There is however apart from poverty as a determinant another determinant which is the lack of focus in the domain of ECC. Population vulnerability in children towards ECC even amongst the poverty filled condition groups is ignored and this has further led towards acting as a determinant to increase the chances of children getting afflicted with ECC as a condition.
As an unfortunate dilemma, the initial experience of dental check-up in indigenous population groups and poverty conditioned people and their children lies in treating the result of caries rather than offering any form of preventive care. As a matter of fact, regular visits to dental clinics are not norms for most children living in poor conditions in New Zealand. Also, perceiving that there is no importance of deciduous teeth and accepting that ECC are childhood based inevitable parts can pose a threat to adopt available strategies of prevention (Johnson, 1991). These challenges can get reduced through increased knowledge of the significance of oral health to the complete child well-being. It becomes essential therefore to start ECC prevention from the beginning especially during the prenatal stage of a child progressing through the period of perinatal and continuing with mothers and infant with regard to family context and during programs of preschool. Provided the evidence for cariogenic bacteria transmission vertically that is to the children from mother, involving women who are pregnant in screening on oral health, conferences on dental treatment and education is crucial in the domain of oral hygiene of health to bolster the early children’s nutrition (Horowitz, 1998). This encourages the use of fluorides as a preventive strategy helping in prevention of ECC or even in delaying it. Health care communities and not for profit organizations have a major role to play in bringing about a difference to early childhood caries as a diseased condition in children living under poor conditions.