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What is Baby Bottle Tooth Decay?
Decay in infants and children is called baby bottle tooth
decay. It can destroy the teeth and most often occurs in the
upper front teeth. But other teeth may also be affected.

What causes 'Baby Bottle Tooth
Decay?
As soon as a baby's first teeth appear—usually
by age six months or so—the child is susceptible to
decay. Decay occurs when sweetened liquids are given and are
left clinging to an infant's teeth for long periods. Many
sweet liquids cause problems, including milk, formula and
fruit juice. Bacteria in the mouth use these sugars as food.
They then produce acids that attack the teeth. Each time your
child drinks these liquids, acids attack for 20 minutes or
longer. After many attacks, the teeth can decay.
It's not just what you put in your child's
bottle that causes decay, but how often — and for how
long a time. Giving your child a bottle of sweetened liquid
many times a day isn't a good idea. Allowing your child to
fall asleep with a bottle during naps or at night can also
harm the child's teeth.
Guidelines for Preventing Tooth
Decay
Sometimes parents do not realize that a baby's
teeth can decay soon after they appear in the mouth. By the
time decay is noticed, it may be too late to save the teeth.
You can help prevent this from happening to your child by
following the tips below:
After each feeding, wipe the baby's gums
with a clean gauze pad. Begin brushing your child's teeth
when the first tooth erupts. Clean and massage gums in areas
that remain toothless, and begin flossing when all the baby
teeth have erupted, usually by age 2 or 2½.
Never allow your child to fall asleep with a bottle containing
milk, formula, fruit juice or sweetened liquids.
If your child needs a comforter between regular feedings,
at night, or during naps, give the child a clean pacifier
recommended by your dentist or physician. Never give your
child a pacifier dipped in any sweet liquid.
Avoid filling your child's bottle with liquids such as sugar
water and soft drinks.
If your local water supply does not contain fluoride (a substance
that helps prevent tooth decay), ask your dentist how your
child should get it.
Start dental visits by the child's first birthday. Make visits
regularly. If you think your child has dental problems, take
the child to the dentist as soon as possible.
over 40 percent of children already
have one or more cavities. Risk factors include:
• not brushing well
• drinking too much juice and milk
• eating a lot of junk food
• not visiting a dentist regularly
• getting a bottle or cup at night
Encourage Brushing & Flossing
• Brushing twice a day and flossing are necessary to
maintain healthy teeth and gums.
• A pea-sized amount of fluoride toothpaste for children
two and older is all that is needed.
• Make sure your child spits out the toothpaste rather
than swallowing it.
• For young children, select a child-size toothbrush
with soft bristles.
• Children should be able to brush alone by age seven.
• Replace toothbrushes every three to four months.
• Use floss as soon as the child has two teeth that
touch.
• Ask your dentist or hygienist to demonstrate proper
brushing and flossing techniques.
• Supervise your child’s brushing and flossing
until you are satisfied they are doing both properly.
Begin regular dental check-ups
every six months.
• Schedule the dental appointment for a time when your
child feels rested and cooperative. Avoid nap and mealtimes
if possible.
• Don’t let anyone tell your child scary stories
about dental visits.
• Don’t let your child know if you feel any anxiety
about going to the dentist.
• Don’t bribe your child to go to the appointment.
• Never use a dental visit as a punishment or threat.
• Do try to make your child’s dental visit an
enjoyable outing.
• Set a good example by taking care of your oral hygiene
and health.
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