About

The From the First Tooth Model

From the First Tooth (FTFT) is a Maine-based statewide children’s oral health program that is primarily funded by the Children’s Oral Health Network of Maine as well as the Sadie and Harry Davis Foundation. FTFT aims to expand access to preventative oral health services by partnering with pediatric and family medicine practices across the state. 

Using an evidence-based model, FTFT implements oral health prevention into routine well-child visits from infancy through age 21. By promoting early intervention and preventative care, FTFT helps children establish healthy oral health habits and receive services that can reduce their risk of tooth decay. 

Vision: All children in Maine have access to quality oral health care. 

Mission: To promote and support the integration of oral health into primary care for all children in Maine.

How FTFT Works

FTFT encourages pediatricians and family medicine providers to incorporate the following services into well-child visits:

• Oral health risk assessment
• Fluoride varnish application
• Parent/caregiver education
• Referrals to dental services

FTFT provides technical assistance to primary care practices interested in participating in the program. Technical assistance includes:

• Implementation assistance
• Medical staff training based on the Smiles for Life curriculum
• Risk Assessment and Oral Health Evaluation EMR Integration
• Materials for Parents and Caregivers (materials can be ordered here.)

Why Pediatric Primary Care

Thousands of Maine children do not have an established dental office, even when they have dental insurance. Dental workforce shortages across the state further limit access to care. However, data show that young children covered by MaineCare are far more likely to attend well-child visits than dental visits. As a result, pediatric providers are positioned to help support oral health, bridging these gaps in care.

Additionally, tooth decay is the most common disease affecting children in the United States. Since oral health impacts overall health, pediatric providers play a key role in preventing tooth decay, promoting healthy habits, and connecting families with dental services.