay in the primary and permanent teeth of AI/AN students in this age group compared to the prevalence in their counterparts in the gen-eral U.S. population and to Healthy People 2020 targets. The brief also provides information about the prevalence of dental sealants.

Phipps KR, Ricks TL, Blahut P. 2014. The Oral Health of 6 –9 Year Old American Indian and Alaska Native Children Compared to the General U.S. Population and Healthy People 2020 Targets. Rockville, MD: Indian Health Service, Division of Oral Health. 5 pp. http://www.ihs.gov/DOH/documents/Data_Brief_IHS_6-9_Year_Olds.pdf.

D E N TA L S E A L A N T S : A R E S O U R C E G U I D E7

to improve the oral health of children through school-based dental sealant programs. Topics include project implementation, expenses, pay-ment procedures, project changes, program over-sight, performance benchmarks, reports and data collection, publicity, policies and procedures, and references. A request-for-reimbursement form and screening survey criteria are included as appendices.

Children’s Health Alliance of Wisconsin. 2016. Administration Manual: Wisconsin Seal-A-Smile. Milwaukee, WI: Children’s Health Alliance of Wisconsin. 32 pp. http://www.chawisconsin.org/documents/OH2SASAdminManual.pdf.

BE SMART AND SEAL THEM! A SCHOOL-BASED DENTAL SEALANT MANUAL

This manual provides information on planning, implementing, evaluating, and promoting a program that provides oral health screenings and dental sealants for students in second grade in Colorado. Contents include information about the program’s history and the sealant-placement pro-cess, school-based vs. school-linked programs, retention checks and follow-up, evaluation, and budget. The appendices contain surveys; con-sent letters, forms, and report cards for families; data and referral forms; a sample press release; a fact sheet and brochure on sealants; and other resources. Selected materials are available in Eng-lish and Spanish. [Funded by the Maternal and Child Health Bureau]

Colorado Department of Public Health and Envi-ronment, Oral Health Program. 2011. Be Smart and Seal Them! A School-Based Dental Sealant Manual. Denver, CO: Colorado Department of Public Health and Environment, Oral Health Program. 45 pp. https://www.mchoralhealth.org/PDFs/CO_Sealant_Program_Manual_2010.

BEST PRACTICE APPROACH: SCHOOL-BASED DENTAL SEALANT PROGRAMS (UPD.)

This report provides information to help state, territorial, and community oral health programs develop public health best practices related to dental sealants. Topics include public health strategies that are supported by evidence for their impact and effectiveness. The report also provides access to state and community practice

Policy

POLICY ON THIRD-PARTY REIMBURSEMENT OF FEES RELATED TO DENTAL SEALANTS

This statement recognizes that placing and maintaining dental sealants is a scientifically sound and cost-effective technique for prevention of pit-and-fissure dental caries. Topics include methods, background, and recommendations for reimbursement for fees associated with sealant placement, maintenance, and repair.

American Academy of Pediatric Dentistry. 2015. Policy on Third-Party Reimbursement of Fees Related to Dental Sealants. Chicago, IL: Ameri-can Academy of Pediatric Dentistry. 2 pp. http://www.aapd.org/media/Policies_Guidelines/P_3rd PartSealants.pdf.

STATES STALLED ON DENTAL SEALANT PROGRAMS

This report presents findings from a survey of dental directors and state dental boards to assess progress on four benchmarks reflecting the reach, efficiency, and effectiveness of state dental seal-ant programs. Topics include the extent to which sealant programs are serving high-need schools, whether dental hygienists are allowed to place sealants in school-based dental sealant programs without a dentist’s prior exam, whether states collect data and participate in a national database, and the proportion of students receiving sealants across the state. State fact sheets are also available.

Children’s Dental Policy. 2015. States Stalled on Dental Sealant Programs. Philadelphia, PA: Pew Charitable Trusts. 25 pp. http://www.pewtrusts. org/~/media/Assets/2015/04/Dental_Sealant Report_Final.pdf.

Professional Education, Tools, and Training

ADMINISTRATION MANUAL: WISCONSIN SEAL-A-SMILE

This manual provides information on admin-istering Seal-A-Smile (SAS)-funded projects in Wisconsin. The purpose of the SAS program is

D E N TA L S E A L A N T S : A R E S O U R C E G U I D E8

DENTAL CARIES (CAVITIES): SCHOOL-BASED DENTAL SEALANT DELIVERY PROGRAMS

These resources provide evidence-based recom-mendations and findings about what works to improve public oral health. Contents include recommendations for school-based dental-sealant programs. Supporting materials and consider-ations for implementation are also provided.

Community Preventive Services Task Force. 2013. Dental Caries (Cavities): School-Based Dental Sealant Delivery Programs. Atlanta, GA: Centers for Disease Control and Prevention, Community Guide Branch. Multiple items. https://www.thecommunityguide.org/findings/dental-caries-cavities-school-based-dental-sealant-delivery-programs.

DENTAL SEALANT GUIDELINES AND OPERATIONS MANUAL

This manual aids school-based dental sealant pro-gram personnel in designing new programs and evaluating and updating existing ones. Contents include an introduction to Maryland dental seal-ant programs, outcomes and evaluation, and best practices; an overview of information and admin-istrative protocols; a summary of how to operate effective community programs; a discussion of tooth-surface selection, materials, and applica-tion techniques; an overview of assessment and data collection; lists of relevant health curricula, training programs, and reports; site reviews; and information about technical assistance. The appendices contain reports, sample newsletters, flyers, forms, and instructions.

Maryland Department of Health and Mental Hygiene, Office of Oral Health. 2012. Dental Sealant Guidelines and Operations Manual. Baltimore, MD: Maryland Department of Health and Mental Hygiene, Office of Oral Health. 62 pp. http://phpa.dhmh.maryland.gov/oralhealth/docs1/Dental-Sealant-Guidelines-Operations-Manual.pdf.

examples that illustrate successful implementation of best practice approaches. [Funded in part by the Maternal and Child Health Bureau]

Association of State and Territorial Dental Direc-tors, Best Practices Committee. 2015. Best Prac-tice Approach: School-Based Dental Sealant Programs. Reno, NV: Association of State and Territorial Dental Directors. 16 pp. http://www.astdd.org/docs/bpar-selants-update-03-2015.pdf.

BEST PRACTICES FOR THE APPLICATION OF DENTAL SEALANTS IN SCHOOL-BASED ORAL HEALTH PROGRAMS

This fact sheet provides information about best practices for applying dental sealants in school-based oral health programs. Topics include indications for sealant placement, tooth surface assessment, sealant placement, and sealant evaluation.

Michigan Dental Association. 2013. Best Practices for the Application of Dental Sealants in School-Based Oral Health Programs. Okemos, MI: Michi-gan Dental Association. 1 p. https://www.smile michigan.com/Portals/0/Teaching%20Aides/Best %20Practices%20Dental%20Sealants.pdf.

CERTIFICATION FOR LOCAL SCHOOL DENTAL SEALANT PROGRAMS

This document presents the final text rule requir-ing local school-based dental sealant programs (SBSPs) in Oregon to be certified by the Oregon Health Authority before they can apply sealants. Contents include guidance on the requirements for certification, the application process for certi-fication and recertification, monitoring of SBSPs, and decertification or provisional certification for programs that are out of compliance. Informa-tion about certification and clinical training is also available.

Oregon Health Authority, Oral Health Program. 2016. Certification for Local School Dental Seal-ant Programs. Portland, OR: Oregon Health Authority. 6 pp. https://public.health.oregon.gov/PreventionWellness/oralhealth/School/Documents/SB660FinalRules333-028.pdf.

D E N TA L S E A L A N T S : A R E S O U R C E G U I D E9

DENTAL SEALANTS PREVENT CAVITIES: EFFECTIVE PROTECTION FOR CHILDREN

This fact sheet describes opportunities to improve oral health in children and adolescents by starting or expanding programs that offer dental sealants in schools. Topics include what sealants are and why they are used; disparities in sealant use; what the federal government is doing to promote sealants; and what state officials, health profes-sionals, school administrators, and parents can do to increase the use of sealants. The fact sheet is available in English and Spanish.

National Center for Chronic Disease Prevention and Health Promotion. 2016. Dental Sealants Prevent Cavities: Effective Protection for Children. Atlanta, GA: Centers for Disease Control and Prevention. 4 pp. http://www.cdc.gov/vitalsigns/dental-sealants/index.html.

EVIDENCE-BASED CLINICAL PRACTICE GUIDELINE FOR THE USE OF PIT-AND-FISSURE SEALANTS: A REPORT OF THE AMERICAN DENTAL ASSOCIATION AND AMERICAN ACADEMY OF PEDIATRIC DENTISTRY

This report presents findings from a systematic review and recommendations to address clinical questions related to the effect of pit-and-fissure sealant on preventing and arresting dental caries in children and adolescents. Additional top-ics include the efficacy of sealants compared with fluoride varnishes and the relative merit of head-to-head comparisons of the different types of sealant material used on pits and fissures of occlusal surfaces.

Wright JT, Crall JJ, Fontana M, Gillette J, Novy BB, Dhar V, Donly K, Hewlett ER, Quinonez RB, Chaffin J, Crespin M, Iafolla T, Siegal MD, Tampi MP, Graham L, Estrich C, Carrasco-Labra A. 2016. Evidence-based clinical practice guideline for the use of pit-and-fissure sealants: A report of the American Dental Association and American Academy of Pediatric Dentistry. Journal of the American Dental Association 147(8):672–682. http://ebd.ada.org/en/evidence/guidelines/pit-and-fissure-sealants.

DENTAL SEALANTS: AN EFFECTIVE STATE STRATEGY TO PREVENT DENTAL CARIES IN CHILDREN

This webinar, held on September 19, 2013, provides information for states and their collab-orative partners to improve access to oral health services for children enrolled in Medicaid and the Children’s Health Insurance Program. Topics include disproportionate use of dental sealants and treatment costs, evidence-based recommen-dations for sealant use, and lessons learned in Montana and Wyoming. Presentation slides, an audiorecording, and related resources are also available.

Center for Medicaid and CHIP Services. 2013. Dental Sealants: An Effective State Strategy to Pre-vent Dental Caries in Children. Baltimore, MD: Centers for Medicare and Medicaid Services. Mul-tiple items. https://www.medicaid.gov/medicaid/benefits/dental/index.html.

DENTAL SEALANTS: PROVEN TO PREVENT TOOTH DECAY—A LOOK AT ISSUES IMPACTING THE DELIVERY OF STATE AND LOCAL SCHOOL-BASED SEALANT PROGRAMS

This report provides an overview of program designs and key issues in school-based dental sealant programs (SBSPs). Topics include factors that may facilitate or hinder program financing, impact, and sustainability. The report describes the efforts of five states (Illinois, New York, Ohio, South Carolina, and Wisconsin) with longstand-ing SBSPs and provides recommendations for promoting children’s oral health through such programs. Appendices include survey forms of pre-tested questions for state and local oral health and dental sealant programs.

Children’s Dental Health Project. 2014. Dental Sealants: Proven to Prevent Tooth Decay —A Look at Issues Impacting the Delivery of State and Local School-Based Sealant Programs. Washington, DC: Children’s Dental Health Project. 21 pp. plus appendices. https://cdhp.s3.amazonaws.com/resource/314/attachment_1/original.pdf?14340 38324.

D E N TA L S E A L A N T S : A R E S O U R C E G U I D E10

caries incidence and addressing children’s oral health needs. Topics include the effectiveness of sealants in caries prevention, defining SBSPs, SBSPs’ success in reducing caries incidence, and challenges in implementing SBSPs and strate-gies for overcoming these challenges. The course expires June 30, 2019.

Crespin M, Gross-Panico M. 2016. Improving oral health with school-based sealant programs. Dimensions of Dental Hygiene 14(6):52–55. http://www.dimensionsofdentalhygiene.com/ 2016/06_June/Features/Improving_Oral_Health_With_School-Based_Sealant_Programs.aspx.

LOUISIANA DEPARTMENT OF HEALTH & HOSPITALS ORAL HEALTH PROGRAM TOOL KIT: IMPLEMENTING SCHOOL-BASED SEALANT PROGRAMS IN LOUISIANA

This document is designed to help federally qualified health centers in Louisiana implement school-based dental sealant programs. Topics include applying for a license to operate portable and mobile dental equipment, infection-control recommendations and standards, and information required in the consent form for student partici-pation in the program. Information about Medic-aid reimbursement is also provided.

Edwards L. 2012. Louisiana Department of Health & Hospitals Oral Health Program Tool Kit: Implementing School-Based Sealant Programs in Louisiana. Baton Rouge, LA: Louisiana Depart-ment of Health and Hospitals, Center for Com-munity and Preventive Health. 33 pp. http://new.dhh.louisiana.gov/assets/oph/Center-PHCH/oralhealth/OralHealthProgramToolKit-FQHCs.pdf.

LOUISIANA SEALS SMILES: SCHOOL-BASED DENTAL SEALANT PROGRAM MANUAL

This manual provides information on implement-ing a dental sealant program in communities and schools in Louisiana. Topics include program history, school-based vs. school-linked programs, planning and promoting a program, retention checks and follow-up, evaluation, and budget. Forms for clinic operation, data collection, and evaluation are included in the appendices.

FINAL REPORT ON TESTING PEDIATRIC ORAL HEALTH CARE PERFORMANCE MEASURES: TOOTH MORTALITY OF PRIMARY TEETH AND TREATMENT AFTER SEALANT PLACEMENT ON PERMANENT MOLARS

This report provides information about valida-tion testing for pediatric oral health performance measures. Topics include tooth mortality and treatment following dental sealant placement. Contents include background, data sources, and key testing findings.

Herndon JB. 2016. Final Report on Testing Pedi-atric Oral Health Care Performance Measures: Tooth Mortality of Primary Teeth and Treatment After Sealant Placement on Permanent Molars. Chicago, IL: American Dental Association. 19 pp. http://www.ada.org/~/media/ADA/Science%20and%20Research/Files/DQA_2016_Additional_Pediatric_Measures_Testing_Final_Report.pdf? la=en.

IMPLEMENTING SCHOOL-BASED SEALANT PROGRAMS IN FEDERALLY QUALIFIED HEALTH CENTERS IN LOUISIANA

This document provides guidance on collaborat-ing and partnering to implement school-based dental sealant programs in federally qualified health centers in Louisiana. Topics include apply-ing for a license to operate portable and mobile dental equipment, infection-control recommenda-tions and standards, and information required in the consent form for student participation in the program.

Edwards L. 2012. Implementing School-Based Sealant Programs in Federally Qualified Health Centers in Louisiana. Baton Rouge, LA: Louisiana Department of Health and Hospitals, Center for Community and Preventive Health, Oral Health Program. 33 pp. http://new.dhh.louisiana.gov/assets/oph/Center-PHCH/oralhealth/OralHealth ProgramToolKit-FQHCs.pdf.

IMPROVING ORAL HEALTH WITH SCHOOL-BASED SEALANT PROGRAMS

This self-study course for oral health profession-als focuses on the role of school-based dental sealant programs (SBSPs) in reducing dental

D E N TA L S E A L A N T S : A R E S O U R C E G U I D E11

ORAL HEALTH TOPICS: DENTAL SEALANTS

These resources for oral health professionals and others focus on the safety and use of dental seal-ants in children and adolescents. Topics include types of sealants, evidence, and common misper-ceptions. Contents include infographics about sealant safety and how sealants work designed to be downloaded and shared on social media networks. Additional resources for profession-als, including educational handouts to share with clients, are also provided.

American Dental Association. 2016. Oral Health Topics: Dental Sealants. Chicago, IL: American Dental Association. Multiple items. http://www.ada.org/en/member-center/oral-health-topics/dental-sealants.

PREVENTING TOOTH DECAY AND SAVING TEETH WITH DENTAL SEALANTS (3RD ED.)

This fact sheet for professionals provides infor-mation on the use of dental sealants in prevent-ing tooth decay and in arresting the progression of decay. Topics include access to care, dispari-ties in care, public awareness, cost-effectiveness, and programs. [Funded by the Maternal and Child Health Bureau]

Holt K, Barzel R. 2010. Preventing Tooth Decay and Saving Teeth with Dental Sealants (3rd ed.). Washington, DC: National Maternal and Child Oral Health Resource Center. 4 pp. http://www.mchoralhealth.org/pdfs/OHDentSealantFactsheet.pdf.

RESOURCE HIGHLIGHTS: DENTAL SEALANTS

This resource for professionals highlights key facts from the professional literature, materials, and websites about dental sealants. Some of the materials and websites are available in English and Spanish. [Funded by the Maternal and Child Health Bureau]

National Maternal and Child Oral Health Resource Center. 2016. Resource Highlights: Den-tal Sealants. Washington, DC: National Maternal and Child Oral Health Resource Center. Multiple items. http://www.mchoralhealth.org/highlights/dental-sealants.php.

Louisiana Department of Health and Hospitals, Center for Community and Preventive Health, Oral Health Program. 2013. Louisiana Seals Smiles: School-Based Dental Sealant Program Manual. Baton Rouge, LA: Louisiana Department of Health and Hospitals, Center for Community and Preventive Health, Oral Health Program. 39 pp. http://new.dhh.louisiana.gov/assets/oph/ Center-PHCH/oralhealth/LouisianaDentalSealant ProgramManual.pdf.

MARYLAND MIGHTY TOOTH: SCHOOL-BASED DENTAL SEALANT TRAINING PROGRAM

This training program for school-based dental sealant program (SBSP) staff in Maryland pro-vides information about the history, operations, and underlying principles of SBSPs. Topics include guidelines for infection control in SBSPs, tooth selection and assessment for dental seal-ants, the sealant-application process, and pro-gram operations. Self-assessment quizzes are included.

Maryland Department of Health and Mental Hygiene, Office of Oral Health. 2015. Maryland Mighty Tooth: School-Based Dental Sealant Train-ing Program. Washington, DC: National Maternal and Child Oral Health Resource Center; Balti-more, MD: Maryland Department of Health and Mental Hygiene, Office of Oral Health. Multiple items. http://mightytoothcurriculum.com.

MISSISSIPPI SEALS PROGRAM

This resource provides information on efforts to provide oral-health-related prevention services, including screenings, fluoride-varnish applica-tions, and dental sealants, to students in Missis-sippi schools. It describes dental sealants, how the program works and who is eligible, and how schools and oral health professionals can get involved. A program flyer, enrollment forms for schools and providers, a parental consent form, and an oral-health-evaluation results form are also included.

Mississippi State Department of Health. 2012. Mississippi Seals Program. Jackson, MS: Missis-sippi State Department of Health. Multiple items. http://msdh.ms.gov/msdhsite/_static/43,0,151,481.html.

D E N TA L S E A L A N T S : A R E S O U R C E G U I D E12

SCHOOL-BASED DENTAL SEALANT PROGRAMS

This curriculum is designed to provide school-based dental sealant program (SBSP) staff with an understanding of the history, operations, and principles of SBSPs funded by the Ohio Depart-ment of Health (ODH). Contents include guide-lines for infection control and information about tooth selection and assessment for sealants; the sealant-application process; and program opera-tions, with an emphasis on requirements that apply to programs funded by ODH. [Funded by the Maternal and Child Health Bureau]

Barzel R, Holt K, Siegal M, eds. 2009. School-Based Dental Sealant Programs. Washington, DC: National Maternal and Child Oral Health Resource Center. 1 v. http://www.ohiodentalclinics.com/curricula/sealant.

SCHOOL DENTAL SEALANT PROGRAMS WHITE PAPER (UPD.)

This paper reflects the Association of State and Territorial Dental Directors’ stance on school-based and school-linked dental sealant programs that follow evidence-based guidelines as part of a comprehensive community strategy to serve the greatest number of children and adolescents at highest risk for dental disease. Contents include recommendations for school-based and school-linked dental sealant programs as an important and effective public health approach that comple-ments clinical care systems in promoting the oral health of children and adolescents.

Association of State and Territorial Dental Direc-tors. 2016. School Dental Sealant Programs White Paper (upd.). Reno, NV: Association of State and Territorial Dental Directors. 3 pp. http://www.astdd.org/docs/school-dental-sealant-programs-white-paper-01-11-16.doc.

SEAL AMERICA: THE PREVENTION INVENTION (3RD ED.)

This manual is designed to assist health profes-sionals in launching and sustaining school-based dental sealant programs (SBSPs). In addition to offering a step-wise approach for planning and implementing SBSPs, this manual addresses issues related to referring students with unmet

SCHOOL-BASED DENTAL SEALANT PROGRAM: REFERENCE GUIDE FOR TOOTH SURFACE ASSESSMENT AND SELECTION

This guide for professionals participating in Ohio’s dental sealant program provides informa-tion about the criteria and methods for decid-ing on sealant placement. Topics include visual assessment to detect surface cavitation and/or signs of dentinal involvement before sealant placement, differences between noncavitated and cavitated dental caries lesions, and selecting seal-ants for repair or replacement. Photographs are included.

Ohio Department of Health, Oral Health Pro-gram. 2014. School-Based Dental Sealant Program: Reference Guide for Tooth Surface Assessment and Selection. Columbus, OH: Ohio Department of Health, Oral Health Program. 2 pp. http://www.odh.ohio.gov/~/media/ODH/ASSETS/Files/ohs/oral%20health/SBSP%20Tooth%20Selection%20Pocket%20Guide.ashx.

SCHOOL-BASED DENTAL SEALANT PROGRAM MANUAL (UPD.)

This manual provides professional recommenda-tions and states’ expectations for school-based dental sealant programs funded by the Ohio Department of Health (ODH). Contents include local program operations, regulatory compliance, compliance with ODH policies, sealant program eligibility, sample program forms, clinical mate-rials and methods, retention checks, Medicaid billing and collection, reimbursement guidelines, health professional enrollment, filing claims, performance benchmarks and performance standards, reporting, ODH program reviews, and compliance with other ODH requirements. The appendices contain sample forms, records, letters, and other practice-related materials.

Ohio Department of Health, Bureau of Health Promotion. 2015. School-Based Dental Sealant Program Manual (upd.). Columbus, OH: Ohio Department of Health, Bureau of Health Promo-tion. 27 pp., plus appendices. https://www.odh. ohio.gov/~/media/ODH/ASSETS/Files/ohs/oral% 20health/Dental%20Sealant%20Manual%202016.pdf.

D E N TA L S E A L A N T S : A R E S O U R C E G U I D E13

form for programs to request dental sealant and fluoride-varnish products as well as toothpaste, toothbrushes, pumice preppies, dental floss, and other products; and a reporting form to describe program results.

Oral Health America. 2004–. Smiles Across Amer-ica® Product Donation Project. Chicago, IL: Oral Health America. Multiple items. https://oralhealth america.org/our-work/smiles-across-america/product-donation.

WASHINGTON STATE SCHOOL-BASED SEALANT AND FLUORIDE VARNISH PROGRAM GUIDELINES (3RD ED.)

These guidelines aim to facilitate the implementa-tion of school-based-dental-sealant and school-based-fluoride-varnish programs in Washington. Topics include the assessment of populations at risk for dental caries, infrastructure, Medicaid coverage and reimbursement, staffing, policies and procedures, data collection, scheduling, qual-ity assurance, sealant and fluoride-varnish guide-lines, student referral, and process and outcome evaluation. Information on state laws, memo-randa of understanding, checklists, products, and supplies is also provided.

Pyatt J, Spink D, Alves-Dunkerson J. 2012. Wash-ington State School-Based Sealant and Fluoride Varnish Program Guidelines (3rd ed.). Olympia, WA: Washington State Department of Health, Oral Health Program. 63 pp. http://here.doh.wa.gov/materials/sealant-fluoride-varnish-guidelines/15_OHsealguid_E12L.pdf.

WISCONSIN SEAL-A-SMILE

This video for school administrators and staff describes dental sealants and school-based and school-linked dental sealant programs in Wiscon-sin. Topics include program components, admin-istration, costs, and results.

Children’s Health Alliance of Wisconsin. 2014. Wisconsin Seal-A-Smile. Milwaukee, WI: Chil-dren’s Health Alliance of Wisconsin. 1 video (3 min., 22 sec.). http://vimeo.com/106293742.

oral health needs to a dental clinic or office. Health professionals working in established SBSPs also find the manual of interest as they work to improve specific aspects of their program. [Funded by the Maternal and Child Health Bureau]

Carter NL, Lowe EA, with the American Associa-tion for Community Dental Programs and the National Maternal and Child Oral Health Resource Center. 2016. Seal America: The Prevention Inven-tion (3rd ed.). Washington, DC: National Mater-nal and Child Oral Health Resource Center. 1 v. http://mchoralhealth.org/seal.

SEALANTS FOR PREVENTING AND ARRESTING PIT-AND-FISSURE OCCLUSAL CARIES IN PRIMARY AND PERMANENT MOLARS: A SYSTEMATIC REVIEW OF RANDOMIZED CONTROLLED TRIALS— A REPORT OF THE AMERICAN DENTAL ASSOCIATION AND THE AMERICAN ACADEMY OF PEDIATRIC DENTISTRY

This review summarizes clinical evidence about the effectiveness of dental sealants for the pre-vention and management of pit-and-fissure occlu-sal carious lesions in primary and permanent molars compared with controls without sealants and with fluoride varnishes. The review also pro-vides other head-to-head comparisons. Contents include type of studies reviewed, results, and implications for practice.

Wright JT, Tampi MP, Graham L, Estrich C, Crall JJ, Fontana M, Gillette EJ, Novy BB, Dhar V, Donly K, Hewlett ER, Quinonez RB, Chaffin J, Crespin M, Iafolla T, Siegal MD, Carrasco-Labra A. 2016. Sealants for preventing and arresting pit-and-fissure occlusal caries in primary and perma-nent molars: A systematic review of randomized controlled trials—A report of the American Dental Association and the American Academy of Pediatric Dentistry. Journal of the American Dental Association 147(8):631–645. http://dx.doi.org/10.1016/j.adaj.2016.06.003.

SMILES ACROSS AMERICA® PRODUCT DONATION PROJECT

This resource is designed for use by community or school-based oral health programs in apply-ing for product donations. Contents include product-donation eligibility requirements; a

D E N TA L S E A L A N T S : A R E S O U R C E G U I D E14

Atlanta, GA: Centers for Disease Control and Prevention. 1 p. http://www.cdc.gov/oralhealth/dental_sealant_program/sealants.htm.

DENTAL SEALANTS

This fact sheet for consumers provides informa-tion about dental sealants. Topics include how sealants prevent cavities, how they are applied, and who should receive them. The fact sheet is available in English, Chinese, Hmong, Russian, Spanish, and Vietnamese.

California Dental Association. N.d. Dental Seal-ants. Sacramento, CA: California Dental Associa-tion. 1 p. http://www.cda.org/Portals/0/pdfs/fact_ sheets/sealant_english.pdf.

DENTAL SEALANTS (SELLADORES DENTALES)

This brochure for parents explains what den-tal sealants are and how they are used. It also addresses when a child’s teeth should be sealed and how long sealants last. Information on low-cost or no-cost insurance is provided. The brochure is printed in English on one side and in Spanish on the other.

Iowa Department of Public Health, I-Smile Dental Home Initiative. 2013. Dental Sealants (Selladores Dentales). Des Moines, IA: Iowa Department of Public Health, Bureau of Oral Health. 2 pp. http://idph.iowa.gov/Portals/1/Files/OralHealth Center/Dental%20Sealants%204.24.13.pdf.

DENTAL SEALANTS KEEP CHILDREN HEALTHY & READY TO LEARN

This infographic provides information about den-tal caries (tooth decay) in school-age children and how dental sealants prevent decay and reduce costs in Florida. Contents include the percentage of students in third grade who have untreated decay, the number and cost of caries-related emergency department visits, the costs of sealants vs. fillings, and the potential return on investment. Information about state programs that provide preventive oral health services is included.

Florida Department of Health, Public Health Den-tal Program. 2015. Dental Sealants Keep Children Healthy & Ready to Learn. Tallahassee, FL: Florida

Public Education

ARIZONA SCHOOL-BASED SEALANT PROGRAM (REV.)

This brochure discusses the importance of dental sealants in preventing tooth decay in children and encourages parents and other caregivers to enroll their children in Arizona’s school-based dental sealant program for students in grades 2 and 6 who are at risk for tooth decay. Data and key references from state and national reports on children’s oral health and overall well-being are cited throughout the brochure.

Arizona Department of Health Services, Office of Oral Health. 2011. Arizona School-Based Sealant Program (rev.). Phoenix, AZ: Arizona Department of Health Services, Office of Oral Health. 2 pp. http://www.azdhs.gov/documents/prevention/womens-childrens-health/oral-health/dental-programs/arizona-school-based-sealant-program-information.pdf.

ASK YOUR DENTIST ABOUT SEALANTS

This brochure provides information for parents, teachers, school nurses, and others about the benefits of dental sealants and addresses con-cerns about treatment and costs. Additional topics include what sealants are, how they work, and how long they last.

American Academy of Pediatric Dentistry. 2012. Ask Your Dentist About Sealants. Chicago, IL: American Academy of Pediatric Dentistry. 4 pp. http://www.mychildrensteeth.org/education/parent_education_brochures.

DENTAL SEALANT FAQS

This resource for the public presents information on dental sealants. Topics include what sealants are, why sealing a tooth is better than waiting for a cavity to form and then filling it, when and where to obtain sealants, whether they make teeth feel different, what they look like, how long they last, and whether they replace fluoride for protection against cavities. Links to additional resources on toothbrushing and school-based dental sealant programs are included.

Centers for Disease Control and Prevention, Divi-sion of Oral Health. 2016. Dental Sealant FAQs.

D E N TA L S E A L A N T S : A R E S O U R C E G U I D E15

Health, Oral Health Program. 2 pp. http://www.michigan.gov/documents/mdch/Seal_Michigan_Brochure-Eng_2011_355791_7.pdf.

SEAL OUT TOOTH DECAY

This resource provides information for health professionals, parents, and others about dental sealants. Topics include what sealants are, how they are applied, why to have them applied, who should receive them, how long they last, and how to obtain them. The brochure is available in English and Spanish.

National Institute of Dental and Craniofacial Research. 2015. Seal Out Tooth Decay. Bethesda, MD: National Institute of Dental and Craniofacial Research. Multiple items. http://www.nidcr.nih. gov/OralHealth/Topics/ToothDecay/SealOut ToothDecay.htm.

State and Local Program Reports

ARKANSAS STATE DENTAL SEALANT PLAN (REV.)

This document outlines a plan to promote the placement of dental sealants for children through-out the state of Arkansas. Contents include infor-mation about previous sealant efforts, a needs assessment, and information about the revision of the state sealant program. Additional topics include infrastructure, funding, and environment; the evaluation plan; and sustainability.

Arkansas Department of Health, Office of Oral Health. 2013. Arkansas State Dental Sealant Plan (rev.). Little Rock, AR: Arkansas Department of Health, Office of Oral Health. 21 pp. http://www.healthy.arkansas.gov/programsServices/oralhealth/Documents/DentalSealantPlan.pdf.

I-SMILE™ @ SCHOOL: 2015 REPORT ON THE IOWA DEPARTMENT OF PUBLIC HEALTH’S SCHOOL-BASED SEALANT PROGRAM

This report describes the services and impact of a school-based dental sealant program to pre-vent oral disease and improve the oral health of

Department of Health, Public Health Dental Program. 1 p. http://www.floridahealth.gov/programs-and-services/community-health/dental-health/_documents/dental-sealant-roi.pdf.

SCHOOL-BASED DENTAL SEALANT PROGRAMS

This fact sheet for consumers presents informa-tion on school-based dental sealant programs (SBSPs). Topics include what dental sealants are, what SBSPs are, evidence showing that the programs work, and recommendations for programs. Links to resources such as national reports, fact sheets, best practices, and research are included.

Centers for Disease Control and Prevention, Divi-sion of Oral Health. 2015. School-Based Den-tal Sealant Programs. Atlanta, GA: Centers for Disease Control and Prevention. 1 p. http://www.cdc.gov/OralHealth/dental_sealant_program.

SEAL IN A SMILE

This video for children addresses the impor-tance of dental sealants. Live action and anima-tion are used to demonstrate what sealants are, how they prevent tooth decay, and how they are applied.

Ohio Department of Health, Oral Health Pro-gram; Columbus Public Health Dental Sealant Program, East Columbus Elementary, Hamilton Local Elementary. 2016. Seal in a Smile. Colum-bus, OH: Ohio Department of Health. 1 video (4 min., 21 sec.). http://progressive.powerstream.net/008/00153/Seal_in_a_Smile_2016.mp4.

SEAL! MICHIGAN DENTAL SEALANT PROGRAM: DEVELOPING HEALTHY SMILES

This brochure outlines a dental sealant program for young children in Michigan. It explains what dental sealants are, how they are applied, which teeth should be sealed, tooth decay and preven-tion, and costs related to sealants. [Funded in part by the Maternal and Child Health Bureau]

Michigan Department of Community Health, Oral Health Program. 2011. Seal! Michigan Dental Sealant Program: Developing Healthy Smiles. Lansing, MI: Michigan Department of Community

D E N TA L S E A L A N T S : A R E S O U R C E G U I D E16

of Health, Office of Oral Health. 21 pp. http://www.healthy.arkansas.gov/programsServices/oralhealth/Documents/Needsassessmentandtitles.pdf.

PARTNERING TO SEAL-A-SMILE: A REPORT ON THE SUCCESS OF WISCONSIN SCHOOL-BASED DENTAL SEALANT PROGRAMS

This report provides an overview of Wisconsin’s Seal-A-Smile program, including highlights of the program’s expansion and findings from data col-lected annually from 2005 to 2010, as well as data collected from other school-based dental sealant programs. Topics include dental caries rates, chil-dren served, dental-sealant-retention rates, and other measures.

Crespin M, Eichenbaum A, Madormo C. 2012. Partnering to Seal-A-Smile: A Report on the Suc-cess of Wisconsin School-Based Dental Sealant Programs. Milwaukee, WI: Children’s Health Alliance of Wisconsin. 70 pp. http://www.chawisconsin.org/documents/PartneringSeal ASmile2012.pdf.

SEAL RI! SCHOOL BASED DENTAL SEALANT PROGRAM 2013–14

This map provides data from SEAL RI!, a partner-ship between the Rhode Island Department of Health and community organizations, to identify free oral health services, such as dental sealants, to children while they are in school. Contents of the site are presented by school district. Top-ics include the percentage of schools served by SEAL RI!, the percentage of schools with 50 percent or more of students eligible for the Free and Reduced School Meal Program (FSRM), the percentage of schools with 50 percent or more students eligible for FSRM and served by SEAL RI!, the percentage of students in first through third grades screened by SEAL RI!, and the per-centage of students in first through third grades who received at least one first molar sealant.

Rhode Island Department of Health, SEAL RI! Program. 2015. Seal RI! School Based Dental Seal-ant Program 2013 –14. Providence, RI: Rhode Island Department of Health, SEAL RI! Program. 1 item. http://rihealth.maps.arcgis.com/apps/MapTour/?appid=e4543f8a3d6d431e9cedef37c29532a.

children in Iowa. The program provides students with onsite screening, sealants, fluoride varnish, oral health education, and care-coordination services. Topics include trends in the number of children who were screened, the number of chil-dren who received sealants, the number of seal-ants placed, and the number of counties served. The report also documents the number of cavities averted due to program services and gives an example of a success story.

Chickering S, Meister S. 2016. I-Smile™ @ School: 2015 Report on the Iowa Department of Public Health’s School-Based Sealant Program. Des Moines, IA: Iowa Department of Public Health, Bureau of Oral and Health Delivery Systems. 4 pp. http://idph.iowa.gov/Portals/1/userfiles/34/ohc_reports/iss_report_04142016.pdf.

KANSAS SEALANT PLAN

This document provides an overview of demo-graphics and barriers to oral health in Kansas and describes the role of state oral health programs and policy in improving oral health and oral health care in the state. Topics include Kansas’s school-based dental sealant program infrastructure, needs assessment, outcomes, evaluation, sustain-ability, and expansion. Sample forms, the evalua-tion survey, and a sample contract are included.

Ferguson J. 2012. Kansas Sealant Plan. Topeka, KA: Kansas Department of Health and Environ-ment, Bureau of Oral Health. 56 pp. http://www.kdheks.gov/ohi/download/Sealant_Plan.pdf.

NEEDS ASSESSMENT OF SCHOOL-BASED DENTAL SEALANT CAPACITY AND PRIORITY POPULATIONS IN ARKANSAS

This report identifies elementary schools in which 50 percent or more of students are eligible for free and reduced lunch (defined as high-risk) and existing dental sealant programs in Arkansas. Topics include the number of high-risk schools by county, the number of students in high-risk schools by county, high-risk schools with sealant programs, and high-risk schools by county with available dental offices.

Phillips M, Mauldin J, Simpson N, Whitaker B. 2013. Needs Assessment of School-Based Dental Sealant Capacity and Priority Populations in Arkansas. Little Rock, AR: Arkansas Department

D E N TA L S E A L A N T S : A R E S O U R C E G U I D E17

SEALANTS FOR SMILES®

This document summarizes data from a program to provide school-based oral health education and dental sealants to students in second and sixth grades in Utah. Contents include the num-ber of school visits and the number of children who participated in oral health education, the number of children who were evaluated by a Utah-licensed oral health professional, the num-ber of dental sealants placed on children’s teeth, and the estimated value of the oral health ser-vices provided at no cost to parents or schools. A program description is also available.

Utah Department of Health, Oral Health Program. 2013. Sealants for Smiles®. Salt Lake City, UT: Utah Department of Health, Division of Commu-nity and Family Health Services, Oral Health Pro-gram. 2 items. http://health.utah.gov/oralhealth/resources/6%20Year%20Summary%20Report%202007-2013.pdf.

TEXAS THIRD GRADE ORAL HEALTH BASIC SCREENING SURVEY RESULTS

This document presents findings from a public-school-based screening survey to collect oral health data consistent with national standards. Topics include percentages of students in third grade with dental sealants. Comparisons from statewide samples against Healthy People 2020 goals are included.

Texas Department of State Health Services, Oral Health Program. 2015. Texas Third Grade Oral Health Basic Screening Survey Results. Austin, TX: Texas Department of State Health Services, Oral Health Program. 1 p. https://www.dshs.texas.gov/WorkArea/linkitaspx?LinkIdentifier=id&Item ID=8589998717.

Organizations

D E N TA L S E A L A N T S : A R E S O U R C E G U I D E19

AMERICAN ACADEMY OF PEDIATRIC DENTISTRY211 East Chicago Avenue, Suite 1600Chicago, IL 60611-2637Telephone: (312) 337-2169Fax: (312) 337-6329Website: http://www.aapd.org

The American Academy of Pediatric Dentistry (AAPD) works to achieve optimal oral health for all children and adolescents, including those with special health care needs. AAPD serves primary care and specialty pediatric dentists, as well as general dentists who treat children and adoles-cents in their practices.

AMERICAN ASSOCIATION FOR COMMUNITY DENTAL PROGRAMS635 West Seventh Street, Suite 309Cincinnati, OH 45203Telephone: (513) 621-0248Fax: (513) 621-0288E-mail: info@aacdp.orgWebsite: http://www.aacdp.com

The American Association for Community Dental Programs (AACDP) supports the efforts of staff working in city-, county-, and community-based programs serving the oral health needs of vulner-able populations. AACDP publishes a newsletter and sponsors training seminars.

AMERICAN DENTAL ASSOCIATION211 East Chicago AvenueChicago, IL 60611-2678Telephone: (312) 440-2500Fax: (312) 440-7494E-mail: info@ada.orgWebsite: http://www.ada.org; http://www.mouth

healthy.org

The American Dental Association (ADA) provides oral health information to dentists and consumers and works to advance the dental profession at the national, state, and local levels. ADA initia-tives include those related to advocacy, educa-tion, research, and the development of standards.

AMERICAN DENTAL HYGIENISTS’ ASSOCIATION444 North Michigan Avenue, Suite 3400Chicago, IL 60611Telephone: (312) 440-8900Website: http://www.adha.org

The American Dental Hygienists’ Association (ADHA) works to ensure access to high-quality oral health care; promote dental hygiene educa-tion, licensure, practice, and research; and repre-sent the legislative interests of dental hygienists at the local, state, and federal levels. ADHA serves dental hygienists with the goal of helping them achieve their full potential as they seek to improve the public’s oral health.

ASSOCIATION OF STATE AND TERRITORIAL DENTAL DIRECTORS3858 Cashill BoulevardReno, NV 89509Telephone: (775) 626-5008Fax: (775) 626-9268Website: http://www.astdd.org

The Association of State and Territorial Den-tal Directors promotes the establishment of national dental public health policy, assists state oral health programs in the development and implementation of programs and policies for preventing oral disease, builds awareness and strengthens public health professionals’ knowl-edge and skills by developing position papers and policy statements, provides information on oral health to health officials and policymakers, and conducts conferences for the dental public health community.

Organizations

D E N TA L S E A L A N T S : A R E S O U R C E G U I D E20

NATIONAL MATERNAL AND CHILD ORAL HEALTH RESOURCE CENTERGeorgetown UniversityBox 571272Washington, DC 20057-1272Telephone: (202) 784-9771E-mail: OHRCinfo@georgetown.eduWebsite: http://www.mchoralhealth.org

The National Maternal and Child Oral Health Resource Center responds to the needs of profes-sionals working in states and communities with the goal of improving oral health services for pregnant women, infants, children, and adoles-cents, including those with special health care needs, and their families (MCH population). The resource center collaborates with government agencies, professional associations, foundations, policy and research centers, and voluntary orga-nizations to gather, develop, and share informa-tion and materials to promote sustainable oral health services for the MCH population.

ORAL HEALTH AMERICA180 North Michigan Avenue, Suite 1150Chicago, IL 60611-4211Telephone: (312) 836-9900Fax: (312) 836-9986E-mail: info@oralhealthamerica.orgWebsite: http://www.oralhealthamerica.org

Oral Health America connects communities with resources to drive access to care, increase health literacy, and advocate for policies that improve overall health through better oral health for all Americans, including those who are most vulnerable.

CENTERS FOR DISEASE CONTROL AND PREVENTION1600 Clifton RoadAtlanta, GA 30329-4027Telephone: (800) 232-4636E-mail: cdcinfo@cdc.govWebsite: http://www.cdc.govDivision of Oral Health: http://www.cdc.gov/

oralhealth

The Centers for Disease Control and Prevention (CDC) works to combat disease and supports communities and citizens to do the same. CDC’s Division of Oral Health strives to improve oral health and reduce oral health disparities by help-ing states improve their oral health programs, extending the use of proven strategies to prevent oral disease, enhancing efforts to monitor oral disease, contributing to the scientific knowledge base related to oral health and oral disease, and guiding infection control in dentistry.

INDIAN HEALTH SERVICE5600 Fishers LaneRockville, MD 20857Website: https://www.ihs.gov/index.cfmDental portal: https://www.ihs.gov/DOH

The Indian Health Service (IHS) is responsible for providing federal health services, including oral health services, to American Indians and Alaska Natives. The IHS dental portal serves as a cen-tralized location where staff who work in Indian health care can locate resources to support the operation of effective clinical and community oral health programs.

MATERNAL AND CHILD HEALTH BUREAUHealth Resources and Services Administration5600 Fishers LaneParklawn BuildingRockville, MD 20857Telephone: (301) 443-2753E-mail: pvodicka@hrsa.govWebsite: http://www.mchb.hrsa.gov

The Maternal and Child Health Bureau provides leadership, in partnership with stakeholders, to improve the physical, mental, and oral health; safety; and well-being of the maternal and child health population, which includes all women, infants, children, and adolescents and their families.

Materials Produced by the National Maternal and Child Oral Health Resource Center

n Maryland Mighty Tooth: School-Based Dental Sealant Training Program [curriculum]http://mightytoothcurriculum.com

n Preventing Tooth Decay and Saving Teeth with Dental Sealants (3rd ed.) [fact sheet]http://www.mchoralhealth.org/pdfs/OHDentSealant Factsheet.pdf

n Resource Highlights: Dental Sealants [resource guide]http://www.mchoralhealth.org/highlights/dental-sealants.php

n School-Based Dental Sealant Programs [curriculum]http://www.ohiodentalclinics.com/curricula/sealant

n Seal America: The Prevention Invention (3rd ed.) [manual]http://mchoralhealth.org/seal