Association‌ of‌ State‌ &‌ Territorial‌ Dental‌ Directors
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Phone‌ 775-626-5008‌‌

Dental Sealants Resources

Ohio Department of Health 2018 School-based Dental Sealant Program Manual provides information and standards for school-based sealant programs funded by the Ohio Department of Health. (February 2018)

School Dental Sealant Programs White Paper (November 2017)

School-based Dental Sealant Programs Best Practice Approach Report (November 2017)

Success Stories from School Sealant Programs - Healthy People 2020 objective OH 12-2 is to "Increase the portion of  children aged 6-9 years who have received dental sealants on one or more of their permanent  first molar teeth." Building a successful school-based dental sealant program is a means of meeting this objective. In this webcast, three presenters from various school-based sealant programs, present information about an important school-based dental sealant program component and share a story around building a successful sealant program. Resources, such as the ASTDD  School-based Dental Sealant Best Practice Approach Report and the 2017 Children's Dental Health Project, Sealant Work Group Recommendations as well as other state manuals and reports, will be shared for future use in building a successful program.  (November 2017)

Introduction and Resources PowerPoint
Terri Chandler PowerPoint
Stephanie Chickering PowerPoint
Matt Crespin PowerPoint
Infographic Example – Nevada Hospital Emergency Room usage
Infographic Example – Future Smiles Statewide Summary Report
Infographic Example – Martinez Elementary School Report

An Assessment of Mobile and Portable Oral Dentistry Programs to Improve Population Oral Health 
The Oral Health Workforce Research Center (OHWRC) at the Center for Health Workforce Studies (CHWS) at the University at Albany's School of Public Health completed a research project to assess the contributions of mobile and portable dentistry programs to increased access to oral health services. The project used a qualitative methodology and included case studies of 7 organizations across the United States that were providing oral health services in a mobile or portable format. (August 2017)

Children's Dental Health Project Sealant Workgroup Recommendations
The Children's Dental Health Project Sealant Work Group, a 13-member panel of experts, has released a national report. The report offers 16 recommendations to strengthen the operations and sustainability of School-based Sealant Programs. (April 2017)

Seal America: The Prevention Intervention
This manual, produced by the American Association of Community Dental Programs and the National Material and Child Oral Health Resource Center is designed to assist health professionals in initiating and implementing a school-based dental sealant program. Staff of established programs may also find the manual of interest as they work to improve specific aspects of their programs. (2016)

Future Smiles Evaluation Report
The 2014-2015 Future Smiles Evaluation Report is an example of a school-based dental sealant program evaluation study.  Future Smiles, Inc., is a public health program designed to provide preventive oral health care to children in the Clark County School District (CCSD). Future Smiles and their partners developed a program to provide oral health care to students who are most at risk for oral diseases. ICF International, under contract with Future Smiles, carried out a sub-study of the evaluation to address the following questions: What health and educational benefits do teachers attribute to student participation in Future Smiles? What are the perceptions and experiences of the program as reported by teachers affiliated with the Future Smiles? Interviews of teachers were used to gather feedback on the perceived value of the school-based dental hygiene program provided by Future Smiles at participating schools. (2015)

Survey of School-Based Oral Health Programs Operated by Health Centers
National Network for Oral Health Access Survey of School-Based Oral Health Programs Operated by Health Centers - This paper presents the results of a national online survey of Health Centers that National Network for Oral Health Access (NNOHA) conducted in June 2013 to obtain information about school-based oral health programs located in school-based health centers (SBHCs) and operated by Health Centers. Survey respondents were dental directors from Health Centers that currently have school-based oral health programs. Sixty-two Health Centers from 29 states that provided school-based oral health programs completed the survey. The paper also presents results from two follow-up focus groups held in August 2013 with dental directors or school-based program managers from 10 Health Centers with large school-based oral health programs. (July 2014)

Dental sealants: Proven to Prevent Tooth Decay
This report, produced by the Children's Dental Health Project, provides an overview of program designs and key issues in school-based dental sealant programs in the United States. 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 longstanding school-based dental sealant programs 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. (2014)

Ohio Safety-net Dental Clinics School-based Dental Sealant Program Modules
School-Based Dental Sealant Programs, is a series of modules designed to ensure that school-based dental sealant program staff have a thorough understanding of the history, operations, and underlying principles of these programs. The modules provide detailed guidelines for infection control in school-based programs; discuss tooth selection and assessment for dental sealants; review the dental sealant application process; and provide information about program operations, with an emphasis on the specific requirements that apply to programs funded by the Ohio Department of Health. (2009)


Holt K, Barzel R. 2010. Pain and Suffering Shouldn't Be an Option: School-Based and School-Linked Oral Health Services for Children and Adolescents. Washington, DC: National Maternal and Child Oral Health Resource Center.

Beauchamp J, Caufield PW, Crall JJ, Donly KJ, Feigal R, Gooch B, Ismail A, Kohn W, Siegal M, Simonsen R. 2009. Evidence-based clinical recommendations for the use of pit-and-fissure sealants: A report of the American Dental Association Council on Scientific Affairs. Journal of the American Dental Association 139(3):257–268..

Gooch BF, Griffin SO, Gray SK, Kohn WG, Rozier RG, Siegal M, Fontana M, Brunson D, Carter N, Curtis DK, Donly KJ, Haering H, Hill LF, Hinson HP, Kumar J, Lampiris L, Mallatt M, Meyer DM, Miller WR, Sanzi-Schaedel SM, Simonsen R, Truman BI, Zero DT; Centers for Disease Control and Prevention. 2009. Preventing dental caries through school-based sealant programs: Updated recommendations and reviews of evidence. Journal of the American Dental Association 140(11):1356–1365.

Gray SK, Griffin SO, Malvitz DM, Gooch BF. 2009. A comparison of the effects of toothbrushing and handpiece prophylaxis on retention of sealants. Journal of the American Dental Association 140(1):38–46.

Griffin SO, Gray SK, Malvitz DM, Gooch BF. 2009. Caries risk in formerly sealed teeth. Journal of the American Dental Association 140(4):415–423.

Pennsylvania Department of Health. 2009. Put a Seal on Dental Decay: A Parent's Guide About Sealants (rev. ed.). Harrisburg, PA: Pennsylvania Department of Health.

Griffin SO, Jones K, Gray SK, Malvitz DM, Gooch BF. 2008. Exploring four-handed delivery and retention of resin-based sealants. Journal of the American Dental Association 139(3):281–289.

Scherrer CR, Griffin PM, Swann JL. 2007. Public health sealant delivery programs: Optimal delivery and the cost of practice acts. Medical Decision Making 27(6):762–771.