Early Childhood Caries is defined as the presence of one. Or more decayed (non-cavitated or cavitated lesions), missing (due to caries). Or filled tooth surfaces in any primary tooth in a preschool-age child between birth and 71 months of age. Early Childhood Caries The term “Severe Early Childhood Caries” refers to “atypical” or “progressive”, “acute” or “rampant” patterns of dental. Selected populations and the general population both exhibit early childhood caries, a significant public health problem, as recognized by the Association. The Association urges health professionals and the public to recognize that a child’s teeth are susceptible to decay as soon as they begin to erupt. Early childhood caries is an infectious disease. There are many aspects of early childhood caries; baby bottle tooth decay is recognized as one of the more severe manifestations of this syndrome. consult dentist The Association urges parents and guardians, as a child’s first tooth erupts, to consult with their dentist regarding: Scheduling the child’s first dental visit. It is advantageous for the first visit to occur within six months of eruption of the first tooth and no later than 12 months of age, and Receiving oral health education based on the child’s developmental needs (also known as anticipatory guidance). reducing the risk for early childhood caries The Association urges its members to educate parents (including expectant parents) and caregivers about reducing the risk for early childhood caries: Role of Bacteria Cariogenic bacteria (especially mutans streptococci) transmit soon after the first teeth erupt, so decreasing the mother’s mutans levels may decrease the child’s risk of developing ECC. The Association recommends encouraging parents, including expectant parents, to visit a dentist to ensure their own oral health. Nutrition Infants and young children should be provided with a balanced diet in accordance with the Dietary Guidelines for Americans published by the U.S. Department of Agriculture and the U.S. Department of Health and Human Services. Unrestricted, at-will consumption of liquids, beverages and foods containing fermentable carbohydrates (e.g. juice drinks, soft drinks, milk, and starches) can contribute to decay after eruption of the first tooth. Bottle Feeding Unrestricted and at-will intake of sugary liquids during the day or while in bed should be discouraged. Infants should finish their bedtime and naptime bottle before going to bed. Breast Feeding Unrestricted, at-will nocturnal breastfeeding after eruption of the child’s first tooth can lead to an increased risk of caries. Use of a Cup Parents should encourage children to drink from a cup by their first birthday. Discouraging frequent use of a training cup should be done at will. Home Care Proper oral hygiene practices, such as cleaning an infant’s teeth following consumption of foods, liquids. Or medication containing fermentable carbohydrates. Should be implemented by the time of the eruption of the first tooth. Parents should periodically check their child’s teeth at home according to the directions of the dentist.  The Association urges state and local dental societies to be a resource for the medical community and public health programs (e.g. Women, Infants and Children [WIC] and Head Start). Dentistry can be instrumental in educating professionals and the public about risk factors for ECC. The Association acknowledges that consideration should be given to the unique characteristics of ECC when selecting treatment protocols. European Dental Center; best dental clinic in Jordan provide this information about Early Childhood Caries.