From the First Tooth

FTFT in Primary Care Toolkit

Dental Caries: What you Need to Know

Dental caries is one of the most common chronic diseases of childhood. Approximately 1 in 4 preschool aged children have experienced dental caries in their primary teeth and approximately 1 in 6 children ages 6-to-11-year experience dental caries in their permanent teeth. 

Overview of FTFT Technical Assistance

FTFT staff are available to work with each practice to create a customized implementation plan that will ensure this program can be fully integrated into practice operations. Below is a proposed process that has been successful with many practices across Maine. 

Overview of Oral Health Services

The FTFT Oral Health Risk Assessment and clinical evaluation is based off the AAP oral health risk assessment and is utilized at well-child visits from birth through age 21 as part of the child’s routine care. The information gathered from this tool should be integrated into the electronic medical record.

Suggested Oral Health Plan/Dental Access

Implementation Worksheet

This worksheet is used during the implementation and process mapping meeting as part of the FTFT onboarding process. 

Billing and Coding for Oral Health in Primary Care

Fluoride Varnish Guidance

Parent/Caregiver Education

These are examples of anticipatory guidance for parents and caregivers. Oral health education should be integrated as part of comprehensive counseling with parents/caregivers during well-child visits. This education should include information about diet, oral hygiene, fluoride, and referral to a dental home. 

Tracking Oral Health Data

To monitor the success of program implementation, it is recommended practices track the percentage of oral health risk assessments, documentation of dental home, and fluoride varnish application through use of the EMR. 

Fluoride: What You Need To Know

Guidance for Providers: Communicating About Fluoride

Refer to this section when discussing fluoride varnish and silver diamine fluoride (SDF) during well-child visits. Use the talking points to confidently address concerns while emphasizing fluoride’s benefits. 

Frequently Asked Questions (Billing, Implementation, Fluoride)