Welcome to the
Maine From The First Tooth
Virtual Training Module

The following module is adapted from the Smiles for Life, a national oral health curriculum, Module 6: Caries Risk Assessment, Fluoride Varnish and Counseling. This training module is specific to Maine practices and Memorial Hospital.

If you are interested in the Smiles for Life National Oral Health Curriculum, please visit their website at

This training consists of instructional videos, interactive elements, and a knowledge assessment quiz designed to meet the needs of medical providers and clinical support staff involved with oral health evaluation, fluoride varnish applications, parent/caregiver education and counseling and referral to the dental team.

The Funding for the creation of this education module was provided by a grant from The Sadie and Harry Davis Foundation. For more information, click here.
Program Format: 
The module is grouped into three videos and two interactive elements. The videos may be viewed together or separately. Knowledge assessments are located at the conclusion of the series and successful completion will be required to earn 1 CME. 
Learning Objectives: 
Upon completion of this module, the learner will be able to: 
  • Review the prevalence, etiology, and consequences of early childhood caries (ECC)
  • Perform an appropriate oral examination on small children
  • Use a Caries Risk Assessment Tool to:
    • Identify specific risk factors and protective factors
    • Document clinical findings
    • Recommend appropriate anticipatory guidance and timely dental referral
  • Discuss the effects, sources, and benefits of fluoride:
    • Describe the benefits and indications for fluoride varnish
    • Demonstrate the application of fluoride varnish
    • Describe strategies for a successful office-based fluoride varnish program
  • Advise families on strategies to prevent caries 

Instructional videos followed by a series of measured learning questions.

Completion Time:  
45 minutes to one hour.

Dr. Hugh Silk, Family Medicine, Professor, University of Massachusetts Medical School
Dr. Jennifer Dubail, Pediatrics, Maine Medical Partners
Susan Cote, RDH, MS, Program Manager, From the First Tooth Program

Clinical and Project Advisors:
MaineHealth From The First Tooth Program

Continuing Medical Education Credits
Maine Medical Center will provide 1 AMA PRA Category 1 Credits(s)TM to participants who have completed this educational module. For more information related to CME credits, please click here.

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