Dental Caries: Consequences

Dental caries 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: Missed school days are highest for Black children, children with Medicaid/public Insurance, and those with special health care needs
  • Poorer school performance: Students with dental pain are 3x more likely to have a low grade point average
  • Difficulty sleeping
  • Poor self-esteem
  • Extensive and expensive dental work which often must be completed under general anesthesia

Severe maxillary incisor caries with bilateral central abscesses

Child with all four maxillary incisors extracted due to severe caries

Molars restored with stainless steel crowns

Donald Greiner, DDS, MS
Joanna Douglass, BDS, DDS
Joanna Douglass, BDS, DDS

References

American Academy of Pediatric Dentistry. Policy on early childhood caries (ECC): Consequences and preventive strategies. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American
Academy of Pediatric Dentistry; 2024:89-92.

White BA, Monopoli MP, Souza BS. Catalyst Institute The Oral Health of Massachusetts’ Children January, 2008. Oral-Health-Of-Massachusetts-Children-2008.pdf 

Zaror C, Matamala-Santander A, Ferrer M, Rivera-Mendoza F, Espinoza-Espinoza G, Martínez-Zapata MJ. Impact of early childhood caries on oral health-related quality of life: A systematic review and meta-analysis. Int J Dent Hyg. 2022 Feb;20(1):120-135. doi: 10.1111/idh.12494.

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.