Original Publication
Open Access

Protecting All Children's Teeth (PACT): Preventive Care

Published: October 3, 2013 | 10.15766/mep_2374-8265.9563

Included in this publication:

  • PACT Instructor's Guide.doc
  • PACT-Preventive Care.ppt

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.


The effective prevention of dental caries involves understanding the pathogenesis, that is, the triad of teeth, bacteria, and sugar. Fortunately, the development of caries is almost completely preventable through improved nutrition, oral hygiene, and regular dental care. This PowerPoint module presents an in-depth discussion of each prevention method to inform oral health counseling and anticipatory guidance. The module is designed to be presented in 45-50 minutes. Educators can download the module for presentation in a didactic lecture/discussion format or assign learners to study it on their own. It 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 detailed 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 presentation, participants will be able to:

  1. Accurately counsel families on child oral hygiene practices.
  2. List nutrition practices that promote the formation of caries.
  3. List practices that decrease the transmission of bacteria to children and delay oral colonization.
  4. Recall the recommended timing for establishment of a dental home.
  5. Discuss the placement and benefits of dental sealants.
  6. Provide age-based oral health anticipatory guidance.

Author Information

  • Melinda Clark, MD: Albany Medical Center
  • 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): preventive care. MedEdPORTAL. 2013;9:9563. https://doi.org/10.15766/mep_2374-8265.9563

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