Early Childhood Caries

Early Childhood Caries

What is Early Childhood Caries, or ECC? Well, caries is the medical term for cavities. ECC is cavities in young children. Anyone can get a cavity, including young children and babies. Any child under the age of 6 who has a cavity or has had a filling or has lost a tooth has early childhood caries. Cavities are the most common childhood illness … even more common than Asthma!

What causes Early Childhood Caries? The short answer is bacteria and sugar (or diet). The bacteria that cause cavities are called Streptoccous mutans or S. mutans for short. The younger a child is when they are exposed to these bacteria, the more aggressive the bacteria are. Exposures can happen from sharing utensils or from kissing babies and young children on the lips. S. mutans like to eat sugars and carbohydrates and then they produce acid that destroys the enamel of the teeth. Obviously, candies have a lot of sugar in them, but sugar is also found in beverages like soda, juice, milk, and formula. Crackers, cereal and other starchy foods can also increase the risk of ECC. So how do we protect our little one’s teeth?

  • Limit sugary drinks or snacks
    • The American Academy of Pediatrics says that juice is not essential for children to have as it has no nutritional benefit and they recommend excluding it from your child’s diet. But if you do decide to give your child juice, make sure to limit it to 4-6 oz. a day during a meal.
    • Give fresh fruits and vegetables and cheeses as snacks.
  • Bottles and sippy cups
    • Don’t put your child to bed with a bottle or a sippy cup.
    • If your child has a sippy cup, put water in it during the day.
    • Give milk only at mealtimes.
  • Dental visits
    • Take your baby to the dentist by the time they have their first tooth or their first birthday.
    • Two visits a year!
  • Oral hygiene
    • Brush your child’s teeth twice a day, morning and before bed.
    • Floss daily, especially if the teeth are touching.
    The great news is that Early Childhood Caries is a completely preventable disease!