Ekstrand J, Koch G, Petersson LG. Most patients require check-ups and cleaning twice a year. Preventive dentistry has three levels: primary, secondary and tertiary. Although overall oral health risk is a combination of genetics, personal habits and diet, history of decay is a good predictor for future risk of decay. Policies should address barriers parents face. Preventive Services Task Force (USPSTF) recommends that primary care clinicians apply fluoride varnish to the primary teeth of all infants and young children beginning when their first primary tooth comes in (USPSTF Grade B recommendation, which means USPSTF recommends the service) (16); and that they prescribe oral fluoride supplementation at currently recommended doses to preschool children beginning at age 6 months whose primary water source is deficient in fluoride (USPSTF Grade B recommendation) (16).

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