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Module 4: Anticipatory Guidance, Fluoride Varnish, and Referral


Module 4 explains the purpose of anticipatory guidance and highlights key issues that should be discussed with parents to promote children’s oral health. A description of fluoride varnish is provided, and its efficacy in preventing dental caries is discussed. The module includes step-by-step instructions for applying fluoride varnish, with a video demonstrating the process. The module also discusses referral to a dentist and the concept of the dental home. Finally, a fluoride varnish periodicity schedule is provided, and fluoride varnish reimbursement is covered.

Learning Objectives

  • Explain the purpose of anticipatory guidance.
  • List the three most frequently discussed anticipatory guidance topics.
  • Explain the purpose of fluoride varnish.
  • List three things required to apply fluoride varnish.
  • Explain the meaning of “dental home.”
  • List three reasons to refer a child to a dentist immediately.
  • Explain what Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) medical providers in Maryland should do in situations where it is difficult or impossible to identify a dentist that accepts children enrolled in Medicaid.

Time to Complete this Lesson Module: Approximately 20 minutes