During their third year of residency at the University of Florida-Gainesville (UF), Michele Lossius and Kristen Eisenman noted that while the American Academy of Pediatrics (AAP) recommended that children see a dentist by 1 year of age, (1) most of their patients were unable to do so because of poverty or because local dentists would not see infants. The Oral Health American National Grading Project gave Florida a D+ for prevention, including water fluoridation. Fluoride varnish is an evidence-based practice (2) that could have helped, but the children at highest risk for caries did not have access to it. With a CATCH grant from the AAP, Drs Lossius and Eisenman and their clinic attendings established a project to train residents to assess teeth; educate parents about early childhood caries; and apply fluoride varnish at 12-, 18- and 24-month health supervision visits. (3)

Meanwhile, together...

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