Date of Publication




Community Health Needs Assessment (University of Vermont Medical Center, 2013)

Identified oral health in pediatric population as a primary concern

Barriers to dental care cited: access, affordability, education School-Based Sealant Program (SBSP)

Dental sealants are an evidence-based method of cavity prevention

CDC strongly recommends delivery via SBSPs

Few Vermont schools have such a program

Vermont Medicaid State Plan amendment allows dental hygienists to bill without on-site dentist (2015)4

Unique opportunity to pilot an SBSP

Pilot program implemented by the University of Vermont Medical Center Community Health Improvement

Goal: sustainable model able to be replicated in Vermont schools Pilot School Selection – Milton Elementary-Middle School (MEMS)

Demographics representative of Vermont schools (46% free & reduced lunch program); school administration supportive of an SBSP; no existing dental education (“Tooth Tutor”) program per Vermont Office of Oral Health


Wendy Davis, MD, University of Vermont College of Medicine

Julie Cole, University of Vermont Medical Center

Kristin Fontaine, University of Vermont Medical Center


University of Vermont Medical Center Community Health Improvement


Access to Health Services, Social Determinants of Health, Maternal, Infant, and Child Health, Oral Health

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial 3.0 License

Parental Perceptions of Oral Health and School-Based Dental Sealant Programs