Patient's Query
Hi doctor,
I think my 21-month-old kid might have dental caries. I think my daughter has early childhood caries. She has brown spots in the front four teeth and at the back. There is a hole in one of her front teeth. We brush her teeth twice daily so I have no idea how this has happened. Kindly help.
Thank you.
Hi,
Welcome to icliniq.com.
The picture that you have sent is not clear (attachment removed to protect the patient's identity), but yes early childhood caries is common in infants. I can understand your concern because you are taking good care by brushing twice. For now, I will suggest the following.
1. If she sleeps with a bottle in her mouth, you must be careful to remove her bottle and get her mouth rinsed at least with plain water. Else, it can result in nursing bottle caries.
2. Do rinse her mouth regularly with water after she has taken candies or any food. Rinsing the mouth thoroughly is a good habit. Make her develop this habit.
3. Notice and inform me if she has comparatively less saliva or if her oral cavity is sticky to the touch.
4. Rest all is fine and these are common in infants so nothing much to worry about caries. Get her cavities filled after the pandemic.
Do send me a clear picture if possible.
I hope this helps.
Thank you.
Patient's Query
Hi doctor,
Thank you for the reply.
Is there anything I can do to stop it from spreading? Kindly suggest.
Thank you.
Hi,
Welcome back to icliniq.com.
I saw the pictures (attachment removed to protect the patient's identity). These may be stains or initial caries. Brush her teeth properly yet smoothly, stains many times go away after proper brushing. If possible, brush twice daily. You must brush her teeth after the night meal. This along with regular rinsing is the only method, for now, to stop the infection from growing or if it is a stain you will surely notice the changes i.e. decrease in the stained area.
I hope this helps.
Thank you.
Patient's Query
Hello doctor,
Thank you for the reply.
The little one is doing well. We are brushing her teeth twice daily with a small amount of toothpaste. She is breastfed and is currently still feeding at night. She does not seem to be in any pain while brushing. Also, I have changed her diet and have stopped all sugary foods to try and reduce any further decay.
Thank you.
Hello,
Welcome back to icliniq.com.
Glad to have you back.
It is good that you are following the advises. You need not stop the sugar diet completely. Just be sure to rinse her mouth well after eating. A little of everything is fine. Excess does the bad. Do not worry. You are taking good care.
Stay safe. Feel free to revert in case of any further queries.
Thank you.
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Answered byDr. Ummah Mohammad
Medically reviewed byDr. Vinodhini J.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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