National Maternal and Child Oral Health Resource Center
Module 1: Introduction
Module 1 Post-Test Self-Assessment
School-based dental sealant programs are a community-based approach to disease prevention if:
They involve delivery of a clinical preventive service.
They employ dental hygienists and dental assistants.
They are designed in response to population data and in accordance with public health principles.
They provide home care instruction and topical fluoride treatments as well as dental sealants.
They only seal teeth that are caries free.
The largest difference in caries attack rate by tooth type for teeth with pits and fissures is between:
Permanent molars and premolars.
Premolars and permanent incisors.
First and second permanent molars.
Maxillary teeth and mandibular teeth.
All of the above.
For the purpose of Ohio Department of Health–funded school-based dental sealant programs, children at high risk for dental caries are those who:
Do not have a dental home.
Attend schools with at least 40 percent of children eligible for the Free and Reduced Price School Meals program (FRPM).
Are eligible for FRPM program or Medicaid or do not have dental insurance and did not have a dental visit in the past year.
Have had dental caries.
All children are at high risk for dental caries.
One key element of ODH’s approach is to make sure that the school-based dental sealant programs it funds:
Seek to increase the number of children at low risk (from families with middle and high incomes) who receive sealants.
Operate in a convenient manner regardless of efficiency.
Do not require parental consent.
All of the above.
ODH-funded school-based dental sealant programs do not provide diagnostic and other preventive services, such as topical fluoride treatments because:
It would require additional costly supplies and equipment (e.g., X-ray machine).
Dentists in the community would be upset.
Such treatments would interfere with the bonding of dental sealants to enamel.
They would not provide significant oral health benefit to children in the context of school-based dental sealant programs.