Early childhood caries
Also known as: baby bottle tooth decay · ECC
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Policy on Early Childhood Caries (ECC): Consequences and Preventive Strategies
American Academy of Pediatric Dentistry (AAPD) · 2025 · Reference Manual of Pediatric Dentistry policy, revised 2025
An AAPD oral health policy describing the consequences of early childhood caries and the preventive strategies the academy supports. It covers timing of the first dental visit, caregiver-delivered oral hygiene, dietary counselling around sugary drinks and prolonged bottle or breast feeding, professional fluoride application for at-risk children, and coordination with medical professionals and community water fluoridation.
- AAPD supports establishing a dental home within six months of the first tooth erupting and no later than twelve months of age. source
- Preventive strategies include caregiver-assisted brushing with an age-appropriate amount of fluoridated toothpaste and dietary counselling on sugary beverages and prolonged bottle use. source
- The policy endorses professional fluoride varnish for children at risk and interprofessional collaboration with medical providers and community water fluoridation. source
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