ECC in 0-3 years is _____ and _____.

• A. Not preventable
• B. Preventable and Reversible
• C. Irreversible
• D. Self-resolving

Answer: (B)

Early Childhood Caries in children under three is a condition that does not have to happen, and when it does start in its earliest, non-cavitated form it can be reversed. The caries process depends on a balance between acid attacks from fermentable carbs and the mouth’s natural remineralization. By reducing exposure to sugars and frequent fermentable drinks, helping with good oral hygiene from the moment teeth appear, and using fluoride to promote remineralization, initial white-spot lesions can be halted and even reversed before they cavitate. Fluoride strengthens enamel, forming fluorapatite and helping minerals redeposit into demineralized areas, so early lesions can be arrested and repaired with proper care. Once decay progresses to cavitation and dentin involvement, reversal isn’t typically possible, which is why prevention and early intervention are so crucial.