Dental caries is one of the most common chronic diseases of childhood.

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It is important to note that dental caries in milk teeth is a preventable and reversible infectious disease process that when left untreated results in pain. It can also affect growth and development of the child’s speech, lead to premature tooth loss resulting in compromised chewing and self-esteem issues, and affect the adult teeth.

As the health and welfare of infants and young children are dependent on the primary caregiver, it is important for the caregiver to be able to recognize early signs of caries in infants and young children.

Early non-cavitated caries often appear as smooth, dull, white, or brown spots on the upper milk teeth, whereas cavitated caries appear as brownish, rough breaks on normally smooth, tooth surfaces.

However, prevention of early childhood caries is entirely possible by initiating age-appropriate oral hygiene as early as before the eruption of the child’s first tooth, and continuing until the child is able to perform oral care independently.

Here Are Some Tips For Child Oral Care:

• Refrain from putting children to bed with a baby bottle. Also, bottle use should not extend beyond about 1 year of age. This is because almost no saliva flows during sleep, so any food or beverage in a baby’s mouth can promote the caries process. Use of sweetened pacifiers should also be avoided.

• Prior to the first tooth eruption, the caregiver can establish healthy oral flora in child by cleaning gums with moist gauze or cloth wrapped around the finger.

• After eruption of first tooth up to two years of age, the caregiver should clean teeth with a soft toothbrush and water, or non-fluoride toothpaste, while teaching child to spit after brushing.

• Schedule a dental visit once the first tooth erupts, to familiarize the child with dental setting.

• From two years of age onwards, introduce children to toothpaste with adapted concentration in fluoride, using a pea-size amount at least twice a day. While the child can assist in brushing, the caregiver should still be the primary person to brush the child’s teeth.

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