Dental sealants are widely recognized as an evidence-based approach to preventing tooth decay. The U.S. Preventive Services Task Force — a panel of independent health experts — recommends school sealant programs (SSPs), citing “strong evidence of effectiveness” in reducing tooth decay among school-aged children. In 2014, with funding from the CDC, the Children’s Dental Health Project produced a report examining the challenges of SSPs and identifying four keys to success for effective operations and sustainability. This report recommended the creation of one or more work groups to convene experts to develop new strategies for improving operations and sustainability.