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Baby Bottle Decay - Pediatric Dentists: Metrotown Tower, Burnaby (Greater Vancouver)
When babies or children nurse or drink from a bottle, the milk, juice or fluid they drink remains concentrated around the upper area. Once children have their upper front teeth, these teeth can be at risk of developing decay early due to the concentration of fluid and especially if the drinks have a high sugar content.
 
The frequency and type of drink is the most important factor. Juices are the worst as they are acidic and high in sugars. Milk also contains natural sugars, and although it can also promote decay, it is much less a factor. When we go to sleep, we produce less saliva, which normally protects teeth and washes away any sugars. A bottle just before bedtime will cause decay much more than a bottle given during the day.
 
Frequency: when we eat or drink, the sugars in foods combine with plaque bacteria and cause the mouth to become acidic. This allows for the progression of tooth decay. After an average of one to three hours, saliva will neutralize the acidity and wash away any remaining food. At this time the mouth becomes neutral or basic (the opposite of acidic) and the enamel can be repaired and decay process stopped. If the mouth remains acidic during the greater period of the day, then decay will result.
 
How can it be prevented?
Most problems are seen in children that frequently drink juice from a bottle during the day and/or drink juice from a bottle just before bedtime.
 
Some simple steps to prevention:
  • Wipe baby teeth with a soft cloth or toothbrush as soon as the teeth are erupted
  • Limit the frequency of juices given by a bottle during the day, especially as the children grow older. Dilute juices with water.
  • Do not give juice in a bottle at bedtime. If you do, try to substitute with water or give afterwards to wash away the excess sugars.
  • Check your child's front teeth regularly and call our office if you see any dark brown or black spots that do not wipe off.
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