Chewing difficulties, malocclusion, restriction of communication because of poor speech and loss of space for succeeding teeth cause functional difficulties (3). Psychological problems arising from aesthetic dissatisfaction may compromise
a young child’s smile, leading to low selfesteem. Learning difficulties could follow as a consequence of the physical and psychological impact leading to intellectual limitation and handicap. Dental pain and necessary treatment can have
adverse effects on the developing psyche of a young child and cause fear and aversion toward future dental treatments (4). In addition, for children experiencing ECC the risk for developing future dental caries is increased