Early childhood caries (ECC) has been reported to reduce a child's quality of life. [1][2][3][4][5][6] Several questionnaire-based studies have found that more parents of children with ECC report that their child had dental pain and a decreased ability to chew compared to parents of children without ECC. 1,5 To reduce oral pain and improve masticatory function, it is ideal to treat and restore salvageable carious teeth as well as to extract non-restorable and/or abscessed primary teeth. Parents are, however, frequently concerned that their child's ability to chew may be compromised after comprehensive dental treatment, especially when the treatment involves multiple extractions. 7 Current studies reporting the improvements in the oral symptoms and masticatory function in children after dental treatment are largely based on parental reports. 1-3 White