Which sealant enquiries have molars ready for treatment
The intake asks whether permanent molars have erupted, when the last exam happened, and how soon the family wants to schedule, so your team knows a lead is actually ready for sealants before booking chair time.
Preview your dental sealants intake
Explore 5 questions from the Dental Sealants template. This interactive preview uses illustrative scoring and sample attachments. Open the full survey to try the complete intake.
What a qualified dental sealants lead should tell you
Application of a thin protective coating to the grooved chewing surfaces of a child's molars, typically once permanent back teeth erupt, to reduce cavity risk before decay starts.
- This Appointment
- Permanent Back Molars Come
- These Teeth Had Dental
- Dentist Ever Mentioned Cavities
- Soon Schedule This Visit
The questions your team needs answered
Every dental sealants intake asks these — and why each one matters.
| Question | Why it matters |
|---|---|
| Who is this appointment for? | Confirms whether the appointment is for the requester's own child or another dependent, which affects consent and intake handling. |
| Have the permanent back molars come in? | Molar eruption status is the core readiness signal for sealants, since the treatment only applies once permanent back teeth are present. |
| Have these teeth had a dental exam in the past year? | A recent exam on these teeth gives the practice confidence the tooth surfaces have been evaluated before applying sealants. |
| Has a dentist ever mentioned cavities or decay on these teeth? | A prior mention of cavities or decay signals the child may need restorative treatment before or instead of a sealant-only visit. |
| How soon are you looking to schedule this visit? | Scheduling urgency helps front desk staff prioritize which sealant enquiries to book into near-term consultation slots. |
How Cliont scores dental sealants leads
Configured answer weights help your team prioritize follow-up. Your team reviews each submission and decides the next step.
Value signals
- Yes, fully erupted
- Partially erupted
- Not yet
- Not sure
- These Teeth Had Dental: yes
- As soon as possible
See an example lead handoff
Illustrative lead details and score show how a submission can reach your team.
Dental Sealants Lead
From first click to qualified lead
Follow patients and caregivers through one smooth, guided flow.
They land & meet you
Your video greeting plays instantly — a real face instead of a blank form.
They explain the visit
Smart questions adapt to their visit and capture the full scope.
They share details
Symptoms, history, and documents come attached before the visit.
You get a ready lead
Scored and qualified — waiting for you to win it.
Built for dental sealants workflows
| Cliont capability | Dental Sealants application |
|---|---|
| Conditional question logic | Surfaces molar eruption status and last-exam timing so staff can screen out children whose permanent molars haven't erupted before offering a sealant slot. |
| Lead scoring | Weights fully or partially erupted molars alongside recent exam history and urgent scheduling requests to rank sealant enquiries most likely to convert. |
| CRM routing | Sends qualified sealant leads, including eruption status and cavity history answers, straight into your CRM so front desk staff aren't re-asking families basic screening questions. |
| Guided intake flow | Walks parents through who the appointment is for, whether prior decay was flagged, and scheduling timeframe in one sequence rather than a generic contact form. |
| Priority flagging | Flags leads where a dentist previously mentioned cavities or decay so your team can review the case before confirming a sealants-only booking. |
Example dental sealants lead scenarios
Illustrative situations explain the intake questions and possible follow-up.
Molars fully erupted, ready now
Parent reports fully erupted back molars with a recent exam and wants to schedule as soon as possible, a strong candidate for a near-term consultation.
Eruption still uncertain
Parent selects 'not sure' or 'partially erupted' on molar status, signaling the practice may need a quick screening question or exam first rather than a straight sealant booking.
No recent exam on file
The child hasn't had a dental exam on these teeth in the past year, which the practice may want flagged for a check-up alongside the sealant visit.
Prior decay flagged by a dentist
A previous dentist mentioned cavities or decay on the teeth in question, which changes whether sealants alone are the right next step versus restorative care.
Just researching options
Parent is exploring timing with no urgency and molars not yet erupted, useful to route to nurture rather than an immediate consultation slot.
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Professional
Unlimited intake forms and leads for your growing business.
- Unlimited intake forms
- Custom video greetings
- AI-powered voice bot
- English + Spanish support
- Automatic lead scoring
- Digital estimates & e-signatures
- Photo, video & file upload
- Advanced analytics dashboard
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Only pay when you receive a qualified lead.
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- Custom video greetings
- AI-powered voice bot
- English + Spanish support
- Automatic lead scoring
- Digital estimates & e-signatures
- Photo, video & file upload
- Charged only for submitted leads
More pediatric dentistry intake templates
Dental Sealants lead-intake FAQs
How does the intake know if a child is actually ready for sealants?
The form asks whether the permanent back molars have erupted, with options for fully erupted, partially erupted, not yet, or not sure, so your team can see readiness before offering a chair-time slot.
What if the parent says a dentist previously mentioned cavities?
That answer is captured directly on the intake so your staff can review it before confirming a sealant-only appointment, since decay may call for a different treatment path first.
Can the intake tell me if the appointment is for the parent's own child versus another dependent?
Yes, the first question asks who the appointment is for, distinguishing the requester's own child, themselves, or another dependent in their care.
Does the intake capture how urgent the request is?
Yes, families select a scheduling timeframe from as soon as possible to just exploring options, letting your front desk prioritize consultation slots accordingly.
Is this different from the intake for a first dental visit or child cleaning?
Yes, this catalog is specific to sealant readiness, molar eruption, and prior decay history, while sibling subservices like First Dental Visit or Child Dental Cleaning ask their own distinct questions.
What happens if the child's molars haven't come in yet?
Those leads are still captured and scored, but the eruption status answer helps your team see they may need to wait or be scheduled for a general check-up instead of sealants.
Turn dental sealants visitors into qualified patients
Give every dental sealants visitor a guided intake instead of a dead contact form — and get a scored, qualified lead before you book front-desk time.