Guarding and Healing Tiny Teeth: A Three-Directional Approach to Beat Early Childhood Cavities

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In this patient story, read how quick action from parents by taking their child to the pediatric dentist at the start of a problem led to the arrest and reversal of early childhood caries.

Early childhood caries is a prevalent issue in children, often arising from consistent snacking and lack of oral hygiene practices. These habits create an environment that helps bacterial growth, leading to enamel flecking and cavities. However, this story highlights the transformative power of quick parental response and the right treatment at the right time, showcasing how proactive measures can effectively counter and reverse the impact of early childhood caries.


Name: Krishav CV

Gender: Male

Age: 1 year 10 months

Treatment: Fluoride Varnish, Glass Ionomer Restoration

Doctor: Dr. Debarchhana Jena

Case Introduction

Krishav’s parents came to us when he was almost 1 year and 10 months old, concerned about white and brown spots on his upper front teeth that they had noticed for the past 2-3 weeks. During our conversation with the parents, we discovered that Krishav had been exposed to sugar, sugary snacks, and packaged snacks since the age of 1.5 years. Additionally, his oral hygiene routine was inconsistent, with irregular brushing practices.

Chief Complaint

White and brown spots on their child’s front teeth. 

Krishav’s parents noticed white and brown spots on his front teeth, which worried them. They decided to be proactive and take action to address any possible issues with his oral health.

Diagnosis / Medical Assessment

After a comprehensive examination, we concluded that Krishav is affected by early childhood caries. The routine consumption of sugary snacks, packaged items coupled with irregular brushing practices, played a significant role in the initiation of caries. Addressing these factors promptly was crucial for preventing further deterioration of his oral health. Our team worked closely with Krishav and his parents to create a personalised treatment and prevention plan. This included improved oral hygiene practices and dietary adjustments to ensure Krishav has the healthiest smile possible.


Before starting with the treatment, we provided Krishav’s parents with a complete explanation of early childhood caries, clarifying the reasons behind its occurrence and outlining effective care measures. We created an individualised home hygiene plan tailored specifically for Krishav. Furthermore, we conducted diet counselling and made necessary modifications to ensure a more tooth-friendly dietary regimen. This approach aims not only to address the current dental concerns but also to empower parents with the knowledge and tools needed for ongoing preventive care in Krishav’s oral health journey.

The treatment involved fluoride varnish application to strengthen the enamel, prevent new cavities and slow down or stop decay from worsening. Simultaneously, a significant shift in dietary habits was implemented, cutting down on sugar and packaged food items from his diet. Establishing a consistent oral hygiene routine became a priority, incorporating regular brushing, mouth rinsing, and the use of antibacterial betadine solution wipe. Krishav was also introduced to a remineralizing agent for at-home use to enhance the remineralisation process. We used multi-dimensional approaches to aim at existing concerns and ready Krishav’s oral health for sustained well-being.

After three rounds of intensive fluoride varnish applications, we proceeded with a glass ionomer restoration to effectively halt the progression of the carious lesion. By executing appropriate measures at the early stages of the carious lesion, we successfully arrested the caries, preventing any further spread of the cavity. Krishav, now approaching two years of age, boasts a set of healthy teeth without any caries, radiating a joyful and confident smile.

Why have we implemented multiple measures to reverse early childhood caries?

We have strategically implemented a three-fold approach to both prevent further deterioration and reverse existing early childhood caries. Initially, the treatment started with fluoride application, swiftly followed by restoration procedures. This dual action aimed to strengthen the affected teeth and initiate the reversal process. The second step involved comprehensive home oral hygiene practices, effectively hindering bacterial growth and consequently arresting any potential deterioration. The third step encompassed diet management, empowering parents with the knowledge to plan a well-balanced diet, thereby preventing the recurrence of caries. These combined measures not only ensure the immediate improvement of the child’s oral hygiene but also contribute to sustaining optimal oral health throughout their lifetime.

After Care

A caries-free mouth’s ongoing goal is a constant reminder that progress begins with that crucial first step. In Krishav’s case, this initial step was taken by his attentive parents, who swiftly recognized something unusual about his teeth, whether it be the colour or texture. Without hesitation, they initiated the journey by visiting a pediatric dentist to uncover the issue. Upon consulting with our pediatric dentist, clarity was given, and they eagerly embraced every home hygiene instruction provided. Committing to the designed treatment plan, they ensured its thorough completion. In the end, their efforts led to the successful arrest of Krishav’s cavity.

Final Thought / Take Away

Krishav’s journey imparts valuable lessons, highlighting three essential points as takeaways for our children’s dental well-being.  

Scheduling your child’s first dental visit when their first teeth emerge or on their first birthday is crucial for promoting optimal oral development and well-being. During this visit, the pediatric dentists guide parents and caregivers to ensure the child’s dental health is on the right track from the very beginning.

The First dental visit for your child holds significant importance in terms of preventive care and overall well-being. Pediatric dentists focus on implementing preventive measures to safeguard your child’s dental health, aiming to prevent potential issues. Additionally, you’ll receive guidance on promoting a good diet helping both oral health and overall development. By doing this, you’re taking a proactive step towards ensuring a healthy and flourishing smile for the future.

Halting the progression of carious lesions is possible through prompt action. Taking proactive steps, such as scheduling a visit to a pediatric dentist at first sight of white or brown spots on your child’s teeth or maintaining regular dental check-ups, can effectively arrest caries in their early stages. However, delaying a visit to the pediatric dentist may result in more extensive damage, potentially causing permanent harm to your child’s teeth. Timely intervention is key to preserving dental health and preventing long-term issues, making early visits to the pediatric dentist a crucial aspect of proactive oral care.


Early childhood caries are reversible through timely identification and intervention. Detecting early signs of this condition and seeking prompt treatment can effectively reverse its impact. Using fluoride treatment, dedicated home oral hygiene practices, and thoughtful diet management can significantly contribute to the complete reversal of early childhood caries. However, it’s crucial to visit us promptly. Regularly examining your child’s mouth thoroughly and seeking our expertise at the first sign of concern or scheduling routine visits ensures comprehensive dental care and facilitates the timely reversal of early childhood caries.

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Why consider Childhood Smiles for your child's oral care?

There are several reasons to consider the paediatric dental care with us for your child:

  Qualified professionals:  Our pediatric dentist and orthodontists are highly trained and experienced in working with children. They have the knowledge and expertise to design a customized and tailor made treatment plan that meets your child’s unique needs. Dr Debarchhana Jena who is our chief pediatric dentist is certified for taking care of oral health needs of children with special health conditions.

Individualized approach:  We take a personalized approach to cater oral care, tailoring our treatment plans to each individual child. This ensures that your child receives the right level of support and guidance to achieve their goals.

 Positive and encouraging environment: We create a positive and supportive environment for your child. Our therapists/doctors/ nurses/office staff are patient, compassionate, and skilled at working with children with special health care needs who may be experiencing anxiety or other challenges.

 Comprehensive oral care for all your child’s needs: Childhood Smiles is an exclusive paediatric oral care centre in Bangalore. We offer a complete range of treatments that your child would need to maintain an excellent oral health and overall well-being. Our team of doctors/dentists are experienced in handling complex cases of oral problems in children with several medical conditions and difficulties.

   Sensory Adapted Dental Clinic Model: Childhood smiles is designed with a concept of sensory adaptation. It is specially designed to take care of the anxiety and difficulty your little one can face during a normal dental visit. From calm colourful hand painted walls to the sensory toys, audio visual distraction, dim lighting, sensory surfaces, theme based operatories every single aspect at the centre fulfils the need  of a sensory adapted Dental Clinic Model.

  Availability of Laughing Gas and Other Sedation Facility: Being an exclusive centre for pediatric dental care ,Childhood smiles is well equipped to handle all types of dental rehabilitation cases. Whether there is a need for laughing gas, oral sedation, IV sedation or facilities for general anaesthesia our pediatric dental team, pediatric anesthesiologist team and equipment facility is well prepared at all times.

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