• Explain to Fernando’s mother and grandmother the importance of his preventive oral health care (he can’t be healthy without a healthy mouth) and the impact of early childhood caries such as lost school days and expensive dental restorations.
• Recommend his parents brush Fernando’s teeth twice daily with a rice-size grain of fluoride-containing toothpaste.
• Encourage elimination of the bottle and nighttime drinking. Recommend that Fernando only receive plain water after his teeth are brushed at night.