Babies'
Dental Health
What's baby bottle tooth decay?
Baby bottle tooth decay is caused by the frequent and long-term exposure
of a child's teeth to liquids containing sugars. Among these liquids
are milk, formula, fruit juice, sodas, and other sweetened drinks.
The sugars in these liquids pool around the infant's teeth and gums,
feeding the bacteria that cause plaque. Every time a child consumes
a sugary liquid, acid attacks the teeth and gums. After numerous attacks,
tooth decay can begin.
The condition also is associated with breast-fed infants who have
prolonged feeding habits or with children whose pacifiers are frequently
dipped in honey, sugar or syrup. The sweet fluids left in the mouth
increases the chances of cavities while the infant is sleeping.
How can I prevent baby bottle tooth decay?
Never allow children to fall asleep with a bottle containing milk,
formula, juice or other sweetened liquids. Clean and massage the
baby's gums to help establish healthy teeth and to aid in teething.
Wrap a moistened gauze square or washcloth around the finger and
gently massage the gums and gingival tissues. This should be done
once a day.
Plaque removal activities should begin upon eruption of the first
baby tooth. When brushing a child's teeth, use a soft toothbrush
and a pea-shaped amount of fluoride toothpaste. Parents should first
bring their child to the dentist when the child is between six and
12 months old.
Will changes in my child's diet help prevent baby bottle tooth
decay?
Preventing baby bottle tooth decay involves changes in a child's
diet. A series of small changes over a period of time is usually
easier, and eventually leads to better oral health.
To incorporate these changes:
- Gradually dilute the bottle contents with water over a period
of 2-3 weeks.
- Once that period is over, if you give a child a bottle, fill
it with water or give the child a clean pacifier recommended by
a dentist. The only safe liquid to put in a bottle to prevent
baby bottle tooth decay is water.
- Decrease consumption of sugar, especially between meals.
- Children should be weaned from the bottle as soon as they can
drink from a cup, but the bottle should not be taken away too
soon, since the sucking motion aids in the development of facial
muscles, as well as the tongue.
Why should I be worried about baby bottle tooth decay?
Giving an infant a sugary drink at nap or nighttime is harmful because
during sleep, the flow of saliva decreases, allowing the sugary
liquids to linger on the child's teeth for an extended period of
time. If left untreated, pain and infection can result. Severely
decayed teeth may need to be extracted. If teeth are infected or
lost too early due to baby bottle tooth decay, your child may develop
poor eating habits, speech problems, crooked teeth, and damaged
adult teeth. Healthy baby teeth will usually result in healthy permanent
teeth.
This information was compiled for you by the Academy
of General Dentistry. Your dentist cares about long-term dental
health for you and your family and demonstrates that concern by
belonging to the Academy of General Dentistry. As one of the 37,000
general dentists in the United States and Canada who are members
of the Academy, your dentist participates in an ongoing program
of professional development and continuing education to remain current
with advances in the profession and to provide quality patient treatment.
Visit the AGD's web site at www.agd.org. To find a dentist, please
call 877/2X-A-YEAR (877/292-9327). You have permission to photocopy
this page and distribute it to your patients.
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