instruction: hi doctor I think my 21 month old kid might have dental caries I think my daughter has an early childhood caries she has brown spots in the front four teeth at the back and a hole on one front tooth we brush her teeth twice daily so I have no idea how this has happened
output: hello the picture you have sent is not clear but yes early childhood cares is common in infants I understand your concern because you are taking good care by brushing twice for now I will suggest the following if she sleeps with a bottle in mouth you must be careful to remove her bottle and get her mouth rinsed at least with plain water only do rinse her mouth regularly with water after she has taken candies or any food rinsing mouth thoroughly is a good habit make her develop this habit notice and inform me if she has comparatively has less saliva if her oral cavity is sticky in touch rest all is fine and these are common in infants so nothing much to worry for cares as soon as corona effect are decreased get her cavity filled do send me a clear picture if possible