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Are Baby Bottles Bad for Baby Teeth?

Posted on February 27th, 2023

Tooth decay in infants and very young children is often called baby bottle tooth decay. This happens when liquids with natural or artificial sugars remain in an infant’s mouth for extended periods of time. Bacteria in the baby’s mouth thrive on these sugars, using them to produce acids that attack the teeth and gums. Today, Perinton Dental Group would like to share some information about baby bottle tooth decay and how to prevent it.

What Not to Do

Children whose pacifiers are dipped in sugar, honey, or syrup and those who are given bottles of sugary concoctions for naptime or bedtime comfort are at increased risk of tooth decay due to the decrease in natural saliva flow during sleep. Even fruit juice, milk, and formula contain natural sugars that can wreak havoc on tiny teeth while your little one slumbers. Here are some helpful “don’ts” for avoiding baby bottle tooth decay:

  • Don’t fill bottles with sugar water or soda. Bottles should only be for milk, water, formula, and pediatric electrolyte solutions.
  • Don’t allow them to go to sleep without wiping or brushing their gums and teeth.
  • Never give your child pacifiers dipped in anything sweet.
  • Reduce the sugar in your baby’s diet, especially between meals.

Baby Teeth Are Important

Although baby bottle tooth decay usually affects the upper front teeth the most, other teeth can be affected as well. Some folks underestimate the importance of baby teeth, but they are actually very important for children’s health and development. Not only are baby teeth necessary for chewing, speaking, and smiling, they serve as placeholders for permanent teeth that come later. Left untreated, baby bottle tooth decay can result in pain, infection, and premature tooth loss.

When children lose teeth prematurely because of baby bottle tooth decay, they may develop poor eating habits, speech problems, crooked teeth, and damaged permanent teeth. The chances that the permanent adult teeth will also be crooked and unhealthy are greatly increased by the presence of baby bottle tooth decay.

What to Do

Starting a good oral hygiene routine early can help keep baby bottle tooth decay at bay:

  • Wipe your baby’s gums with a clean, warm washcloth after each feeding.
  • Begin brushing your baby’s teeth with a baby-sized toothbrush, without toothpaste as soon as they come in.
  • Clean and massage the gums in areas of your child’s mouth that do not have teeth.
  • Once baby teeth have come in, begin flossing between them.
  • Make sure your child is getting enough fluoride. You can begin using fluoridated toothpaste around age three. If your local water supply does not contain fluoride, ask your dentist or doctor if a supplement would be appropriate.
  • Start regular dental visits by your baby’s first birthday. If it seems necessary, ask about sealants, which can help prevent tooth decay.

How Do I Break Bad Habits?

It’s never too late to change those bad habits. Start today by:

  • Gradually diluting the contents of bottles with water over a period of 2-3 weeks.
  • After 2-3 weeks have passed, fill bottles with only water.
  • Switching from a bottle to a pacifier at night before bedtime.
  • Establishing a nightly oral hygiene routine so they never go to sleep with a sugary mouth.


Remember, the healthier your child’s baby teeth are, the more likely their permanent teeth will be healthy, too. If you have any questions about baby bottle tooth decay or would like to schedule a visit for your little bundle of joy, contact Perinton Dental Group today!

The content of this blog is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of qualified health providers with questions you may have regarding medical conditions.

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