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Seal Your Smile:
A Step Toward Combatting Oral
Health Disparities in State findings of a newly developed,
school based sealant program September 2018Contents
Executive Summary23
Introduction46Background
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How to fill out seal your smile

How to fill out seal your smile
01
Step 1: Start by cleaning your teeth thoroughly.
02
Step 2: Open the Seal Your Smile kit and take out the dental sealant.
03
Step 3: Apply a small amount of the dental sealant to a clean toothbrush.
04
Step 4: Gently brush the dental sealant over the surface of your teeth, focusing on areas with gaps or cracks.
05
Step 5: Leave the dental sealant on your teeth for the recommended time mentioned in the kit's instructions.
06
Step 6: Rinse your mouth with water to remove any excess sealant.
07
Step 7: Repeat the process for all your teeth that require sealing.
08
Step 8: Wait for the sealant to dry completely before eating or drinking.
09
Step 9: Clean your toothbrush and store the Seal Your Smile kit in a cool, dry place for future use.
Who needs seal your smile?
01
Anyone who has gaps or cracks in their teeth can benefit from using Seal Your Smile.
02
People who have had dental work done, such as fillings or crowns, can also use Seal Your Smile to protect their teeth.
03
Those who want to prevent tooth decay and cavities can use Seal Your Smile as a proactive measure.
04
Seal Your Smile is suitable for both adults and children.
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What is seal your smile?
Seal Your Smile is a dental insurance claims form used by dental providers to submit claims for reimbursement for dental services provided to patients.
Who is required to file seal your smile?
Dental providers who provide dental services to patients and wish to submit claims for reimbursement are required to file Seal Your Smile.
How to fill out seal your smile?
To fill out Seal Your Smile, dental providers need to include information such as patient demographics, dental services provided, diagnosis codes, and treatment dates on the form.
What is the purpose of seal your smile?
The purpose of Seal Your Smile is to facilitate the reimbursement process for dental providers by providing a standardized form for submitting claims for dental services.
What information must be reported on seal your smile?
Dental providers must report patient demographics, dental services provided, diagnosis codes, and treatment dates on Seal Your Smile.
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