Dental Health Matters! | Health Trends in Early Childhood Education (ECE) – February 2026

Trend

  • Tooth decay and untreated cavities are common infections that cause pain and keep children from playing and learning. Children continue to suffer needlessly because tooth decay is largely preventable.

Explanation

Children miss about 34 million school hours annually due to acute dental problems and unplanned dental care.

Tooth decay is more common than asthma.

Children from families with low incomes have more untreated cavities due to:

  • Lack of resources to pay for care
  • Lack of transportation to a clinic
  • Inability to get time off from work 
  • Physical disability or other illness

Sadly, these patterns have remained the same since they were first reported over 25 years ago (2000 Oral Health in America: A Report of the Surgeon General.)

Impact

Children with tooth decay suffer from difficulty eating, poor nutrition, delayed physical development, and poor self-image and socialization. Although largely preventable, if untreated, tooth decay leads to pain, inflammation, and the spread of infection to bone and soft tissue.  Untreated cavities can cause brain abscesses, requiring hospitalization.

Both children and adults have died from untreated dental disease. (See Tragic Results When Dental Care Is Out Of Reach | FRONTLINE | PBS | Official Site | Documentary Series)

Health and housing security are closely intertwined

Action

Celebrate National Children’s Dental Health Month:

Graphic with colorful squares showing children and the text ‘National Children’s Dental Health Month.’

Raise awareness about the importance of dental health in February and every month!

Start Healthy Habits Early (See Good Oral Health Starts Early: AAP Policy Explained – HealthyChildren.org)

Promote healthy tooth behaviors for babies:

  • Do not put a baby to bed with a bottle at night or at naptime.
  • Do not let a baby use a bottle filled with a sweet drink
  • Do not dip a pacifier in anything sweet like sugar or honey

Promote nutrition and oral hygiene habits for preschool children:

  • Children’s nutrition choices are tightly linked to their oral health. Ideally, limit frequent snacking and sugary beverages, as both contribute to cavities.
    • Avoid sticky foods like raisins, fruit snacks, and gummy vitamins
  • Encourage supervised toothbrushing with fluoride toothpaste (See Fluoride for Children: Parent FAQs – HealthyChildren.org)
    • For children < 3 years, brush their teeth as soon as they appear by using fluoride toothpaste in an amount no more than a smear or the size of a grain of rice
    • For children 3-6 years, use a pea-sized amount of fluoride toothpaste
    • Brush teeth thoroughly twice per day for two minutes (use a timer or play a song)
    • Supervise children and assist with toothbrushing until age 7 or 8
  • Share only the facts about the benefits of drinking fluoridated water:

Caregivers: Rethink Your Drink! 

Many popular drinks contain sugar and acid. Sugar, acids, and artificial sweeteners can weaken your teeth. How often you drink them matters to your teeth and smile.

Establish healthy bedtime rituals:

Logo with three icons—a toothbrush, a book, and a bed—above the words ‘Brush, Book, Bed.’

Informational flyer titled ‘Brush, Book, Bed: A Routine to Structure Your Child’s Bedtime,’ featuring icons and photos of children, along with tips for brushing teeth, reading together, and establishing a bedtime routine.

BBB_handout_Jan2023.pdf

Access Preventive Dental Care

Maintain regular well-child visits:

Medical providers can perform oral health screening to detect signs of dental decay and apply fluoride varnish to the primary (baby) teeth of infants and children at every visit.

“First Dental Visit by the First Birthday”

The American Academy of Pediatric Dentistry, American Dental Association, and the American Academy of Pediatrics all agree that children should have their first dental visit by their 1st birthday or within 6 months of their first tooth eruption, whichever comes first.

Credible Resources

American Academy of Pediatrics, Healthy Children:

Listing of oral health resources for families

American Academy of Pediatric Dentistry (AAPD):

American Dental Association (ADA):

Free materials to celebrate and promote children’s dental health, not only during the month of February, but all year long

Centers for Disease Control and Prevention (CDC):

Oral Health Facts | Oral Health | CDC

Early Childhood Education Linkage System (ECELS):

Information and resources on dental care, finding a dentist, toothbrushing, and more

Healthy Teeth, Healthy Children (HTHC) – PA Chapter American Academy of Pediatrics

Office of Head Start

PA Coalition for Oral Health (PCOH):

Free materials relating to water fluoridation, tooth decay prevention and more

PA Promise for Children:

References

School Hours Lost Due to Acute/Unplanned Dental Care. American Academy of Pediatric Dentistry (AAPD)

2024 Oral Health Surveillance Report: Selected Findings Centers for Disease Control and Prevention

Oral Health Surveillance Report: Dental Caries, Tooth Retention, and Edentulism, United States, 2017–March 2020. Centers for Disease Control and Prevention. U.S. Dept of Health and Human Services; 2024.

Oral Health in America Executive Summary National Institutes of Health. 2021.

Does oral health influence school performance and school attendance? A systematic review and meta-analysis. International Journal of Paediatric Dentistry. 26 October 2018.

If We Care About Learning, We Must Care About Kids’ Oral Health. Paula Izvernari.  LA School Report. January 20, 2026.

Maintaining and Improving the Oral Health of Young Children. Pediatrics (2023) 151 (1): e2022060417. 

Oral health in America: A report of the Surgeon General U.S. Department of Health and Human Services. 2000.

About Child Trends in Early Childhood

Welcome to Health Trends in Early Childhood, the monthly release from The Pennsylvania Key, focused on trending health issues related to children birth to age five and their families and caregivers.

Each month, find information about a recent health trend, learn why it is important, discover the impact it has on children, their families and caregivers, and the community, as well as actions we all can take to ensure the health and well-being of children in our communities. Also, find reliable resources to learn more about the issue.

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Disclaimer: This is the most updated information at release time. The information in Health Trends is not a Pennsylvania regulatory requirement for early childhood providers. Pennsylvania early childhood providers with regulatory requirements should contact their Cert rep or the Bureau of Certification.