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Baby bottle cavity: solutions and treatments

Baby bottle cavities: what solutions?

Baby bottle tooth decay is characterized by the early appearance of cavities in babies and young children. This is due to a high consumption of sweetened liquids, and often occurs when the child falls asleep with a bottle filled with something other than water or when eating at night.

Good oral hygiene is essential from childhood onwards, and this helps to prevent what is also known as the baby bottle syndrome. These cavities are to be avoided, but there are solutions if your baby should nevertheless suffer from them. 

Discover everything you need to know about baby bottle tooth decayalso known as early childhood caries.

What is baby bottle tooth decay, or baby bottle syndrome?

Baby bottle syndrome is a common condition in young children, from 18 months to 4 years of age. 

In France, it is estimated that 11 % of children aged 2 to 4 years are affected by this disease. This syndrome manifests itself by extensive caries on the milk teeth. These cavities are initially shallow and painless. However, they can quickly progress, making the teeth sensitive and preventing babies from eating properly.

What causes baby bottle tooth decay?

The main cause of the bottle syndrome is an overconsumption of sweet liquids, such as milk, syrups or fruit juices. According to some people, breastfeeding is conducive to the development of cavities, but we explain thatthere is no direct link between the appearance of cavities and the fact that your baby is breastfed.

Prolonged contact of young children's teeth with sweetened liquids is an aggravating factor in baby bottle syndrome. Children who fall asleep with their bottles are more likely to develop early childhood caries.

Milk teeth have a very thin enamel layer and are more fragile than permanent teeth. Since they deteriorate more quickly, it is important to protect them as much as possible.

Baby bottle cavities: 3 solutions to avoid them

  1. Avoid unnecessary sugar intake

There's no need to forbid your child from taking a bottle, just give it sensibly. Bottles with sugary drinks should not be given throughout the day, nor should they be used as a comfort to fall asleep at night. If your child can't do without a bottle at bedtime, simply fill it with water. It's important to get children used to drinking water from an early age.

The transition to solid food should not be delayed, to limit the risk of bottle decay.

  1. Adopt good oral hygiene

Cleaning teeth at an early age is the best way to prevent baby bottle tooth decay. It is important to get young children used to taking care of their teeth.

You can start cleaning babies' teeth with water-soaked pads. Then gradually switch to using a fluoride toothpaste depending on your child's age.

From the age of 2, you can provide your child with an age-appropriate toothbrush and accompany him in this process.

  1. Visit the pedodontist regularly

In addition to daily brushing, a visit to the dentist from the age of 2 onwards allows for the early detection of oral problems and their effective treatment. In fact, regular follow-up by the dentist helps prevent your child's bottle syndrome from getting worse.

Visits to the pedodontist are therefore recommended every 6 months, as cavities develop rapidly.

Good oral health helps preserve children's teeth, and healthy baby teeth will help the development of permanent teeth.

2 treatments against baby bottle tooth decay

At the first sign of baby bottle tooth decay in your child, see a dentist right away.

Fluoride treatment

If the disease is managed as soon as the first spots appear, an application of fluoride gel can slow down the evolution of cavities.

The basic fluoride treatment must obviously be complemented by new tooth brushing habits and a reduction in the consumption of sugary drinks.

Dental extraction 

In the case of very extensive lesions, it is more complicated to treat baby bottle cavities. The solution used in this case is therefore extraction, often under general anesthesia.

This operation is not trivial since it poses problems of mastication, pronunciation, and even language learning until the appearance of permanent teeth.

Be reassured, cavities on baby teeth are not transmitted to permanent teeth, except for very important lesions or untreated abscesses.

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Pediatric dentistry is all about working together for the well-being of your children!


Do you have a question? Dr. Adriana Agachi is at your disposal!

+33 (0)1 84 17 77 47

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