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Baby Bottle Tooth Decay

Maintaining the health of primary (baby) teeth is exceptionally important.  Although baby teeth will eventually be replaced, they fulfill several crucial functions in the meantime.

Baby teeth aid enunciation and speech production, help the child to chew food correctly, maintain space in the jaw for adult teeth, and prevent the tongue from posturing abnormally in the mouth.  When baby teeth are lost prematurely due to decay or trauma, adjacent teeth shift to fill the gap.  This phenomenon can lead to impacted adult teeth, years of orthodontic treatment, and a poor aesthetic result.

Babies are at risk for tooth decay as soon as the first primary tooth emerges – usually around the age of six months.  For this reason, the American Academy of Pediatric Dentistry (AAPD) recommends a “well baby check up” with a pediatric dentist around the age of twelve months.

What is baby bottle tooth decay?

The term “baby bottle tooth decay” refers to early childhood caries (cavities), which occur in infants and toddlers.  Baby bottle tooth decay may affect any or all of the teeth, but is most prevalent in the front teeth on the upper jaw.

If baby bottle tooth decay becomes too severe, the pediatric dentist may be unable to save the affected tooth.  In such cases, the damaged tooth is removed, and a space maintainer is provided to prevent misalignment of the remaining teeth.

Scheduling regular checkups with a pediatric dentist and implementing a good homecare routine can completely prevent baby bottle tooth decay.

How does baby bottle tooth decay start?

Acid-producing bacteria in the oral cavity cause tooth decay.  Initially, these bacteria may be transmitted from mother or father to baby through saliva.  Every time parents share a spoon with the baby or attempt to cleanse a pacifier with their mouths, the parental bacteria invade the baby’s mouth.

The most prominent cause of baby bottle tooth decay however, is frequent exposure to sweetened liquids.  These liquids include breast milk, baby formula, juice, and sweetened water – almost any fluid a parent might fill a baby bottle with.

Especially when sweetened liquids are used as a naptime or nighttime drink, they remain in the mouth for an extended period of time.  Oral bacteria feed on the sugar on and around the teeth and then emit harmful acids. These acids attack tooth enamel and wear it away.  The result is painful cavities and pediatric tooth decay.

Infants who are not receiving an appropriate amount of fluoride are at increased risk for tooth decay.  Fluoride works to protect tooth enamel, simultaneously reducing mineral loss and promoting mineral reuptake.  Through a series of questionnaires and examinations, the pediatric dentist can determine whether a particular infant needs fluoride supplements or is at high-risk for baby bottle tooth decay.

What can I do at home to prevent baby bottle tooth decay?

Baby bottle tooth decay can be completely prevented by a committed parent.  Making regular dental appointments and following the guidelines below will keep each child’s smile bright, beautiful, and free of decay:

  • Try not to transmit bacteria to your child via saliva exchange.  Rinse pacifiers and toys in clean water, and use a clean spoon for each person eating.
  • Cleanse gums after every feeding with a clean washcloth.
  • Use an appropriate toothbrush along with an ADA-approved toothpaste to brush when teeth begin to emerge.  Fluoride-free toothpaste is recommended for children under the age of two.
  • Use a pea-sized amount of ADA-approved fluoridated toothpaste when the child has mastered the art of “spitting out” excess toothpaste.  Though fluoride is important for the teeth, too much consumption can result in a condition called fluorosis.
  • Do not place sugary drinks in baby bottle or sippy cups.  Only fill these containers with water, breast milk, or formula.  Encourage the child to use a regular cup (rather than a sippy cup) when the child reaches twelve months old.
  • Do not dip pacifiers in sweet liquids (honey, etc.).
  • Review your child’s eating habits.  Eliminate sugar-filled snacks and encourage a healthy, nutritious diet.
  • Do not allow the child to take a liquid-filled bottle to bed.  If the child insists, fill the bottle with water as opposed to a sugary alternative.
  • Clean your child’s teeth until he or she reaches the age of seven.  Before this time, children are often unable to reach certain places in the mouth.
  • Ask the pediatric dentist to review your child’s fluoride levels.

If you have questions or concerns about baby bottle tooth decay, please consult your pediatric dentist.

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Dr. Baltazar has been our family dentist for more than 20 years. In all that time, we have received only the absolute best quality care and treatment. His credentials, expertise and reputation are all impeccable.
Whether the treatment plan is simple or complex, he has always taken as much time as necessary to make sure we understand exactly what is to be done and why. We never feel like we're being rushed or being confused by complex technical jargon. One of my fears used to The Needle, but I am still continually amazed by his precise, gentle and deft administration of anesthesia. I actually sort of look forward to it!
His assistants and staff deserve praise, too. Both the front office staff and his technicians are always considerate, cheerful but also knowledgeable. Long-time office manager Cecilia has always been so helpful and friendly to us that we practically regard her as another family member.
Just as we came to Dr. Baltazar's practice by way of an enthusiastic recommendation from a trusted friend, we would not hesitate to recommend him to anyone looking for the best dentist in town.

Tim Scott and Linda Fetch

Dr. B.~ You have set a high bar of expectations for any dentist who treats me to attempt to reach. I cannot thank you enough for all of the outstanding care you have provided to me over these last few years. May the Lord bless you in the next 30 (or however many) years of your practice! With fond gratitude,

Margaret Lowing

You'll not find a more caring, personal dentist around! I've been going to him for over 10 years. My two young daughters even requested to go to him OVER their previous childhood dentist (who had video games and movies playing at all times) which says alot! Dr. Baltazar is a dentist you can trust with yourself and your family!

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