Why do my patients still have early childhood caries? a critical appraisal

Abstract The prevalence of early childhood caries (ECC) tends to increase in the first 5 years of life as children grow, and those affected by ECC are likely to experience caries throughout their lives. ECC negatively impacts the oral health-related quality of life of both children and their familie...

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Main Authors: Luciana Butini OLIVEIRA, Flávio de Freitas MATTOS, Saul Martins PAIVA, Marcelo BÖNECKER
Format: Article
Language:English
Published: Sociedade Brasileira de Pesquisa Odontológica 2025-07-01
Series:Brazilian Oral Research
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242025000105050&lng=en&tlng=en
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author Luciana Butini OLIVEIRA
Flávio de Freitas MATTOS
Saul Martins PAIVA
Marcelo BÖNECKER
author_facet Luciana Butini OLIVEIRA
Flávio de Freitas MATTOS
Saul Martins PAIVA
Marcelo BÖNECKER
author_sort Luciana Butini OLIVEIRA
collection DOAJ
description Abstract The prevalence of early childhood caries (ECC) tends to increase in the first 5 years of life as children grow, and those affected by ECC are likely to experience caries throughout their lives. ECC negatively impacts the oral health-related quality of life of both children and their families. Although controlling sugar intake and the use of fluoride are well-known methods for managing dental caries, preventive and therapeutic interventions alone have not been sufficient to prevent the development of new caries lesions. This review aims to explore why ECC continues to occur despite the oral health team having the necessary knowledge to prevent it. Based on current scientific evidence, this article highlights the need for the oral health team to consider additional factors, such as implementing oral health prevention programs in the first 450 days of life, enhancing caregivers’ oral health literacy, creating a supportive environment, and engaging in upstream actions (teledentistry, implementation science, health policies development etc.) to effectively manage and prevent dental caries. Otherwise we would be educating and treating children and sending them back to the conditions that made them sick. By addressing these factors, it might be possible to improve long-term oral health outcomes for children and reduce the burden of ECC on children and their families.
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publishDate 2025-07-01
publisher Sociedade Brasileira de Pesquisa Odontológica
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series Brazilian Oral Research
spelling doaj-art-6faeb36e8e7242458985f0ea0a5eb7bf2025-08-20T03:17:44ZengSociedade Brasileira de Pesquisa OdontológicaBrazilian Oral Research1807-31072025-07-013910.1590/1807-3107bor-2025.vol39.065Why do my patients still have early childhood caries? a critical appraisalLuciana Butini OLIVEIRAhttps://orcid.org/0000-0002-8755-6540Flávio de Freitas MATTOShttps://orcid.org/0000-0002-6052-2762Saul Martins PAIVAhttps://orcid.org/0000-0002-3968-1638Marcelo BÖNECKERhttps://orcid.org/0000-0001-9786-6473Abstract The prevalence of early childhood caries (ECC) tends to increase in the first 5 years of life as children grow, and those affected by ECC are likely to experience caries throughout their lives. ECC negatively impacts the oral health-related quality of life of both children and their families. Although controlling sugar intake and the use of fluoride are well-known methods for managing dental caries, preventive and therapeutic interventions alone have not been sufficient to prevent the development of new caries lesions. This review aims to explore why ECC continues to occur despite the oral health team having the necessary knowledge to prevent it. Based on current scientific evidence, this article highlights the need for the oral health team to consider additional factors, such as implementing oral health prevention programs in the first 450 days of life, enhancing caregivers’ oral health literacy, creating a supportive environment, and engaging in upstream actions (teledentistry, implementation science, health policies development etc.) to effectively manage and prevent dental caries. Otherwise we would be educating and treating children and sending them back to the conditions that made them sick. By addressing these factors, it might be possible to improve long-term oral health outcomes for children and reduce the burden of ECC on children and their families.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242025000105050&lng=en&tlng=enOral HealthEvidence-Based PracticeDental CariesChildPediatric Dentistry
spellingShingle Luciana Butini OLIVEIRA
Flávio de Freitas MATTOS
Saul Martins PAIVA
Marcelo BÖNECKER
Why do my patients still have early childhood caries? a critical appraisal
Brazilian Oral Research
Oral Health
Evidence-Based Practice
Dental Caries
Child
Pediatric Dentistry
title Why do my patients still have early childhood caries? a critical appraisal
title_full Why do my patients still have early childhood caries? a critical appraisal
title_fullStr Why do my patients still have early childhood caries? a critical appraisal
title_full_unstemmed Why do my patients still have early childhood caries? a critical appraisal
title_short Why do my patients still have early childhood caries? a critical appraisal
title_sort why do my patients still have early childhood caries a critical appraisal
topic Oral Health
Evidence-Based Practice
Dental Caries
Child
Pediatric Dentistry
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242025000105050&lng=en&tlng=en
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