Clinical Preventative Dental Services

Intended population to be served:

  • Clinical preventive dental services provided are reserved for children and adolescents ages 0-19 years of age who are eligible for the free/reduced lunch program, covered by state public programs, are uninsured, or qualify as low-income residents.

Let’s Smile, Inc. promotes and educates the link between oral health and overall health by providing the following services:

  • Provide preventive clinical dental services to children twice annually every six months:
    • Provide Basic Screening Surveys (BSS) to evaluate for untreated decay, check for oral cancer, report any signs of abuse or neglect, and inspect for the proper development of children’s teeth.
    • Child prophylaxis (dental cleaning) for children ages birth to 19 years old.
    • Administer fluoride varnish treatments to children ages birth to 19 years old.
    • Sealants
    • Provide oral hygiene instructions.
    • Provide take-home bags with toothbrush, floss, and toothpaste per child.  Take home fluoride rinse will be provided if indicated by a high cavity rate.
    • Provide nutritional education effecting dental health.
  • Following bi-annual visits, we provide evaluation, advisement, and documentation of untreated dental decay and/or concerns to parent/guardian.
  • Provide referrals to general dentist or dental specialist.

Let’s Smile, Inc. promotes and educates the link between oral health and overall health by providing the following the C& TC Guidelines:

  1. The child’s history, clinical findings and susceptibility to oral disease will determine the timing, selection and frequency.
  2. When systemic fluoride exposure is suboptimal; up to at least 14 years of age it will be applied.
  3. Appropriate discussion and counseling will be an integral component of each visit.
  4. At every visit; initially discuss appropriate feeding practices, then the role of refined carbohydrates and frequency of snacking in caries development and obesity.
  5. Will include counseling on toys, pacifiers, car seat use and passenger restraints, routine playing, sports and mouth guards. Will include counseling on the additional need for sucking; fingers vs pacifiers, then the need to wean from the habit before malocclusion or skeletal dysplasia occurs. For school-aged children and adolescents, counsel regarding habits such as nail biting, clenching and grinding.


Minnesota’s Early Periodic Screening, Diagnosis, and Treatment (EPSDT) Program

Child and Teen Checkups (C&TC) is Minnesota’s Early Periodic Screening, Diagnosis, and Treatment (EPSDT) program. EPSDT is a federal program required in every state to provide quality well-child care for children eligible for Medicaid. It is administered by the Minnesota Department of Human Services with technical and clinical assistance from the Minnesota Department of Health.

EARLY – Assessing and identifying problems early
PERIODIC – Checking children’s health at periodic, age-appropriate intervals
SCREENING – Providing physical, mental, developmental, dental, hearing, vision, and other screening tests to detect potential problems
DIAGNOSIS – Performing diagnostic tests to follow up when a risk is identified, and
TREATMENT – Control, correct or reduce health problems found

Newborns, children, and adolescents, through the age of 20 who are eligible for Medicaid should get routine Child and Teen Checkups. There are over 500,000 children eligible for C&TC in Minnesota.

Comprehensive and periodic screening, or well-child checkups are the foundation of the C&TC program. Periodic examinations or screenings are delivered according to the C&TC Schedule of Age-Related Screening Standards, also known as the Periodicity Schedule. (This link includes both the new C&TC Schedule, effective October 1, 2017; and the current C&TC Schedule, effective through September 30, 2017.) This helps to assure that health problems are screened for, diagnosed, and treated early, before they become more complex and treatment becomes more costly.

Dental Checkup:  Verbally refer the child for their first dental examination at the time of the eruption of the first tooth in the mouth or no later than one year of age. An oral exam is performed as part of the physical exam at every C&TC screening. The health history information gathered from the parent or guardian during the C&TC screening or at a dental visit will help determine a child’s carries risk status. A child should see a dentist every 6 months or as indicated by the child’s risk status/susceptibility to disease.