Dental cavities in toddlers represent a critical oral health concern that necessitates proper attention and treatment. Regarding them as just a condition of milk teeth would be a misconception. Early childhood cavities that do not receive the required treatment can lead to other more complex oral health conditions that affect the normal development of permanent teeth. Data from the National Institute of Dental and Craniofacial Research indicate that 42% of children between the ages of 2 and 11 have cavities in their primary teeth. In this regard, the Centers for Disease Control and Prevention (CDC) points out that more than 19% of the population between 2 and 5 years of age does not receive treatment for dental caries.
What are dental cavities in toddlers?
Caries is a hole or lesion that affects teeth and oral health, as a consequence of bacteria that feed on the sugar and starch residue of food that remain in the mouth and produce acids. It perforates the layers of the tooth and damages tooth enamel. Pediatric dental caries is a frequent disease in the first stage of life characterized by having softer teeth, with less resistance than permanent dentition.
The decay of milk teeth causes pain and difficulty eating. In addition, it affects the proper growth and development of permanent teeth.
If the decay is not treated promptly, it can lead to a serious infection and require more invasive procedures, such as tooth extraction.
What are the causes of dental caries in children?
Pediatric dental caries have different causes. The most common is poor oral hygiene. Children do not have the required skill to brush their teeth properly, a circumstance that facilitates the formation and accumulation of bacterial plaque, engendering the subsequent formation of cavities.
Other factors that promote dental caries are:
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- Consumption of foods and drinks with a high level of sugar.
- The intake of sticky foods that stick to the surface of the tooth.
- Genetic predisposition such as the presence of cariogenic bacteria in the mouth.
- Not receiving regular dental care to prevent cavities.
- Little use of fluoride in oral hygiene practices.
The American Academy of Pediatric Dentistry (AAPD) points out that another common cause is that children sleep while drinking a bottle and the sugars from the drink remain in the oral cavity, facilitating the formation of plaque and dental caries. In other words, dental caries in children occur due to poor oral hygiene, the consumption of unsuitable foods, the lack of timely dental care, and – in some cases – predisposing genetic factors.
What signs do child dental caries present?
One of the first symptoms of cavities in children is the appearance of white spots or discolorations on the teeth. Those spots are not very obvious at first, but over time, they can become visible and darken. In addition, dental sensitivity and discomfort appear when consuming hot, cold, or sweet foods or drinks. There is also discomfort when brushing teeth.
Another common sign is the presence of holes or cavities in the teeth, which are the result of perforation of the dental enamel. In the early stages, caries can be asymptomatic, which is why it is convenient to make periodic visits to the dentist and detect any signs in time.
What consequences do dental caries have on children?
Frequently, it is considered that since dental caries affect milk teeth, the primary dentition, it is of no great relevance since these teeth will change into permanent teeth. This is an incorrect perception and ignoring it can affect the oral health of children.
Caries in milk teeth can affect the normal development of permanent dentition, as well as affect the alignment of permanent teeth.
Some of the consequences of pediatric caries are:
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- Gum abscesses
- Change in tooth color
- Pain and discomfort with food intake
- dental fractures
- Higher cost of required dental care
How can dental caries in children be prevented?
The prevention of childhood dental caries is essential to maintain optimal oral health and facilitate the development of permanent dentition. Likewise, early detection and adequate treatment help to maintain good oral health. Some practices that prevent dental caries in children are:
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- Avoid drinking drinks with a high sugar or acid level.
- Brush your teeth after consuming sugary or acidic foods/drinks.
- Encourage the consumption of water, instead of sugary drinks.
- Do not allow the child to fall asleep drinking a bottle, as sugars are a source of energy for oral bacteria.
- Promote good oral hygiene, with a soft-bristled toothbrush and age-appropriate dental horn.
- Make regular visits to the pediatric dentist.