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Resource Highlights: Focus on Fluoride Varnish

This collection of selected resources offers high-quality information about fluoride varnish. Use the tools below for further searching, or contact us for personalized assistance. For a comprehensive list of materials and websites, review Fluoride Varnish: A Resource Guide.

Used with permission from Joanna Douglass, B.D.S., D.D.S., University of Connecticut School of Dental Medicine. 2008.

Selected Materials in the OHRC Library

American Academy of Pediatrics, Division of State Government Affairs. 2013. More State Medicaid Programs Pay for Children’s Oral Health Prevention Services in Doctors’ Offices. Elk Grove Village, IL: American Academy of Pediatrics. 4 pp.

This document describes efforts to expand payment to primary care health professionals for preventive oral health services during well-child visits for children enrolled in Medicaid. Topics include state Medicaid programs paying primary care health professionals to perform caries risk assessment and apply fluoride varnish in 2008 and in 2012 and efforts to promote changes in policies and procedures.

American Academy of Pediatrics, Oral Health Initiative, Medicaid/SCHIP Dental Association, National Academy for State Health Policy. 2013. State Medicaid Payment for Caries Prevention Services by Non-Dental Professionals. Elk Grove Village, IL: American Academy of Pediatrics, Oral Health Initiative. 12 pp.

This document presents information by state on reimbursement for dental-caries-prevention services, including fluoride varnish application. Topics include type of provider, services, fees, procedure codes, delegation, age limit for services, number of varnish applications reimbursed annually, training requirement/expectation, payors, and legislative approval to reimburse primary care health professionals.

Children’s Health Alliance of Wisconsin. 2012. Making Milwaukee Smile: A Report on Efforts to Improve the Oral Health of Milwaukee Children 2011. Milwaukee, WI: Children’s Health Alliance of Wisconsin. 32 pp.

This report describes the results of a development grant to improve the oral health of children in Milwaukee. The project placed oral health care coordinators in schools to provide preventive oral health services and trained primary care health professionals to perform oral health risk assessments, provide anticipatory guidance, and apply fluoride varnish. Topics include project development, objectives, and evaluation; demographics and key findings; and successes.

Oral Health America. 2013. Oral Health America: Smiles Across America Product Donation Project. Chicago, IL: Oral Health America.

This kit contains materials for use by community or school oral health programs in applying for product donations. Contents include eligibility requirements; a partnership agreement; a form for programs to request dental sealant and fluoride varnish products as well as toothpaste, toothbrushes, dental floss, and other products; and a report form to describe program results.

Pyatt J, Spink D, Alves-Dunkerson J. 2012. Washington State School-Based Sealant and Fluoride Varnish Program Guidelines (3rd ed.). Olympia, WA: Washington State Department of Health, Oral Health Program. 63 pp.

These guidelines aim to facilitate the implementation of school-based dental-sealant and 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, quality assurance, sealant and fluoride varnish guidelines, student referral, and process and outcome evaluation. Information on state laws, memoranda of understanding, checklists, products, and supplies is also provided.

South Carolina Department of Health and Environmental Control, Oral Health Division. 2011. Fluoride Varnish Manual for Health Professionals (upd. ed.). Columbia, SC: South Carolina Department of Health and Environmental Control, Division of Oral Health. 7 pp.

This manual describes the role of health professionals in applying fluoride varnish in children at high to medium risk for dental caries. Contents include information on training and supplies, positioning of infants and young children for varnish application, and the importance of establishing a dental home. Resources for consumers are also provided.

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Selected Websites


National Maternal and Child Oral Health Resource Center and Maryland Department of Health and Mental Hygiene, Office of Oral Health

North Carolina Academy of Family Physicians and North Carolina Pediatric Society

Ohio Department of Health, Oral Health Program

Texas Department of State Health Services, Oral Health Program

Washington Dental Service Foundation

West Virginia University, Robert C. Byrd Health Sciences Center School of Dentistry

Find more organizations in OHRC's Organizations Database.

Resource Highlights: Focus on Fluoride Varnish. May 2013.

Reviewers: Kelly Close, North Carolina Department of Health and Human Services, Oral Health Section


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National Maternal and Child Oral Health Resource Center Georgetown University