EARLY CHILDHOOD CARIES

40% of Singapore preschoolers have a severe form of decay called Early Childhood Caries (ECC).
If you have a young child, she/he is at risk. ECC is identified by:

• decay which first attacks a young child's front teeth, sometimes as soon as they erupt
• decay which is rapidly spreading and has a typical pattern of spread

ECC in a 2yr old child. Decay affecting first the front teeth
then spreads to other teeth. Note how lower incisors are spared.

What are the Risk Factors?

• Early infection of infants by strep.mutans, a caries causing bacteria passed on from mother/caregiver to infant. This risk of transmissio is higher if mother/caregiver herself has poor oral health.
• Failure to brush infant's teeth properly
• Prolonged use of milk bottle filled with milk or sweetened liquids, as a comforter to soothe the child to sleep
• Demand breast feeding - allowing child to fall asleep at breast

Prevention is the best option in the management of Early Childhood Caries

• If you have a young child or are pregnant, keep good oral health
• Avoid sharing food/eating utensils with your child
• Avoid filling your child's nursing bottle with liquids such as sugar water, honey or soft drinks.
• Never allow your child to fall asleep with a bottle containing milk, formula, fruit juices or sweetened liquids
• Wean child off milk bottle by age 1.
• Begin brushing your child's teeth as soon as the first tooth erupts.

If you are a mother with an infant, you and your infant can start on an infant oral health program, available at the National Dental Centre of Singapore.