Last Updated on January 12, 2022 by Dr Gustavo Assatourians DDS


The eruption of the first deciduous teeth in babies occurs approximately during the first six months. At this time, complementary feeding in addition to breast milk begins, as well as the use of a bottle with formula for more extended periods of time, either by the amount of ounces they require to cover their nutritional needs or used by parents or caregivers to reassure children during daily hours.  Feeding the baby from 0 to 6 months – CCM Salud, means that these deciduous teeth are continuously exposed to drinks or foods  containing sugars and can be damaged in their external structure due to tooth decay. Bottle Tooth Decay – American Dental Association ( BOTTLE CARIES


The mechanism of tooth decay in this stage is directly caused by the prolonged contact of these sugars with tooth enamel, and if there is no proper hygiene, as constant as the number of times the child feeds, cavities will occur.


The most frequently affected surfaces are the visible surfaces of the anterior teeth.   However, posterior teeth may also be affected, and it is important to establish oral hygiene routines from the appearance of the deciduous teeth, as well as reducing the amount of sugars babies ingest in food, whether natural or processed.


In babies up to 3 years of age, hygiene can be carried out by the parents or caregivers, with gauze or cloths that clean the surfaces of the teeth and gums, removing the remains of ingested food, always immediately after consumed them.   Later when the infant has a certain ability to use a brush, they can resort to using these in appropriate sizes for their teeth.   Up to 6 years of age, children will need reinforcement in dental hygiene after brushing performed by themselves because they do not yet have the ability to do it properly. In the same way, the use of toothpaste is recommended from 3 years of age, the age at which the child is capable of spitting so as not to ingest remains of fluoride from toothpaste.

The most important care to avoid  the type of cavities generated indirectly by the use of the bottle range from Baby Bottle Tooth Decay | Dental Associates

Reduce the amount of sugar ingested per serving, using more amounts of water, for example, or avoiding sweetening what is consumed.

 Do not allow the baby or infant to sleep with the bottle in the mouth or with a pacifier because direct contact is generated between the teeth and the sugar solution, which produces a greater risk of tooth decay.

Avoid drinks or natural or processed foods with excessive amounts of sugar, such as fruit juices.

Avoid natural and even more processed foods that are sticky like toffee, bananas, etc.

If it is not possible to avoid the consumption of such foods or beverages with the presence of sugars or sticky consistency, try to perform dental hygiene as soon as possible.


It is important to visit the dental health professional for the evaluation and indications from the appearance of the first teeth, the use of fluoride applications at an early age will be evaluated by the specialist according to the risk factors to which the child is exposed.


If you have any questions about this or other topics, you can contact us at Channel Island Family Dental as well as our Facebook page. We look forward to your visit and will make a timely diagnosis. Our dentists in Oxnard, Newbury Park, Santa Paula, Ventura, and Port Hueneme will be able to guide you towards the best treatment to take care of your health and return your best smile.


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