The Covid-19 pandemic has significantly impacted dental public health and, unsurprisingly, had an immediate and direct impact on the work we are doing at the St. David’s Dental Program, leading to an immediate reduction in free quality care. This reduction, in turn, exacerbated inequalities in oral health for the poor elementary students we work to serve. As the peak of the pandemic began to subside and schools began reopening their doors to students, the Dental Program team had a new set of challenges to overcome. Prior to the pandemic, the dental operations team, alongside the clinical team, utilized dental screenings as a means of gathering dental data. Screenings helped determine the number of restorative and preventative patients, dictating the program’s operations and projections and guiding the dental treatment and our visits to the schools. The projections were directly incorporated into dental treatment planning for the upcoming year. With heightened restrictions in place, the dental program could not perform these screenings, directly impacting those in need of urgent care and our projected treatment volumes for forthcoming visits and significantly reducing the consent form return rates for treatment acceptance. Our dental operations team worked together to pivot and overcome these new challenges, updating our operations’ program infrastructure, changing our logistics, and shifting our operations protocols to increase treatment acceptance numbers. Simultaneously, the elementary schools we worked with had difficulties of their own, including decreased staff and increased staff turnover. In turn, St David’s Foundation staff identified communication strategies and increased efforts to strengthen our relationship with the schools, which proved imperative for our school year plan to be effective.