The rules and regulations governing the practice of dentistry in the Commonwealth (August 20, 2010) allow for a registered dental hygienist practicing in a public health setting to provide dental hygiene services, including placement of sealants, without first having a dentist examine the patient, either pursuant to a written collaborative agreement that complies with requirements described in 234 CMR 5.08, or pursuant to a standing order under the general supervision of a dentist licensed pursuant to M. G. L. c. 112, § 45. (234 CMR 5.07(4))

The SEALs Dental hygienists using portable dental equipment provide screenings, education, dental sealants and fluoride, as well as referrals to a dental home for children in need of restorative services. For more information on the SEAL Program or dental sealants email

For more information on school-based sealant programs go to:


This information is provided by the Oral Health within the Department of Public Health.