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Protecting All Children's Teeth (PACT): A Pediatric Oral Health Training Program
PACT Spry Menu Pages
Anticipatory Guidance by Age, continued
Toddler (1-3 years)
Recommend brushing at least twice daily.
Discontinue bottle use, preferably by 12 months of age.
If a sippy cup is offered between meals, it should contain only milk or water.
Restrict juice to emaltimes (max 4 oz per day).
Limit snacks to one time between meals.

Preschool and School-Age Children
Review brushing and flossing.
Encourage regular dental visits.
Review fluoride sources and prescribe fluoride if indicated.

Limit cariogenic snacks between meals.

Encourage families to choose fresh fruits, vegetables, and whole grain snacks.
Recommend dental sealants for all high-risk patients.
Fast Facts
Parents of infants should be counseled to begin brushing once teeth erupt.
Parents of toddlers should be advised to limit sippy cup use and to keep snacks to 1 time between meals.
Cariogenic snacks should be limited for all children, with fresh fruit, vegetables, and whole grains being the snacks of choice.
Adolescents have unique issues that need to be addressed, such as oral piercing and tobacco use.
Chapter Photo Gallery
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