Caries in milk teeth in South Delhi
Caries in milk teeth, also known as early childhood caries (ECC), refers to severe tooth decay affecting primary (baby) teeth in children aged five and under, often starting with white chalky lines near the gumline on the upper front teeth.​

Causes

Sugary liquids like milk or juice lingering in the mouth, especially during prolonged bottle-feeding or bedtime feeds, combine with bacteria to produce acids that erode enamel. Poor oral hygiene and frequent sugary snacks exacerbate plaque buildup, accelerating decay.​

Symptoms and Progression

Early signs include opaque white spots; untreated caries advances to pain, sensitivity, enamel breakdown, dentin involvement, nerve damage, abscesses, and potential spread to permanent teeth below.​

Prevention

Avoid bedtime bottles with milk or sweets, clean teeth after feeds, transition to cups by age one, brush with fluoride toothpaste under supervision, and schedule dental visits every six months from the first tooth.​

Treatment

Early-stage decay
Fluoride varnish: Applied by a dental professional to strengthen enamel and reverse early decay.
Silver Diamine Fluoride (SDF): A liquid applied to stop decay from progressing, though it can turn the affected area black.
Preventative measures: A dentist may recommend dietary changes and improved oral hygiene practices in addition to other treatments.
Advanced decay
Fillings: For early cavities, the dentist removes the decay and fills the tooth with a restorative material to protect it.
Crowns: Used for larger cavities that have damaged the tooth significantly. A stainless steel crown is often used for baby teeth to provide a durable, long-lasting restoration.
Pulp treatment: This may be necessary if the decay has reached the tooth's pulp.
Extraction: In severe cases of infection or extensive decay, the tooth may need to be removed.
Important considerations
See a dentist early: It's recommended to take your child to the dentist by their first birthday or after their first tooth erupts for regular checkups.
Consult a professional: Avoid trying home remedies for decay, as they can be harmful.

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Dec 4th, 2025 12:15 PM

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