Cavities in toddlers (children between the ages 1 to 3) — also known as early childhood caries—are more common than many parents think. At Drs. Nicolas & Asp Centers, it’s not uncommon for our pediatric team to treat and care for toddlers with early signs of tooth decay.
The good news? With timely and appropriate care, cavities can be treated effectively—preventing pain, infection, and long-term dental issues. Our team of board-certified specialist pediatric dentists is highly trained to treat children in a safe, gentle, and reassuring manner, using techniques tailored to their age and needs.
See also
Early childhood caries: Is your child at risk?
Why Do Toddlers Get Cavities?
Baby teeth may be temporary, but they play a vital role in your child’s ability to speak clearly, eat properly, and guide the healthy development of permanent teeth. Toddlers are especially prone to cavities for several reasons, including:
Because baby teeth—also known as primary or milk teeth—have a thinner enamel layer than adult teeth, they’re more susceptible to acid attacks from plaque. As a result, cavities in toddlers can develop and spread quickly. That’s why early detection and treatment are so important.

White, brown, or black spots on the teeth are common signs of cavities
Signs Your Toddler May Have a Cavity
Early cavities don’t always cause pain—so it’s easy for them to go unnoticed. But there are subtle signs to watch for, including:
See also
What Are the Early Warning Signs of Cavities in Children?
Even if your child doesn’t complain, cavities can still be present. That’s why regular dental check-ups are essential—they help catch problems early, before they become painful or harder to treat.
How Pediatric Dentists Treat Cavities in Toddlers
The treatment plan depends on your child’s age, the extent of the decay, and how many teeth are affected. Common options include:
Fluoride Treatments
If a cavity is caught very early (when it appears as a white spot), fluoride varnish may help remineralize the enamel and stop the cavity from growing. This treatment is quick and painless.
Dental Fillings
For small to moderate cavities, a pediatric dentist will clean out the decay and restore the tooth with a tooth-colored filling. This helps preserve the tooth until it’s ready to fall out naturally.
Stainless Steel or Zirconia (White) Crowns
If the cavity is large or affects multiple surfaces of the tooth, a crown may be needed. Stainless steel crowns are commonly used for back baby teeth, while white (zirconia) crowns are often chosen for front teeth for a more aesthetic look.
Pulp Therapy (Baby Root Canal)
If the cavity has reached the nerve of the tooth, pulp therapy may be necessary. The dentist removes the infected pulp tissue and seals the tooth to prevent further damage.
Tooth Extraction (Only if Necessary)
In severe cases where the tooth cannot be saved, it may need to be removed. Space maintainers might be required to ensure proper spacing for the adult teeth to come in.
Can Cavities in Toddlers Be Prevented?
Yes, cavities are highly preventable with good oral care habits and regular dental visits. Here’s how you can protect your child’s smile from an early age:
When to See a Pediatric Dentist
If you notice any signs of cavities, or if your child hasn’t had their first dental visit yet, it’s time to see a pediatric dentist. Early treatment not only saves the tooth but also helps your child build lifelong positive dental habits.
At Drs. Nicolas & Asp Centers, our pediatric dental specialists are trained to treat children gently and effectively. From the first check-up to advanced care, your child’s smile is in good hands.
Call 04 394 7777 and book your child’s dental check-up today. Let’s keep those little teeth healthy and strong.