What is the sequence of decay on primary teeth in early childhood caries?

Get ready for the American Board of General Dentistry Exam. Use flashcards, multiple choice questions, hints, and explanations for thorough preparation. Excel in your exam!

The correct sequence of decay in early childhood caries primarily involves the maxillary anterior teeth, followed by the maxillary and mandibular first primary molars, with the mandibular canines being affected afterward, while the mandibular incisors are typically unaffected.

This progression occurs due to several factors related to the susceptibility of primary teeth and the behavior patterns of young children regarding oral hygiene and dietary habits. The maxillary anterior teeth are often first affected because they are more prominent and have a higher exposure to cariogenic foods and beverages, especially sugary ones consumed by toddlers.

After the anterior teeth, the first primary molars are next, as they are critical for chewing and can trap food particles, making them more prone to decay. The involvement of the mandibular canines follows as decay progresses, although they may not experience as severe decay as the other anterior teeth or molars.

The mandibular incisors typically remain unaffected in early childhood caries because they have a more protected position in the mouth, receive less direct exposure to cavity-causing agents, and are often maintained in better hygiene due to their location.

This understanding of the sequence of decay helps guide preventive strategies and treatment plans for pediatric patients, emphasizing the importance of early dental visits and protective measures

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