This is how we actually functioned in the clinic at the Kusayapu Agricultural School in Pachica, Chile. Oral Hygiene Instruction and Toothbrush Prophylaxis were the first step. Next came a full exam and charting. This was followed by Duraphat® (flouride varnish) application and bite wing films. If it was determined that restorative work or extractions were necessary, the student was then seen by the restorative dentist for the appropriate treatment.