Evaluating the environmental impact of the Welsh national childhood oral health improvement programme, Designed to Smile.

Introduction: Designed to Smile (D2S) is a national oral health improvement programme, aimed to reduce the prevalence of dental caries in young children in Wales. D2S has a responsibility to consider the environmental impact of the service it provides and demonstrate adherence to the sustainable development principle legislated within the Wellbeing of Future Generations (Wales) Act.

Objective: To review the environmental impact of D2S by estimating the carbon footprint of the programme and identify carbon hotspots for future targeted action.