Biological Management Of ECC In A 17-Month-Old Child

Severe early childhood caries (S-ECC) often presents rapid progression and extensive lesions in infants, requiring timely intervention. However, treatment in very young children is challenging due to limited cooperation and immature dentition. A 17-month-old boy presented with multiple anterior carious lesions and high caries risk (CAT score 3.0). Initial treatment included Carisolv chemo-mechanical caries removal and restoration using resin-modified glass ionomer preformed crowns. A personalized oral health plan was implemented, including caregiver education, fluoride varnish application, dietary guidance, and quarterly follow-up. Over 65 months of continuous follow-up, no new carious lesions developed. As the child matured and became more cooperative, esthetic resin strip crowns were placed. This case emphasizes a health-centered, risk-based approach to ECC management in toddlers, incorporating behavior guidance, minimal intervention dentistry, and caregiver involvement. Early biological management combined with dietary behavior shaping may effectively interrupt the caries process and prevent disease progression. Biological caries management combined with caregiver involvement and food literacy-based counseling can achieve long-term disease control in young children. Early, age-appropriate strategies may prevent ECC progression and foster positive dental attitudes.