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.


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.

The effective prevention of dental caries involves understanding the pathogenesis—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 presentation presents an in-depth discussion of each prevention method to guide oral health counseling and anticipatory guidance.

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 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 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

Upon completion 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.