Association‌ of‌ State‌ &‌ Territorial‌ Dental‌ Directors
3858‌ Cashill Blvd.,‌ Reno,‌ NV‌ ‌89509
Phone‌ 775-626-5008‌‌ Fax‌ 775-626-9268

Early Childhood Oral Health Committee

The Early Childhood Committee was formed to focus on issues related to the oral health of young children up to five years of age. In October 2011, the ECC became the primary ASTDD group charged with implementing many of the Dental Home Initiative objectives on behalf of the Office of Head Start's National Center on Health.

ASTDD Policy Statements on Early Childhood Oral Health

Early Childhood Caries (June 2012)

First Dental Visit by Age One (August 2012)

Perinatal Oral Health (July 2012)

Early Childhood Committee Publications

Home Visitor Environmental Scan: As part of National Center on Health (NCH) activities, the ASTDD Early Childhood Oral Health Committee, Home Visiting Subcommittee, conducted an environmental scan to identify available educational resources for home visitors and infants and children in Early Head Start (EHS) and Head Start (HS) home-based programs and their families. After identifying and reviewing existing resources, the committee identified gaps and opportunities to promote oral health to infants and children in EHS/HS home-based programs and their families. The appendices contains a complete listing of the available oral resources that were reviewed. (December 2014)

Opportunities for Collaboration between State Oral Health and Maternal and Child Health Programs to Improve Early Childhood Oral Health
This issue brief is intended to help maternal and child health program directors and staff, state oral health program directors and staff, and others improve oral health within the MCH population by better integrating oral health activities and information into state MCH Early Childhood Programs

Strategies to Improve Collaboration Between State Oral Health Programs and Head Start State Collaboration Offices
This issue brief is intended to help state oral health programs and Head state collaboration offices build effective partnerships to improve oral health within the Head Start community

Continuing Education Credits Online

The staff for the Ohio Safety Net Dental Clinics have developed a distance learning curricula that offers Continuing Education (CE) credits. Two (CE) credits are awarded in partnership with Lutheran Medical Center, an American Dental Association Continuing Education Recognition Program provider, upon successful completion of the curriculum. There is no charge for CE credits. Oral Health for Young Children curriculum is designed to help clinicians learn about providing care to infants and children from birth through age 3. The modules provide clinicians with information about prevention, risk assessment, and anticipatory guidance. How to manage children's behavior, parental involvement, and helpful techniques is included. Restorative treatment is covered, along with restoration options, alternatives to restoration and the management of emergency oral health care. Oral Health Care for Young Children (2 credits)

Resources Coffee BreakOn February 23, 2016 ASTDD and the Children's Dental Health Project (CDHP) hosted a coffee break on the new CDHP website, Nearly one in four children ages 2-5 has experienced tooth decay, and the rate of untreated decay is highest for children of color. The human and economic costs of Early Childhood Caries (ECC) are troubling, especially because this is nearly always a preventable disease. The Children's Dental Health Project (CDHP) has launched an online resource aimed at helping health and children's advocates, health professionals and policymakers change the conversation about ECC by focusing on opportunities to prevent or halt the disease process. In this ASTDD Coffee Break, CDHP's Matt Jacob briefed ASTDD members about In addition to the recording, the PowerPoint are available for individuals who were not able to participate in the webcast.

Early Childhood Caries Resource Center on line This site has a Scientific Research Section and a Features Section.  The Scientific Research Section has over 500 references with direct access to the PDFs or Pub Med citations.  The Features Section highlights ECC programs that have been successful.  By emailing to, the site allows readers to make suggestions for references to be added, make nominations for 'key' articles, and suggest programs for the Features Section.  The ECC Resource Center will be updated quarterly and the access to the site, including the PDFs, is free to everyone.

The NIDCR funds the Centers for Research to Reduce Disparities in Oral Health. In doing so, the Institute continues its commitment to understanding and eliminating the disproportionate burden of oral diseases suffered by segments of the U.S. population, including the poor, racial and ethnic minorities, and people with acquired or developmental special needs.

MCHOHRC Knowledge path about oral health for infants, children, adolescents, and pregnant women.

TrendNotes*, published by the The National Oral Health Policy Center and Children's Dental Health Project, is designed to highlight emerging trends in children's oral health and promote policies and programmatic solutions that are grounded in evidence-based research and practice.

Risk Assessment Policy and Tool. American Academy of Pediatric Dentistry Policy statement and table with recommendations.

Policy on Oral Health Risk Assessment Timing and Establishment of the Dental Home. American Academy of Pediatrics Policy statement.

American Academy of Pediatrics website on Childrens Oral Health

Early Childhood Caries Resource Guide. 2nd ed. 2004. Washington, DC: National Maternal and Child Oral Health Resource Center.

Caries Management by Risk Assessment: Consensus Statement, April 2002. Featherstone JDB et al., CDA Journal. 31(3):257-69, 2003.

The caries balance: Contributing factors and early detection,  Featherstone JDB.CDA Journal. 31(2):129-33, 2003.

Infant Tooth Decay Campaign Materials. 2005. Phoenix, AZ: Office of Oral Health, Arizona Department of Health Services.

Levy AM, Warren JJ, Broffitt B, Hillis SL and Kanellis MJ. Fluoride, beverages and dental caries in the primary dentition. Caries Res. 37:157-65, 2003.

NIH Consensus Statement on Diagnosis & Management of Dental Caries Throughout Life. Proceedings of March 2001 Conference.

Prevent Cavities: Infant And Toddler Tooth Decay Or "Early Childhood Caries" (ECC). 2005. Pierre, SD: South Dakota Department of Health. Fact sheet.

Promising Approaches And Lessons Learned For Preventing Or Reducing Early Childhood Caries: Summary Of A Workshop Convened By The Maternal And Child Health Bureau. 2005. Washington, DC: Health Systems Research. Workshop proceedings.

Promoting Awareness, Preventing Pain: Facts on Early childhood Caries (ECC), 2nd ed, National Maternal and Child Oral Health Resource Center. Fact sheet.

Something To Smile About .... 2002. Montgomery, AL: Alabama Department of Public Health. WIC lesson plans.

Training Modules / Continuing Education for Non-dental Professionals

A Health Professional's Guide to Pediatric Oral Health Management. This is a series of seven self-contained online modules designed to assist health professionals in managing the oral health of infants and young children

Bright Futures in Practice: Oral Health-Pocket Guide. 2004. Washington, DC: National Maternal and Child Oral Health Resource Center.

Kids Smile: Oral Health Training Program. Cecil, J. C. and Ferretti, G. A., Frankfort, KY: Kentucky Department for Public Health; Lexington, KY: Division of Dental Public Health, University of Kentucky, 2005.

Early Childhood Caries: A Medical and Dental Perspective. 2003. Phoenix, AZ: Center for Health Professions, Phoenix College. An online manual.

Health And Safety In The Child Care Setting: Promoting Children's Oral Health-A Curriculum For Health Professionals And Child Care Providers. 2005. Oakland, CA: California Childcare Health Program. Online curriculum.

Healthy Smile, Happy Child: Early Childhood Caries Prevention. 2002. Carson City, NV: Maternal and Child Health, Nevada Bureau of Family Health Services. Curriculum materials.

Integrating Preventive Oral Health Measures Into Healthcare Practice: A Training Program For Healthcare Settings. [2004]. Madison, WI: Oral Health Program, Wisconsin Department of Health and Family Services. Training resources.

Into The Mouths Of Babes: NC Dental Screening And Varnish Project. 2004. Raleigh, NC: North Carolina Academy of Family Physicians and North Carolina Pediatric Society.

Maine Smiles Matter: An Early Childhood Caries Prevention And Intervention Program For Non-Dental Providers. 2003. Augusta, ME: Maine Dental Access Coalition. Curriculum materials.

Medical Providers Oral Health Education Project: New Hampshire 2002-2005. 2002. Concord, NH: Endowment for Health. Materials for health care providers.

Open Wide: Oral Health Training For Health Professionals. 2004. Washington, DC: National Maternal and Child Oral Health Resource Center. Online curriculum.

Opening The Mouth: Continuing MCH Education In Oral Health. 2005. New York, NY: Columbia Center for New Media Teaching and Learning and Columbia School of Dental and Oral Surgery. Online CE course.

Partners In Prevention: Getting A Head Start On Oral Health-An Infant/Toddler Oral Health Continuing Education Course. 2003. New York, NY: Department of Pediatric Dentistry, New York University, College of Dentistry; and the New York State Head Start Association. Online CE course.