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KIDS SMILE is a program began in FY03-04 and funded from the tobacco settlement funds for children 0 through 5 years of age.  The program provides local health department nurses the opportunity to participate in training that would ready them to: twice yearly screen children at their usual visits to health departments, apply a fluoride varnish, provide a oral health home care instructions to the child's caregiver, and make a proper referral to a dentist if necessary. As time goes on, the goal is for all at-risk children in Kentucky to be able to participate in KIDS SMILE to stem the tide of early childhood caries.