Dear Parents:
Dental Health Arlington (DHA) will have a team of professionals to conduct a visual dental screening and dental sealant and fluoride varnish placement in your school. This is a FREE service to students who return a completed permission form. A written report will be issued for your child to take home, stating his/her dental condition. IF your child is a candidate for dental sealants and fluoride varnish, DHA will provide placement for FREE. Sealants are a thin plastic coating that are applied to the chewing surfaces of the back teeth. They fill in the deep pits and grooves where food and plaque (bacteria) accumulate and can prevent decay on those surfaces for up to 7 years. Fluoride varnish is a protective coating that is painted on teeth to help prevent new cavities and help stop cavities that have already started. NO shots or anesthesia are used for either application. Please fill out the information below, including the health history, and sign the consent statement below if you wish your child to participate in the FREE dental evaluation and FREE sealant and fluoride varnish programs.