The goal of First Tooth is to reduce early childhood caries in Oregon by training medical and dental providers to implement preventive oral health services for infants and toddlers ages three and under. First Tooth offers a no-cost training for dental and medical organizations. The training is also available to WIC programs, Head Start programs, and other community groups that have a vested interest in the oral health of young children. A First Tooth training includes:

  • An in-office training/in-service, 1.5-2 hours in length depending on the organization's needs

  • Training for all providers and staff on how oral health preventive services can easily be integrated into current services

  • Instruction on fluoride varnish application

  • Culturally appropriate handouts, exam/waiting room posters, and information for caregivers

  • Guidelines to help refer children to a dental home by age one

Continued support and technical assistance from OrOHC oral health educators regarding systems-based implementation, workflow, and clinical instruction is provided. To request a training, e-mail a completed Request for Training form to Terra (Karen) Shimada; for more information, Contact Us or call (971) 224-1038.

Some materials are free and available for printing. Other materials must be ordered through OrOHC - please fill out the Materials Order Form and e-mail it to Ordered materials require a shipping and handling cost and will be sent by USPS unless otherwise noted. First Tooth trainers, please use the Trainer Material Order Form.

First Tooth Documents

First Tooth Project Summary
Guidelines for Oral Health Care in Pregnancy
Oral Health During Pregnancy Consensus Statement
OrOHC Caries Risk Assessment                                                                   OrOHC Caries Risk Assessment - Spanish
Give Your Teeth a Chance Handout - English/Spanish
Motivational Interviewing Goal Setting Tool - English/Spanish Recommendations for Fluoride Usage
Fluoride Varnish Application: 3 Simple Steps
Fluoride Varnish - What You Need to Know Handout
General FAQs
Billing FAQs
Childcare FAQs
DMAP OHP Plus Dental Benefits
DMAP Simplified Chart of OHP Coverage of Dental Services
Ready, Set, Implement
Varnish Suppliers
Oral Health Integration Toolkit
FT Processes Map for Clinics

Additional Resources

AAP Dental Home Policy Statement
Baseline Survey for Interested Clinics
Bright Futures Toolbox Resources
Dental Hygienists and Head Start
Dental Outreach OR, OHP Dentists
Dentists and Head Start
EMR Documentation
Fluoridation Map - CDC
Glossary of Terms
Medical Providers and Head Start
OHP 2014 Provider Fact Sheet
OHP Client Brochure
OHP Fact Sheet - Healthy Kids - 2014
OHP Standard to Plus Fact Sheet 2014
Oregon Dental Association Community Access Resources
Resource List
Policy on ITR
Sample Chart Labels

Smart or Dot Phrases
Suppliers for ECCP Materials
Triage Placement
Washington County Integration Map for Clinics
Washington County Oral Health Integration Toolkit

Overcoming a Fear of Dentists - Tip Sheet

OHP Dental Benefits Brochure - English
OHP Dental Benefits Brochure- Spanish



Pregnancy Poster - English
Pregnancy Poster - Spanish
Babies Poster - English
Babies Poster - Spanish
Toddlers Poster - English
Toddlers Poster - Spanish
Toothbrush Tips - English
Toothbrush Tips - Spanish
Toothpaste Tips - English
Toothpaste Tips - Spanish

First Tooth posters are available through OrOHC for $0.59 + shipping or can be downloaded and printed.


Provider Materials

  • AAP Flip Chart - $12.00

  • Pediatric Pocket Guide (English only) - $8.55

  • Community Group Pocket Guide (English or Spanish) - $8.55

  • Motivational Interviewing Tips, Laminated (English/Spanish double sided) - $2.00

  • Medical Tool Kit - $45.00

  • Dental/Educational Packet - $30.00

  • First Tooth Toddler Toothbrush - $0.37



Elmo is joined by families and some of his celebrity friends including Bruno Mars, David Hyde Pierce, Nicole Kidman, Amy Ryan, Wendy Williams, Jay Sean, Naomi Watts and Liev Schreiber as he sings a song about the importance of brushing your teeth as part of Sesame Street's newest oral health initiative Healthy Teeth, Healthy Me. Find an entire playlist for brushing teeth with kids here.