EARLY CHILDHOOD CARIES
Early Childhood Caries (ECC)
Early Childhood Caries (ECC), previously known as nursing bottle caries, is a common dental condition affecting children from birth up to 71 months (under 6 years of age). It causes rapid decay of the primary teeth, particularly the upper front teeth, and if left untreated, can lead to pain, infection, and early tooth loss.
What Causes Early Childhood Caries?
ECC occurs when sugary liquids like milk, formula, juice, or sweetened drinks stay in your child’s mouth for extended periods—especially during sleep. Oral bacteria feed on the sugars and produce acid that gradually erodes the tooth enamel.
Types of Early Childhood Caries
Type 1 (Mild to Moderate) — Ages 2 to 5
• Affects molars and incisors
• Caused by a combination of semisolid/solid foods and poor oral hygiene
Type 2 (Moderate to Severe)
• Involves upper (maxillary) incisors, with or without molar involvement
• Caused by prolonged bottle or breastfeeding combined with poor oral hygiene
Type 3 (Severe) — Ages 3 to 5
• Affects almost all teeth, including lower incisors
• Advanced stage of ECC requiring immediate dental intervention
Simple Tips to Prevent Early Childhood Caries
• Avoid bedtime bottles with milk, formula, juice, or sweet drinks. If needed, gradually dilute with water over time until only water is used.
• Limit sugary snacks and drinks, especially between meals.
• Clean your baby’s gums with a soft cloth or infant toothbrush from birth.
• After the first tooth erupts, brush twice daily using:
• A smear of fluoride toothpaste (under 2 years)
• A pea-sized amount (ages 2 to 5), based on caries risk
• Never dip pacifiers in honey or sweetened liquids.
• Don’t allow your child to walk around with a bottle or drink from it continuously throughout the day.
• Schedule regular dental check-ups starting from the first tooth or by age 1.
Why Are Baby Teeth Important?
Primary teeth help children chew, speak clearly, and guide permanent teeth into their correct positions. If ECC causes early tooth loss, it may result in misaligned or crowded adult teeth, leading to long-term dental issues.
By following these preventive steps, you can help your child build a healthy foundation for lifelong oral care. For personalized guidance, visit Saiganesh Medical Centre for a pediatric dental consultation.