The Kentucky Oral Health Program (KOHP) has a long, proud history with the Kentucky Department for Public Health. In 1928, Kentucky became the third state in the nation with a public dental health program. The KOHP offers a variety of programs and services to help the citizens of Kentucky achieve optimal oral health for a lifetime of smiles. These programs and services include, but are not limited to, fluoride supplements, fluoride varnishes and hygiene services.
Community Water Fluoridation
In 1951, the KOHP began its first community water fluoridation efforts in Maysville. Community water fluoridation has continued successfully since then. Today, 217 fluoridated communities serve nearly 95 percent of the state's population, making Kentucky a national leader. Fluoridation is mandatory (KRS 211.190; KAR 902 115.010) for community water supplies serving populations of 3,000 or more. Community water supplies serving fewer than 1,500 users may voluntarily fluoridate and most do.
The Centers for Disease Control and Prevention has more information about your water supply. To find out more, go to
My Water Fluoride webpage.
Kentucky Public Health Dental Hygiene Program
This school-based hygiene program provides dental care by a registered dental hygienist to advance the oral health of students and contribute to the well-being, academic success and lifelong achievement of students. Currently nine local health departments and/or districts participate in this program with an average of 10,000 children seen per year.
KIDS SMILE - Fluoride Varnish Program
Fluoride varnishes primarily are applied to prevent tooth decay among pediatric patients at a high risk. The KOHP provides funding for fluoride varnish programs in local health departments and offers training to local health department nurses in the areas of oral health screening and fluoride varnish application. Individuals who benefit most from this program include children ages 0 - 5 years with a family history of decay, low levels of fluoride in their drinking water or limited access to dental care.
Other Programs Offered
Fluoride Supplement Program -supplies fluoride supplements to those whose home water supply is low in fluoride with children who are still forming adult teeth.
Rural School Fluoridation Program - supplies fluoridated water to rural schools not served by a fluoridated water source.
Kentucky Sealant Program - recognizes the pattern of identifying children at high risk for dental decay in schools with a high percentage of free/reduced lunch participants.
Fluoride Supplement Algorithm
Fluoride Supplement Guidelines for Private Providers
Private Provider Order Form
Kentucky Oral Health Coalitions
In recent years the KOHP received federal grants that helped 24 Kentucky counties create community coalitions aimed at improving dental health among children and adults. Many communities still have coalitions that address oral health and some have been incorporated into their Healthy Communities coalitions that include several focus areas of health.
Manual for Public Health Registered Dental Hygienists
Protocols Index PHRDH Focused
Consent for Services
Oral Assessment Form
Documentation of Dental Records
Instructions for Authorization of Release of Information, CH-23
Telephone/Verbal Order Instructions
Role of the School Dental Hygienist
Fluoride Supplement Logic Model
Dental Home - Definition
School-Based Sealant Program - ADA Recommendations
CDC Guidelines for Dental Health Care Infection Control
Dietary Fluoride Supplements
Sealant Literature Review
KRS Defining Age of MajorityKRS Regarding Treatment to Minors
CH 5 - Registration, authorization, certification and consent
CH5 Spanish - Registration, authorization, certification and consent
CH 13 - Health History and Physical Exam
Consent Form Satellite Site
Consent Form Simple
Electronic Seals Form
CH 3A - Service Record
CH 23 - Authorization for Release of Patient Info
CH 23 Spanish - Authorization for Release of Patient Info
CH 23 Instructions - Authorization for release of patient info
Fluoride Supplement Supplies - Packing Slip Form
HHS-117 Telephone Order Form Instructions
HHS-117 Telephone/Verbal Order
Fluoride Supplies packing slip-order blank
KIDS SMILES Order form
Labels for Fluoride Supplements
Labels for Fluoride Supplements, Spanish
OH 9 Consent for Fluoride (English and Spanish)
OH 10 Home Water Sample
OH 10 Spanish - Home water sample
OH 11 Kids Smiles personal record
OH 11 Spanish
OH 12 - Dental Screening Form for School Entry
Prevent Tooth Decay Labels
Prevent Tooth Decay Labels, Spanish
SDS - Sodium Fluoride Drops
Information for Parents or Guardians - Local Health Departments
OHEM 3 - Fluoride Varnish
OHEM 4 - Brush Up Tips
OHEM 4 - Brush Up Tips, Spanish
OHEM 5 - First Aid for Dental Injury
OHEM 6 - Keeping Your Smile
OHEM 7 - Mouthguard
OHEM 8 - Diabetes and Gum Disease