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.


This lecture-based resource reviews the American Academy of Pediatrics policy on risk assessment and screening, explains how pediatricians can assess dental caries risk in their patients, present a tool that can be used to assist in risk assessment, and proposes referral options for patients deemed at risk. This resource is a part of Protecting All Children's Teeth (PACT), a series created by the American Academy of Pediatrics’ 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 series provides in-depth coverage of child oral health, oral health guidance, and preventive care to increase comfort in recognizing dental disease and conditions and communicating with dental professionals. This resource 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.

Educational Objectives

By the end of this resource, learners will be able to:

  1. Recall the American Academy of Pediatrics policy on the initiation of oral health risk assessment in the primary office.
  2. Perform a complete pediatric oral examination.
  3. Utilize the American Academy of Pediatrics caries risk-assessment tool in clinical practice.
  4. Recall the high-risk groups listed in the American Academy of Pediatrics 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
The entire Protecting All Children’s Teeth (PACT) curriculum was peer reviewed by members, both dental and physician, of the AAP Section on Oral Health. It also undergoes annual peer-review by the AAP when substantial updates occur and prior to CME approval.


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.