16 doctors weighed in:
What is baby bottle tooth decay?
16 doctors weighed in

Dr. Abel Loredo
Dentistry
7 doctors agree
In brief: Baby Bottle Decay
The cardinal sign of baby bottle decay is rampant decay over the incisor area of a child's dentition.
The reason why this is allow to happen is because nobody is watching. If parent are brushing and flossing their child's teeth every night and every morning, baby bottle caries would be non-existent. It is not like the dirty diaper that screams to be changed. A parent's daily watchful eye is needed.

In brief: Baby Bottle Decay
The cardinal sign of baby bottle decay is rampant decay over the incisor area of a child's dentition.
The reason why this is allow to happen is because nobody is watching. If parent are brushing and flossing their child's teeth every night and every morning, baby bottle caries would be non-existent. It is not like the dirty diaper that screams to be changed. A parent's daily watchful eye is needed.
Dr. Abel Loredo
Dr. Abel Loredo
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3 comments
Dr. Johanna Fricke
The other culprit is a bedtime milk bottle, without wiping out baby's mouth or brushing a toddler's teeth.
Dr. Abel Loredo
I am in agreement that putting a child to bed with a milk bottle or putting him to bed by brestfeeding him without cleaning the teeth is the actual mechanism that causes the bottle caries, but more important than that is a parent that is so oblivious about what is happening inside their children's mouth. The first time they seem to pay attention is when the child is screeming with dental pain. If we can educate parents to be vigilent, by daily brushing & flossing their children's teeth and being familiar with how their children's teeth look, they would be able to catch any dental problems ealy enough to prevent the massive damage cause by bottle caries. The first line of defense to bottle caries is parents that are involved in brushing and flossing their children's teeth before they go to bed and in the morning. This responsibility should not be left to children.
Dr. Robert Kwok
Pediatrics
6 doctors agree
In brief: Front teeth cavities
Cavities form on teeth when the outer enamel is damaged by acids from bacteria or acids in the food or drink.
After the enamel is damaged, a cavity reaches the inner part of the tooth, which is not as tough. Then, the tooth dissolves away more easily. Let babies use bottles only during meals or snacks, and don't let any child walk around with a drink (minimize teeth's contact with food/drink).

In brief: Front teeth cavities
Cavities form on teeth when the outer enamel is damaged by acids from bacteria or acids in the food or drink.
After the enamel is damaged, a cavity reaches the inner part of the tooth, which is not as tough. Then, the tooth dissolves away more easily. Let babies use bottles only during meals or snacks, and don't let any child walk around with a drink (minimize teeth's contact with food/drink).
Dr. Robert Kwok
Dr. Robert Kwok
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Dr. James Ferguson
Pediatrics
4 doctors agree
In brief: Enamel loss
When a baby bottle feeds, the suction bathes the front of the mouth & teeth with sugar which germs on the teeth eat and break down to an acid that will dissolve the enamel.
A water rince after feeds helps reduce the effect, and moving to a sippy cup bypasses the teeth(as long as it is a hard spout, not the soft rubbery ones). Letting a baby lay down with a bottle is an invitation to decay.

In brief: Enamel loss
When a baby bottle feeds, the suction bathes the front of the mouth & teeth with sugar which germs on the teeth eat and break down to an acid that will dissolve the enamel.
A water rince after feeds helps reduce the effect, and moving to a sippy cup bypasses the teeth(as long as it is a hard spout, not the soft rubbery ones). Letting a baby lay down with a bottle is an invitation to decay.
Dr. James Ferguson
Dr. James Ferguson
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Dr. Irwin Berkowitz
Pediatrics
3 doctors agree
In brief: Leaching of enamel
Babies who fall asleep at the bottle or breast or babies who constantly have a bottle in their mouths with formula, juice or milk may end up with extensive decay of their baby teeth.
The acid in these fluids may dissolve the enamel of the teeth.

In brief: Leaching of enamel
Babies who fall asleep at the bottle or breast or babies who constantly have a bottle in their mouths with formula, juice or milk may end up with extensive decay of their baby teeth.
The acid in these fluids may dissolve the enamel of the teeth.
Dr. Irwin Berkowitz
Dr. Irwin Berkowitz
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Dr. Randolph Todd
Dentistry - Endodontics
In brief: Decay from milk
Children do not swallow the last sip of milk from the bottle as they fall asleep.
This milk pools in their mouth and provide nutrients to the bacteria normally found in the mouth. The metabolic acids created by the bacterial demineralize the teeth and create massive amounts of decay. Giving the baby a sip of water before falling asleep may dilute the milk and minimize the risks.

In brief: Decay from milk
Children do not swallow the last sip of milk from the bottle as they fall asleep.
This milk pools in their mouth and provide nutrients to the bacteria normally found in the mouth. The metabolic acids created by the bacterial demineralize the teeth and create massive amounts of decay. Giving the baby a sip of water before falling asleep may dilute the milk and minimize the risks.
Dr. Randolph Todd
Dr. Randolph Todd
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Dr. Howard Schneider
Dentistry - Pediatric
In brief: Severe early decay
More correctly know as early childhood caries, it is one of the most emotionally and physically devastating oral diseases.
It causes severe, rapid decay of an infant's teeth. Often the 4 upper front teeth may need to be extracted by age two and pulpotomies (baby root canals) and stainless steel crowns placed on the back teeth. The good news is it is 100% preventable with proper infant care.

In brief: Severe early decay
More correctly know as early childhood caries, it is one of the most emotionally and physically devastating oral diseases.
It causes severe, rapid decay of an infant's teeth. Often the 4 upper front teeth may need to be extracted by age two and pulpotomies (baby root canals) and stainless steel crowns placed on the back teeth. The good news is it is 100% preventable with proper infant care.
Dr. Howard Schneider
Dr. Howard Schneider
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