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Am Fam Physician. 2022;105(3):299-300

Related USPSTF Clinical Summary: Screening and Interventions to Prevent Dental Caries in Children Younger Than 5 Years

This clinical content conforms to AAFP criteria for CME.

Author disclosure: No relevant financial relationships.

Case Study

Hispanic parents who are new to your practice bring in their two children, two years of age and four months of age, for routine wellness visits. Neither child has any known chronic medical conditions, and both are current on routine immunizations. The four-month-old recently had a primary tooth eruption, and most of the two-year-old’s primary teeth have erupted. The parents have questions about dental care for their children. The family has recently moved to Church Point, in Acadia County, La.

Case Study Questions

1. According to the U.S. Preventive Services Task Force (USPSTF) recommendation statement on dental caries in children younger than five years, which of the following factors may elevate risk of dental caries?

  • A. Low socioeconomic status.

  • B. Lack of access to dental care.

  • C. Living in an area with an average water fluoride level of 0.7 parts fluoride per million parts water.

  • D. Frequent intake of dietary sugars.

2. According to the USPSTF recommendation statement, how should you approach preventing dental caries in the two-year-old patient?

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This series is coordinated by Joanna Drowos, DO, contributing editor.

A collection of Putting Prevention Into Practice published in AFP is available at

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