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

Dental Public Health Activities: Descriptive Summaries

Baby Bottle Tooth Decay (BBTD) Program- Archived Summary

Practice Number: 51002
Submitted By: Oral Health Services, Vermont Department of Health
Submission Date: December 2001
Last Reviewed: December 2001
Last Updated: December 2001
Best Practice Approach Example Baby Bottle Tooth Decay (BBTD) Program

Baby bottle tooth decay (BBTD) or early childhood caries (ECC) was recognized and identified as a public health problem in Vermont. The Vermont Department of Health, Dental Health Services administers the Baby Bottle Tooth Decay (BBTD) Program, which was established in 1997. The BBTD Program aims to provide prevention and intervention of early childhood caries through the health care system, targeting children age four years and younger. The program raises awareness and educates providers and parents on the oral health of young children, promotes preventive care (such as fluoride supplement), and facilitates early visits to the dentist. Initial funding to begin the program (approximately $11,000) was given to the Health Department from the following partners: Delta Dental, Vermont's Dental Society, EDS, Insurance Company Blue First, and the Vermont Laboratories. The program: (1) Recruits the support of pediatricians to provide dental health education, fluoride supplements and dental referrals for early prevention; (2) Works with WIC clinics to detect BBTD and make referrals; (3) Offers water fluoride testing of private water sources to assess the need and appropriate dosage of fluoride supplements; (4) Provides a referral list of dentists recruited by the program to accept and treat young children in their practices. The 2001 budget for the BBTD Program included $4000 for laboratory water testing of fluoride ($10 per testing kit; approximately 400 tests per year) and $500 for material and supplies for mailings. The program has recruited 110 dentists to treat children referred by the program, worked with all WIC clinics to assess BBTD, and provided resources and updates to all pediatrician's offices through periodic mailings made three times per year. The impact of the program is observed with the mobilization of partners in the community to prevent BBTD/ECC.

Contact Person(s) for Inquiries:

Steve Arthur, DDS, MPH, Director, Oral Health Services, Division of Health Improvement, Vermont Department of Health, 108 Cherry St., PO Box 70, Burlington, VT 05402, Phone: 802-863-7497, Fax: 802-651-1654, Email:

Robin Perez, R.D.H., B.A., Dental Health Educator, Oral Health Services, Vermont Department of Health, 108 Cherry St., P.O. Box 70, Burlington, VT 05402, Phone: 802-863-7272, Email: