Great Beginnings for Healthy Native Smiles: An Early Childhood Caries Prevention Project

Inclusion Criteria: * Provide signed and dated informed consent form * Be willing and able to follow study procedures and instructions and be available for the duration of the study * Be at least 18 years of age (mother) * Be American Indian or giving birth to an AI child, and living on or near (approximately 100 miles) the Hopi or Crow nations. American Indian status is self-identified-no tribal enrollment verification will be required. * Be currently pregnant-preferably in month 4 of pregnancy at enrollment but mothers are eligible when 3-7 months pregnant. * Be willing to participate until the child is age 3 * Mothers of twins will be included, but only one child will be enrolled as the study child. Exclusion Criteria: * • Anything that would place the individual at increased risk or preclude the individual's full compliance with, or completion of, the study. * Enrolled in other community health interventions that incorporate oral health intervention. * A member of the Northern Cheyenne Tribe * Living on the Navajo Nation and a member of the Navajo Tribe