Smiles for Life National Oral Health Curriculum: Module 6. Fluoride Varnish
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Smiles for Life Module 6, Fluoride Varnish, covers topics for health care providers who take care of children and adolescents. The module is more than simply a “how-to” for varnish teeth; the module covers a range of topics including the cause of early childhood caries (ECC), how to assess risks for ECC, how to perform a proper oral exam on children, and a discussion of the benefits, side effects and the sources of fluoride. There is a clear explanation on how to apply fluoride varnish and instruction for post procedure for parents and caregivers. The module concludes with advice for parents on the care of teeth and also tips for successfully implementing a fluoride varnish program. This module is accompanied by a video.
Smiles for Life: A National Oral Health Curriculum is a product of the Working Group on Oral Health of The Society of Teachers of Family Medicine and endorsed by the American Academy of Family Physicians. Smiles for Life is the nation’s most comprehensive and widely used oral health curriculum designed for primary care clinicians. The 8 module course covers the relationship of oral to systemic health, child oral health, adult oral health, dental emergencies, oral health in pregnancy, fluoride varnish, and the oral examination.
The complete curriculum is web-based and is designed as an interactive educational tool for both individuals and groups from all aspects of the health care profession. It includes interactive online courses and clinical cases for individual and small group education, downloadable PowerPoint modules suitable for larger group presentations, instructional videos, and patient education materials. Free access to all materials is available at www.smilesforlifeoralhealth.org.
The Smiles for Life (SFL) Curriculum including Module 5 Pregnancy and Oral Health have been endorsed by:
- American Academy of Family Physicians
- American Academy of Pediatrics
- Society of Teachers of Family Medicine
- American Academy of Physician Assistants
- Physician Assistant Education Association
- Association of Faculties of Pediatric Nurse Practitioners
- National Association of Pediatric Nurse Practitioners
- National Interprofessional Initiative on Oral Health
- American Association of Public Health Dentistry
- Gerontological Advanced Practice Nurses Association
The SFL Curriculum has been downloaded from our website more than 140,000 times (www.smilesforlifeoralhealth.org) including:
- 58,000 courses
- 77,000 supplements
- 11,000 online courses completed
The SFL Curriculum is:
- The core oral health curriculum used in 30+ medical schools.
- Utilized in most Family Medicine residency programs nationwide.
- Core curriculum for National Interprofessional Initiative on Oral Health.
The SFL curriculum was awarded the Society of Teachers in Family Medicine (STFM) Innovative Program Award honoring excellence in development of an educational program in 2007 and received Letters of Commendation from the American Dental Association and American Academy of Family Physicians’ (AAFP) Commission on Education in 2011.
Silk H, Douglass A, Clark M, et al. Smiles for Life National Oral Health Curriculum: module 6. Fluoride varnish. MedEdPORTAL Publications. 2012;8:9196. http://dx.doi.org/10.15766/mep_2374-8265.9196
Contains time-sensitive information that will likely be inaccurate, obsolete, or irrelevant by March 01, 2015
Contains Information Suitable for Patient Education
- To discuss the etiology of early childhood caries (ECC).
- To assess a child's risk of developing ECC.
- To perform an appropriate oral examination on small children.
- To recognize the various stages of ECC.
- To discuss the effects, sources, benefits, and safe use of fluoride.
- To describe the benefits and indications for fluoride varnish.
- To demonstrate the application of fluoride varnish.
- To describe strategies for a successful office-based fluoride varnish program.
- To advise parents on caries prevention and describe when to arrange dental referral.
- Fluoride Varnish, Fluorides, Early Childhood Caries, Building Oral Health Capacity (BOHC) Collection, Public Health Sciences, Population Health
Prior Scholarly Dissemination
Smiles for Life has been peer reviewed by each of our endorsing national organizations:
American Academy of Family Physicians
American Academy of Pediatrics
Society of Teachers of Family Medicine
American Academy of Physician Assistants
Physician Assistant Education Association
Association of Faculties of Pediatric Nurse Practitioners
National Association of Pediatric Nurse Practitioners
American Association of Public Health Dentistry
Gerontological Advanced Practice Nurses Association
This information is made available under the Creative Commons license.
- Silk H, Stille S, Baldor R, Joseph E. Implementation of STFM’s ‘Smiles for Life’ oral health curriculum in a medical school interclerkship. Fam Med 2009;41(7):248-252.
- Douglass AB, Deutchman M, Douglass J, Gonsalves W, Maier R, Silk H, Stevens N, Tysinger J, Wrightson AS. Incorporation of a National Oral Health Curriculum Into Family Medicine Residency Programs. Fam Med 2009;41(3):159.
- Deutchman M, Douglass JM, Douglass AB. Smiles for Life: A National Oral Health Curriculum. Dental Abstracts 2011;56(1):4-6. http://dx.doi.org/10.1016/j.denabs.2010.10.049
- Douglass AB and Maier R. Promoting Oral Health: The Family Physician’s Role. American Family Physician 2008;78(7):814-815.
- Douglass AB, Gonsalves W, Maier R, Silk H, Stevens N, Tysinger J, Wrightson, AS. Smiles for Life: A National Oral Health Curriculum for Family Medicine. Family Medicine 2007;39(2):88-90.
Authors & Co-Authors
University of Massachusetts Medical School
University of Colorado School of Medicine
Medical University of South Carolina
Schools of Dentistry and Medicine, University of North Carolina at Chapel Hill
A. Stevens Wrightson
University of Kentucky College of Medicine
Albany Medical Center
University of Connecticut School of Dental Medicine
Central Washington Family Medicine Residency Program
University of Texas Health Science Center at San Antonio
Sponsorship or Funding Source
Development of the Smiles for Life curriculum was supported by unrestricted grants from the National Interprofessional Initiative on Oral Health (NIIOH), which in turn was funded by the Dentaquest Foundation, Washington Dental Service Foundation, and Connecticut Health Foundation.
This project is also sponsored in part by funding from the Health Resources and Services Administration/Maternal Child Health Bureau grant #U44MC20223.