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Review | Open Access

Expert consensus on early childhood caries management

Jing Zou1, Qin Du2, Lihong Ge3, Jun Wang4, Xiaojing Wang5, Yuqing Li6 , Guangtai Song7, Wei Zhao8, Xu Chen9, Beizhan Jiang10, Yufeng Mei11, Yang Huang12, Shuli Deng13, Hongmei Zhang14, Yanhong Li15, Xuedong Zhou16( )
State Key Laboratory of Oral Diseases & National Clinical Research Centre for Oral Diseases & Department of Pediatric Dentistry, West China Hospital of Stomatology, Sichuan University, Chengdu, China
Department of Stomatology, Sichuan Provincial People’s Hospital, University of Electronic Science and Technology of China, Chengdu, China
Department of Pediatric Dentistry, Peking University School and Hospital of Stomatology, Beijing, China
Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Department of Pediatric Dentistry, Shanghai Key Laboratory of Stomatology, Shanghai, China
State Key Laboratory of Military Stomatology, National Clinical Research Center for Oral Diseases, Shanxi Key Laboratory of Military Stomatology, Department of Pediatric Dentistry, School of Stomatology, Fourth Military Medical University, Xi’an, China
State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, West China School of Stomatology, Sichuan University, Chengdu, China
Department of Pediatric Dentistry, School and Hospital of Stomatology, Wuhan University, Wuhan, China
Department of Pediatric Dentistry, Guanghua School of Stomatology, Guangdong Provincial Key Laboratory of Stomatology, Sun Yat‑Sen University, Guangzhou, China
Department of Pediatric Dentistry, School and Hospital of Stomatology, China Medical University, Shenyang, China
Department of Pediatric Dentistry, School and Hospital of Stomatology, Tongji University, Shanghai Engineering Research Center of Tooth Restoration and Regeneration, Shanghai, China
Department of Pediatric Dentistry, Affiliated Stomatological Hospital, Nanjing Medical University, Nanjing, China
Department of Pediatric Dentistry, Hospital of Stomatology, Jilin University, Changchun, China
The Affiliated Hospital of Stomatology, School of Stomatology, Zhejiang University School of Medicine, and Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou, China
Department of Pediatric Dentistry, The Affiliated Stomatological Hospital of Chongqing Medical University, Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing, China
Department of Pediatric and Preventive Dentistry, The Affiliated Stomatology Hospital of Kunming Medical University, Kunming, China
State Key Laboratory of Oral Diseases & National Clinical Research Centre for Oral Diseases & Department of Cariology and Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, China

These authors contributed equally: Jing Zou, Qin Du

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Abstract

Early childhood caries (ECC) is a significant chronic disease of childhood and a rising public health burden worldwide. ECC may cause a higher risk of new caries lesions in both primary and permanent dentition, affecting lifelong oral health. The occurrence of ECC has been closely related to the core microbiome change in the oral cavity, which may be influenced by diet habits, oral health management, fluoride use, and dental manipulations. So, it is essential to improve parental oral health and awareness of health care, to establish a dental home at the early stage of childhood, and make an individualized caries management plan. Dental interventions according to the minimally invasive concept should be carried out to treat dental caries. This expert consensus mainly discusses the etiology of ECC, caries-risk assessment of children, prevention and treatment plan of ECC, aiming to achieve lifelong oral health.

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International Journal of Oral Science
Volume 14,
2022
Article number: 35
DOI: 10.1038/s41368-022-00186-0

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Zou J, Du Q, Ge L, et al. Expert consensus on early childhood caries management. International Journal of Oral Science, 2022, 14: 35. https://doi.org/10.1038/s41368-022-00186-0

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Accepted: 15 June 2022
Published: 14 July 2022
© The Author(s) 2022

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