Caries Progression

ECC affects the teeth that erupt early and are least protected by saliva. When a child sucks on a bottle, the tongue thrusts forward, so the maxillary incisors get maximal sugar exposure.

Typically ECC progresses in the following order:

  • Upper incisors (maxillary anterior teeth)
  • First molars (mandibular primary molars)
  • Second molars (maxillary primary molars)

Mandibular incisors, although they emerge first, are generally not affected because they are protected by the tongue and pooling of saliva in that area.

                                        Joanna Douglass, BDS, DDS