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Project Allsmiles Inc.501(c)(3) Nonprofit

Our Model

A Prevention-First Public Health Framework

Our operational model is designed around evidence-based prevention, RDHAP-led clinical delivery, and scalable community partnerships.

Why Prevention-First?

The U.S. spends billions annually on dental-related emergency department visits — the vast majority of which are preventable through routine preventive care. School-based sealant programs alone can prevent an estimated 3 cavities per child over 4 years (CDC modeling data).

Prevention is not only the most effective clinical strategy — it is the most cost-effective public health investment. Every dollar spent on preventive oral health services reduces downstream Medicaid spending and acute care utilization.

“Our model intervenes upstream — preventing disease progression before costly emergency and surgical care becomes necessary.”

Operational Model

Each program follows a standardized six-phase implementation framework ensuring consistency, accountability, and measurable outcomes.

01

Community Needs Assessment

Epidemiological analysis and community health data inform site selection and program design, ensuring resources are directed toward the highest-need populations.

02

Partnership Development

Formal agreements with school districts, shelters, community organizations, and local health departments establish the operational framework for program delivery.

03

Consent & Education

Informed consent processes and oral health education modules are delivered prior to clinical intervention, ensuring community understanding and participation.

04

Preventive Clinical Services

RDHAP-led delivery of dental sealants, fluoride varnish, silver diamine fluoride, and prophylactic care directly within community settings.

05

Referral Coordination

Individuals requiring restorative or comprehensive dental care are connected through established referral pathways to appropriate clinical providers.

06

Data Collection & Reporting

Standardized data collection enables outcome tracking, program evaluation, and reporting to funders, partners, and public health agencies.

RDHAP-Led Care Delivery

Registered Dental Hygienists in Alternative Practice (RDHAPs) are California-licensed providers authorized to deliver preventive dental hygiene services in community settings without the direct supervision of a dentist.

This licensure model is critical to our framework — it enables preventive care delivery in schools, shelters, and community facilities where traditional dental office access is limited or nonexistent.

Scalability by Design

Every component of our model is documented, standardized, and designed for replication. From consent workflows to data collection protocols, our framework can be adopted by other organizations and expanded into new geographies.

  • Standardized consent and education protocols
  • Mobile equipment and portable delivery model
  • Preventive billing pathways for sustainability
  • Partnership templates for school districts and agencies
  • Outcome tracking and reporting frameworks

See our model in action

Explore our active programs serving San Diego County communities.

View Programs