Abstract

The treatment of early childhood caries can have a significant economical burden and treatment relapses are frequent. Effective intervention by means of topical antimicrobial agents can reduce the burden of early childhood caries. The main aim in prevention and treatment should focus on inhibition of the growth of oral bacteria. This is a comprehensive review of the literature on the various antimicrobial agents which are proven to be effective in management of this carious progression. The review identified that there is a significant data to suggest use of antimicrobial agents in management of early childhood caries. Antimicrobial agents aid in better management of patients with early carious lesion. The relapse rates are less, when the treatment is combined with the use of antimicrobial agent.

Highlights

  • Childhood caries (ECC) known as baby bottle caries, baby bottle tooth decay, and bottle rot is a disease characterized by severe decay in the teeth of infants or young children

  • With Early childhood caries (ECC) being a result of the interplay of oral bacteria, substrate, and host as well as family, economic, and social conditions, health-promotion strategies that emphasize community development and address the determinants of health are required along with strategies that focus on disease prevention [12, 13]

  • The results suggest that silver diamine fluoride (SDF) is more effective than fluoride varnish and may be a valuable caries-preventive intervention

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Summary

Introduction

Childhood caries (ECC) known as baby bottle caries, baby bottle tooth decay, and bottle rot is a disease characterized by severe decay in the teeth of infants or young children. This begins as soon as the teeth erupts and can rapidly progress to extensive decay of all primary teeth [1]. The major reservoir from which infants acquire S. mutans is their mothers commonly termed as Window of Infectivity and/or from other primary caregivers [2, 3] This period is believed to be during the time that teeth are erupting, from seven or eight months until 36 months. In a prescholar as a result of aesthetic and/or phonetics problems, children may be teased by other children, which could negatively affect their selfesteem [1, 8]

The Need for Prevention of Early Childhood Caries
Fluoride Varnish and Gels
Chlorhexidine Varnish
Povidone Iodine
Xylitol
Liquorice
Findings
Conclusion

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