Information in this section pertains to all global PEN® partners except where country flags are
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Disease Etiology
Early childhood caries (ECC) has multiple etiologies (1). ECC is considered a preventable, infectious bacterial disease of primary dentition (1,2).
Screening/Diagnosis
ECC are diagnosed when there is a presence of one of more decayed (non-cavitated or cavitated) teeth, missing teeth due to caries, or non-cavitated or cavitated filled tooth surfaces in a child at the age of 72 months or younger (3). In children younger than three years, smooth-surface caries are