Original Publication
Open Access

Protecting All Children's Teeth (PACT): Oral Health Screening

Published: July 2, 2013 | 10.15766/mep_2374-8265.9462

Included in this publication:

  • Oral Health Screening Course 3 PACT.ppt
  • PACT Instructor's Guide.doc

To view all publication components, extract (i.e., unzip) them from the downloaded .zip file.

Editor's Note: This publication predates our implementation of the Educational Summary Report in 2016 and thus displays a different format than newer publications.


Protecting All Children's Teeth (PACT) was created by the AAP Oral Health Initiative to educate medical students, residents, pediatric primary care providers, and others interested in infant, child, and adolescent health about the importance of oral health in overall health. The curriculum provides in-depth coverage of child oral health, oral health guidance, and preventive care to increase comfort in recognizing dental disease and conditions and communicate with dental professionals. The 13 modules of the PACT training program comprehensively address oral health promotion, disease prevention, diagnosis, and treatment of oral health disease in children.

Dental caries is a multi-factorial chronic disease process. A variety of risk factors are known to contribute to the development and progression of dental caries.

This third presentation of the PACT program will review the American Academy of Pediatrics (AAP) policy on risk assessment and screening, explain how pediatricians can assess dental caries risk in their patients, present a tool that can be used to assist in risk assessment, and propose referral options for patients deemed at risk.

The PACT Oral Health Curriculum has been in use since 2007 by physicians in training at the medical school and residency levels, as well as those in clinical practice. The content has been used by pediatric, family medicine and emergency medicine physician training programs, as well as by physician assistants, nurse practitioners, nurses, dentists and dental hygienists in training and in clinical practice.

The AAP is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AAP designates the PACT educational activity for a maximum of 11.0 AMA PRA Category 1 Credits™.

Educational Objectives

  1. Recall the AAP policy on the initiation of oral health risk assessment in the primary office.
  2. Perform a complete pediatric oral examination.
  3. Utilize the AAP Caries Risk Assessment Tool in clinical practice.
  4. Recall the high-risk groups listed in the AAP policy on risk assessment.
  5. State the ideal age for establishment of a dental home.

Author Information

  • Melinda Clark, MD: Albany Medical College
  • David Krol, MD, MPH: Robert Wood Johnson Foundation

None to report. 

The web-design of the PACT program was funded by the AAP Oral health Initiative, with support from the Maternal and Child Health Bureau (MCHB).

Prior Presentations
None to report.


Clark M, Krol D. Protecting all children's teeth (PACT): oral health screening. MedEdPORTAL. 2013;9:9462. https://doi.org/10.15766/mep_2374-8265.9462

This publication is co-sponsored by the American Dental Education Association.