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Developing a sealant program: the Massachusetts approach.

V A Callanen, J A Weintraub, D P French

    Journal of Public Health Dentistry
    |January 1, 1986
    PubMed
    Summary
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    Massachusetts promotes dental sealant use through a comprehensive program including clinical demonstrations, consumer and professional education, and reimbursement efforts. This initiative aims to increase sealant application among schoolchildren and dental providers.

    Area of Science:

    • Public Health
    • Dental Public Health
    • Preventive Dentistry

    Background:

    • Dental caries remains a significant public health concern, particularly among children.
    • Dental sealants are a proven preventive measure against occlusal caries.
    • Widespread adoption of dental sealants requires multifaceted public health strategies.

    Purpose of the Study:

    • To describe the program structure and strategies implemented by the Massachusetts Department of Public Health to promote dental sealant utilization.
    • To evaluate the initial components and outcomes of a statewide dental sealant promotion program.

    Main Methods:

    • A four-component program was designed: clinical demonstration, consumer education, professional education, and reimbursement.
    • Clinical demonstrations involved applying sealants to schoolchildren in neighborhood health centers and local health departments.

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  • Educational materials and sessions were developed for consumers, dentists, and dental hygienists.
  • Information was presented to third-party carriers to encourage sealant reimbursement.

    • Main Results:

    • Sealants were applied to 4,398 schoolchildren by participating dental personnel.
    • Consumer awareness was targeted through brochures with the theme "Save Teeth: Seal Them".
    • 18 educational sessions trained 630 dental providers on sealant application and rationale.
    • Some third-party carriers began to adopt policies for sealant reimbursement.

    Conclusions:

    • The described program demonstrates a comprehensive approach to increasing dental sealant utilization.
    • Integration of clinical application, education, and financial incentives is key to promoting preventive dental strategies.
    • Public health initiatives can effectively drive the adoption of evidence-based dental interventions.