This oral health document was conceptualized and drafted at the Caribbean Atlantic Regional Dental Association (CARDA) meeting held in December 1995, with the assistance of the Pan American Health Organization, Regional Office of the World Health Organization, (PAHO/WHO), and the Caribbean Community (CARICOM) Health Desk. Further work on the document was done at the 1997 CARDA meeting in Belize, with subsequent working group activity in Barbados. Dr. Rahul Naidu (UWI School of Dentistry, Trinidad) and Dr. Fannye Thompson (Chief Dental Officer, Ministry of Health, Barbados) revised the document in December 2003 under the aegis of PAHO, along with input from the Heads of Dental Services in the region.