Table 1.

Content of Familias Saludables Sonrientes monthly group sessions

Activity	Session 1 Description	Session 2 Description	Session 3 Description	Session 4 Description
Objectives	Get to know each other Introduce purpose and goals of Familias Saludables Sonrientes Create awareness that teeth and gums need to be cleaned thoroughly each day	Explain difference between baby teeth and permanent teeth Demonstrate good brushing technique Explain the importance of getting rid of plaque and cleaning between the teeth	Demonstrate the important role of fluoride and identify ways to obtain flouride Explain the importance of flossing Teach parents the correct way to floss their children’s teeth	Encourage regular dental visits Prepare families on what to expect at the dentist’s office Identify ways to protect teeth from injury
Key Messages	The teeth should be cleaned every day to remove plaque.	The teeth should be brushed correctly at least twice every day to remove plaque. Plaque is often invisible. If we brush correctly and floss every day, we can remove most of it.	Fluoride benefits both children and adults. It helps teeth become stronger and more resistant to decay. Flossing daily is also important to remove food from between teeth	Going to the dentist is important to keeping teeth and gums healthy. We also need to protect our teeth from accidents and injury
Welcome/Intro (5 min)	Overview of Class, Attendance	Overview of Class, Attendance	Overview of Class, Attendance	Overview of Class, Attendance
Craft Activity (20 min)	Children make tooth toothbrush puppets	Children make Toothy Face Puppet	Children assemble booklet of oral health coloring pages	Children make Healthy Smiles Art, drawing faces with bright healthy smiles
Teaching Activity (20 min)	Importance of Keeping Teeth and Gums Clean Tooth Puppet Story using tooth puppets that were made in beginning of session Matching game: What We Use to Keep Clean	Review of key points from previous class Tooth Brushing – How to Brush Demonstration of proper tooth brushing technique using Mr. Clean Mouth model	Review of key points from previous classes Importance of Fluoride and Ways to Get fluoride Importance of flossing Demonstration of how to use dental floss using Mr. Clean Mouth model How to identify ADA seals on toothpaste other products	Review of key points from previous classes Importance of dental visits Virtual tour of dental clinic Demonstration of some of the dential hygiene tools used in dental clinics Protecting teeth from accidents and injury
Healthy Snack Video (15 min)	Show chapters from Dr. Rabbit and the Legend of Tooth Kingdom Video	Show chapters from Dr. Rabbit and the Legend of Tooth Kingdom Video	Show chapters from Dr. Rabbit and the Legend of Tooth Kingdom Video	Show Chippy Goes to the Dentist video
Brushing Practice (15 min)	Show brushing technique video clip Children practice brushing teeth with assistance from parent	Show brushing technique video clip Children practice brushing teeth with assistance from parent, using plaque disclosing tablet or mouth wash	Show brushing technique and flossing video clips Children practice brushing teeth with assistance from parent, using plaque disclosing tablet or mouth wash, plus children’s fluoride mouth wash	Show going to the dentist song/video Children practice brushing teeth with assistance from parent, using plaque disclosing tablet or mouth wash, plus children’s fluoride mouth wash
Game/Activity (10 min)	Keeping Clean Charades and Simon Says games	This Is the Way We Brush Our Teeth song	Power of Fluoride demonstration with eggs, vinegar and fluoride mouth wash	Graduation from Class
Conclusion/Wrap Up (5 min)	Give Parents Hand Outs: Importance of Keeping Teeth Gums Clean Weekly Brushing Chart (do at home)	Give Parents Hand Outs: How to Brush Your Teeth Weekly Brushing Chart (do at home)	Give Parents Hand Outs: How to Use Dental Floss Weekly Brushing Chart (do at home)	Give Parents Hand Outs: Dental clinics in the county with sliding scale or discounted fees
Incentives/Gifts	Tooth brush, ADA approved toothpaste Healthy Families T-shirts	Tooth brush, ADA approved toothpaste Toy or craft item	Tooth brush, ADA approved toothpaste Toy or craft item	Tooth brush, ADA approved toothpaste Healthy Families Water bottle

Note: Sources of materials that were adapted for this intervention:

Sessions 1-3 Dr. Rabbit videos: Colgate Bright Smiles, Bright Futures (http://www.colgate.com/app/BrightSmilesBrightFutures/US/EN/Program-Materials/Kids-Games/Colgates-Tooth-Kingdom.cvsp)

Session 1: Bays Mills Community College Head Start Dental Program (http://www.bmcc.edu/Headstart/Dental/teethandgums.htm); Crest/Oral B Educational Guides and activities for children (http://www.dentalcare.com/en-US/dental-education/patient-education/patient-education-landing.aspx)

Session 2: CDC’s “Brush up on Healthy Teeth” (http://www.cdc.gov/OralHealth/publications/factsheets/brushup.htm); North Carolina Department of Health and Human Services (NCDHHS) oral health program (http://www.ncdhhs.gov/dph/oralhealth)

Session 3: Nova Scotia Dental Association (NSDA) oral health education database (http://www.healthyteeth.org/index.html), and the NCDHHS oral health program⁴.

Session 4: Video from Happy Ending Story Collection (http://www.youtube.com/watch?v=2wTg10b1Of4), and Interfaith Dental Clinic virtual tour (http://www.interfaithdentalclinic.com/tour/tour-exterior)