Overview
Baby bottle tooth decay is the rapid decay of an infant or young child’s teeth caused by frequent, prolonged contact with liquids containing sugars. It most often affects the upper four front teeth. The problem typically develops when a baby falls asleep with a bottle or while breastfeeding, so the sugary liquid pools around the front teeth and reacts with mouth bacteria to cause decay.
Causes
The common thread is teeth bathed in sweet liquid for long stretches, especially overnight.
- Bottles of formula, milk, soda or juice at bedtime
- Long periods of sipping from a bottle as a comforter
- Breastfeeding on demand through the night
- A pacifier dipped in honey
Symptoms
- Decay concentrated on the upper front teeth
- White or brown spots on the tooth surfaces
- Pitted or crumbling teeth
- Pain, sensitivity or sore gums
Prevention
Never let a baby fall asleep with a feeding bottle; if needed, offer plain water instead. Avoid all-day sipping from a bottle, wipe the gums with a clean cloth after feeds, and brush the teeth twice a day with a soft baby toothbrush. Make sure the child gets appropriate fluoride and see a dentist once the first tooth appears.
Treatment
Early changes may be halted with better feeding habits, cleaning and fluoride. More advanced decay is treated by a dentist, who may restore or, if badly damaged, remove affected teeth. Regular dental visits help catch problems early and keep the teeth strong.