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Prevent your children from Early Childhood caries Nursing Bottle Caries

The term describes a dental condition which involves the rapid decay of many or all the baby teeth of an infant or child. The teeth most likely to be damaged are the upper front teeth since they are the first teeth to erupt and thus have the longest exposure time to the sugars in the feeding bottle. Baby Bottle Tooth Decay is caused by long exposure of a child’s teeth to liquid containing sugars generally when the baby falls asleep with a bottle containing milk or juice or a pacifier dipped in honey. By the time the condition is noticed by the parents it may be too late and extractions of the decayed teeth may be necessary. As a result, your child may suffer from long term disorders which include speech impediments, possible psychological damage, crooked or crowded teeth, and poor oral health.

Early Childhood Caries (ECC) also known as baby bottle tooth decay or nursing bottle caries poses a grave threat to a child’s milk teeth and overall development.

The term describes a dental condition which involves the rapid decay of many or all the baby teeth of an infant or child. The teeth most likely to be damaged are the upper front teeth since they are the first teeth to erupt and thus have the longest exposure time to the sugars in the feeding bottle. The lower front teeth tend to be protected by the tongue as the child sucks on the nipple of the bottle or the breast.

Early Childhood Caries (Baby Bottle Tooth Decay) is caused by long exposure of a child’s teeth to liquid containing sugars generally when the baby falls asleep with a bottle containing milk or juice or a pacifier dipped in honey. The liquid pools around the front teeth. During sleep, the bacteria living in every baby’s mouth, turns the milk sugar or other sugars to acid which causes the decay.

By the time the condition is noticed by the parents it may be too late and extractions of the decayed teeth may be necessary. As a result, your child may suffer from long term disorders which include speech impediments, possible psychological damage, crooked or crowded teeth, and poor oral health.

A large volume of children we examine on a daily basis will fall under the category of early childhood caries hence a closer look at ECC is presented here.


Causative factors:


· Use of baby bottle at nap time(day or night)

· On- demand feed ( both by bottle as well as breast feeding) especially at night.

· Use of juices or aerated drinks in the nursing bottle.

· Poor oral hygiene measures.


Ramifications:

* General discomfort and pain sometimes leading to swelling and fever.
* Poor dietary habits as the child will prefer a soft diet. (And kids being kids most of the times this soft diet is sometimes sweet which adds to the problem).
* Sub optimal nutrition leading to poor overall growth.
* May sometimes affect the developing permanent tooth underneath (the permanent tooth may get discolored, deformed, etc.)
* Difficulty in acquiring speech skills in some cases.
* Probability of malocclusion on premature extraction of milk teeth.


Advice to parents:

* The first dental examination of a child by a dentist needs to be done when the first tooth arrives in the mouth and no later than the first birthday.
* Cleaning of tooth/teeth must begin as soon as the first tooth erupts.
* Use of nursing bottle at nap/bed time should be stopped as early as possible.
* Nursing bottle to be discarded around the first birthday (easier said than done but an effort should be done).
* Using of a cup for drinking to be done.
* Mid meal snacks to be avoided (for older kids).
* Child must be taught the use of dental floss as early as possible.
* Give plain water after a bottle of juice, milk, or formula (or when awake, sip on it for long periods of time as a pacifier).

For further reading you can log on to my website
– www.delhidentalcenter.com.

-- http://www.delhidentalcenter.com/pediatric_dentistry.php

Authors –

Dr. Amit Goswami.

Dr. (Mrs.)Vandana Goswami.
sponsored by: http://www.delhidentalcenter.com/knol/Preventyourchildrenfrom--EarlyChildhoodCaries(Nursing%20Bottle%20Caries).html

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