Severe ECC with Soft Tissue Involvement

Patients with severe ECC require extensive dental treatment. Cooperative four-year-olds with this kind of decay may be able to have the work done in the dental chair under the care of a dentist skilled in behavior management and treatment of ECC.

Younger and less cooperative children will most likely have to be treated in the operating room under general anesthesia.

Appearance & Symptoms

  • Multiple dark cavities appear in anterior and posterior teeth.
  • Abscesses and fistulae may be present.
  • Patient may experience pain, but young children may not be able to verbalize it.

Treatment & Referral

  • Urgent dental referral for comprehensive treatment including extractions and/or silver crowns.
  • Dietary and oral hygiene counseling.
  • Use of fluoride to prevent development of new lesions.

Advanced ECC

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