ECC: Consequences

ECC is the most common chronic childhood disease and has many potentially severe consequences, including:

  • Pain
  • Impaired chewing and nutrition
  • Infection
  • Increased caries in permanent dentition
  • School/work absences
  • Students with dental pain are 3 times more likely to have poorer school performance
  • Difficulty sleeping
  • Poor self-esteem
  • Extensive and expensive dental work which often must be completed under general anesthesia

Severe maxillary incisor caries with central abscesses

Donald Greiner, DDS, MS
Donald Greiner, DDS, MS

All four maxillary incisors extracted due to severe caries

Joanna Douglass, BDS, DDS
Joanna Douglass, BDS, DDS

 Molars restored with stainless steel crowns

Joanna Douglass, BDS, DDS
Joanna Douglass, BDS, DDS


The Catalyst Institute. The Oral Health of Massachusetts' Children. January 2008. Accessed April 16, 2010

Jackson SL et al. Impact of Poor Oral Health on Children's School Attendance and Performance. Am J Public Health. 2011 ;101(10):1900-6.

Seirawan H, Faust S, Mulligan R.  The impact of oral health on the academic performance of disadvantaged children. Am J Public Health. 2012 102(9):1729-34.

Martins-Júnior PA, Vieira-Andrade RG, Corrêa-Faria P et al. Impact of early childhood caries on the oral health-related quality of life of preschool children and their parents. Caries Res. 2013;47(3):211-8.