Original Publication
Open Access

Protecting All Children's Teeth (PACT): Caries

Published: September 12, 2013 | 10.15766/mep_2374-8265.9534

Included in this publication:

  • Caries - Course 4 PACT for MedEdPortal.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 resource is a PowerPoint module that explains the process of caries, which, if untreated, can progress to a cavity. As dental caries is the most common chronic disease of childhood and disproportionately affects poor and minority populations, it is important for medical providers to prevent, identify, and appropriately triage caries. Educators can download the module for presentation in a didactic lecture/discussion format or assign learners to study it on their own. 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 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 in communicating with dental professionals. PACT has been used since 2007 by physicians in training at various medical schools and residency levels, as well as by those in clinical practice.

Educational Objectives

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

  1. Define caries and early childhood caries (ECC).
  2. Name the primary bacteria involved in the caries process.
  3. Discuss the contribution of carbohydrate metabolism in caries development.
  4. State the important protective benefits of saliva.
  5. List risk factors and describe the oral manifestations of ECC.
  6. Describe the five stages of ECC and identify early lesions on physical exam.
  7. Discuss the impact of ECC on overall health and well-being.
  8. Recall five major methods of preventing ECC.

Author Information

  • Melinda Clark, MD: Albany Medical College
  • David Krol: 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): caries. MedEdPORTAL. 2013;9:9534. https://doi.org/10.15766/mep_2374-8265.9534

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