How to Prevent Tooth Decay in Children?

Dr. Gordon Tam • June 26, 2024

Many people pay more attention to adult teeth as the adult teeth will accompany us throughout the majority of our lifespan. While this is true, it is also very important to pay special attention to our baby teeth.

Toddlers who are teething at this stage, are also starting to take in semi-solids and converting from liquid to solid food. Our baby teeth play a vital role here to chew well so that the food get digested properly, and absorb nutrients for growth.

 

What causes tooth decay?

 

Tooth decay happens to children as well as adults.


To understand more about what causes tooth decay, we need to know how a tooth structure is like and how it gets the destruction from external factors. 


Tooth decay typically starts from the outer layer of the tooth (enamel). It is caused by bacteria and other things such as food that contains sugar that are left on the teeth. For a child, the most common ‘sugars’ are milk, sugary drinks, fruit juices, cereals and bread.


As our mouths naturally have bacteria, these bacteria will change the nature of the remnant of food trapped in between our teeth to produce acid. With the combination of bacteria, foo remnants, acid and our own saliva, a substance known as plaque is formed on our teeth. Over a period of time, the acid will corrode our tooth structure, mainly our enamel, resulting in tooth decay.


A child starts to change their baby teeth to adult teeth around 6 to 7 years old, the adult (permanent) teeth will accompany them for the rest of their life (a good 70 - 90% of their lifespan), it is very important to cultivate good oral hygiene. This starts from a proper habit to maintain their baby teeth healthy till the teeth-changing age.

 

Every tooth typically has 4 main parts

 

  1. Enamel - this is the outer layer (shell) of the tooth and it is also the hardest material in our human body
  2. Dentine - this is the second inner layer where the main part of the tooth is. It is the largest dental tissue
  3. Pulp - this is the soft tissue of the inner side of the tooth where nerves, and blood supply is. It has the ability to produce dentin.
  4. Root - this the important part of the tooth that helps to secure the tooth to our jaw

How does night milk causes tooth decay?

Milk contains high sugar contents. For children who have the habit of drinking milk in the middle of the night, they do not get the chance to rinse off the milk that remain in their mouths. In some cases, these children go to sleep with a milk bottle in their mouth, soaking their teeth in the milk throughout the night!

This is almost the same as sucking on a lollipop for a long period of time. We need a substantial time to dissolve a lollipop, that’s a lot of sugar-soaking time.

Symptoms of tooth decay in a child

These are some of the observations you may find when a child has tooth decay.

  • White spots appearing on the tooth surface. These white spots are a good indication that the enamel layer is breaking down. It is an early sign of tooth decay.
  • Discoloration of the affected area, tooth surface turning light brown
  • The cavity has gotten deeper as the affected area turns darker in brown or even to black
  • Sensitivity or pain reaction to temperature

The symptoms vary from child to child. Not every child will feel the same sensitivity, discomfort or react to the decay. Some children won’t even feel anything until their visit to the dentist. It is important to maintain good daily oral habits and routine dental checkups.

At Smile Design Dental Practice, we help you to monitor you and your child’s oral conditions. On every routine dental visit, our dentist will take intra-oral photographs to monitor the teeth conditions. Through the comparisons from these photos from previous and current visit, we can propose appropriate treatment for the child.

How do we prevent it?

We need to first establish proper oral hygiene, cleaning and adopt healthy oral habits. Prevention is always better than cure. We have also identified several common causes of tooth decay in a child.

For those children who already have early signs of tooth decay, parents have to identify the source of the problem, such as…

  1. Lack of proper brushing habits
  2. Falling asleep while drinking milk
  3. Drinking milk in the middle of the night (does not drink water to rinse off milk remnants)
  4. Daily diet - frequent consumption of juices and sugary drinks, candies and chocolate

Maintenance and prevention

  1. Cultivate good oral habits
  2. Avoid falling asleep with milk throughout the night
  3. Reduce consumption of sugary drinks,candies (especially lollipops) and chocolate
  4. Use cups instead of bottles to drink
  5. Go for regular dental checkup

We encourage all our patients including young children to maintain regular dental checkups. Dental issues can be easily picked up during the dental visits. It is better to solve dental issues while they are in the early stage, your child can possibly avoid feeling pain or discomfort and higher cost of treatments.

For more information and consultation, please contact Smile Design Dental Practice at +65 6463 8588.


To serve you better, we are available by Appointment Only

Please contact us to schedule for an appointment.

By Gordon Tam September 8, 2025
Pregnancy is a beautiful and transformative journey, but it also comes with unique challenges for a mother’s health—including oral health. Many expectant mothers don’t realise that hormonal changes, new dietary habits, and morning sickness can affect their teeth and gums. Because dental health is closely connected to overall health, neglecting it during pregnancy can have consequences for both mother and baby. This article explores the most common dental issues that arise during pregnancy, why they matter, whether you can safely visit a dentist during this time, and what steps you can take to protect your smile.
By Gordon Tam August 22, 2025
In recent years, lemon water has gone from a simple household drink to a global health trend. Wellness experts, celebrities, and fitness enthusiasts often recommend starting the day with a warm glass of lemon water. Many believe it boosts immunity, improves skin, aids digestion, and helps with weight loss. But how much of this is true, and how much is just hype? Let’s look deeper into the science behind lemon water and whether it’s as good for you as it seems.
By Gordon Tam August 16, 2025
Many people only visit the dentist when pain becomes unbearable - but by then, dental problems are often more serious, costly, and challenging to treat. Your oral health can silently deteriorate without apparent symptoms, so knowing the warning signs is essential.
By Gordon Tam August 5, 2025
Have you ever bitten down on food and suddenly felt a sharp, stabbing pain in one of your teeth? This uncomfortable sensation can be worrying, but it’s also your body’s way of telling you something isn’t right. Understanding the possible reasons can help you know when to see a dentist and prevent more serious problems.
By Gordon Tam July 29, 2025
Your smile is one of the first things people notice about you — but more importantly, it reflects your overall health and wellbeing. Whether you want to restore your dental health after years of neglect or enhance your smile's appearance, you’re not alone. Many people feel self-conscious about their teeth, but the good news is that modern dentistry offers numerous ways to help you regain your confidence and maintain a healthy, beautiful smile for years to come.
By Gordon Tam July 25, 2025
Most people are aware that they should visit the dentist regularly, but many underestimate the importance of these routine visits. A dental checkup is not just about keeping your smile looking good—it’s essential to maintaining your overall health and well-being. Here’s why you shouldn’t skip your regular dental appointments.
By Gordon Tam July 19, 2025
Most people expect dental problems to improve after treatment. A filling, a crown, a root canal — these are meant to solve the issue and relieve discomfort. But sometimes, a dental problem lingers despite repeated visits to the dentist. If you are stuck with persistent pain, sensitivity, or discomfort that never seems to resolve, you are not alone, and you do have options.
By Gordon Tam July 11, 2025
Facing a recommendation for complex dental treatment—such as root canal therapy, dental implants, orthodontics, or full-mouth rehabilitation—can be overwhelming. These procedures often involve significant costs, time, and long-term impact on your oral health. It is natural to feel uncertain or even skeptical. In such situations, seeking a second opinion is a wise and responsible decision.
By Gordon Tam July 4, 2025
Everyone notices a great smile. It radiates confidence, leaves a lasting impression, and can even change how you feel about yourself. The best part? You don’t have to be a celebrity to achieve one. With proper care and a few lifestyle changes, anyone can enhance their smile. Here’s a guide to some effective ways to improve your smile! 
By Gordon Tam June 18, 2025
Good oral health goes beyond just a white smile. Healthy teeth and gums are essential for overall well-being, as they help prevent tooth loss, gum disease, and even systemic issues such as heart disease.
Show More