Response to Horowitz: research issues in early childhood caries

Interest in early childhood caries (ECC) remains strong internationally, yet a name remains elusive. Baby bottle tooth decay (BBTD) was widely recognized by non-dental health professionals--a factor to consider in choosing a more appropriate name. Due to limits in historic data, progress against the disease remains difficult to determine. As reflected by Dr Horowitz's list of recommendations, a focused agenda is not at hand on research leading to specific interventions. We also struggle to develop a specific set of interventions suitable for public health settings. In the absence of research-based effective interventions, I hope we do not withdraw from efforts to reduce ECC.