Current Theory of Baby Bottle Tooth Decay

A review of the current theory of baby bottle tooth decay, promoted by the American Dental Association, and what you need to know about it.

The Current Theory States

What causes baby bottle tooth decay?

Decay occurs when sweetened liquids are given and are left clinging to an infant's teeth for long periods. Many sweet liquids cause problems, including milk, formula and fruit juice. Bacteria in the mouth use these sugars as food. They then produce acids that attack the teeth. Each time your child drinks these liquids, acids attack for 20 minutes or longer. After many attacks, the teeth can decay.

It's not just what you put in your child's bottle that causes decay, but how often — and for how long a time. Giving your child a bottle of sweetened liquid many times a day isn't a good idea. Allowing your child to fall asleep with a bottle during naps or at night can also harm the child's teeth.

American Dental Association

What is True, and Untrue about This Decay Theory

It is true that if you feed your infant regularly sweetened liquids that it will cause tooth decay.

I support infants to be breastfed on cue.

Breast milk is not a sweet liquid which promotes decay.

Sweet liquids that do promote decay are:

  1. Store Bought Infant Formula's
  2. Any Type of Fruit Juice
  3. Rice Milk and/or Soy Milk
  4. For some cases: Pasteurized Milk

It is also true that the frequency of feeding of sweet foods (not breast milk) will impact significantly your child's dental health.

The reason is not because of sticky substances left on the teeth, but because tooth decay happens when there is a frequent rise and fall of blood sugar levels. The more often blood sugar is impacted by sweets, the more likely tooth decay will happen.

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  • When my 4 year old daughter's teeth began to have lots of tooth decay (for her age), we visited a few dentists and all of them were blaming me that I did not brush her teeth enough. But I did... Basically, they wanted to do dental anesthesia on her and repair all her cavities at once. My husband and I talked and decided not to put her through this. After all, she had no pain at all and her teeth did not bother her.

    I decided to take the matter into my own hands. I started researching about tooth decay, and stumbled upon Rami's web site. I even wrote to him, and he was very helpful. A while later, when his book was published, I bought it. I already knew about the diet from Rami's book, and I was implementing parts of it, but I guess that was not enough to protect my oldest daughter from tooth decay....

    This book gave me hope for my daughter's teeth - and now I know that we are responsible for our health. I have also forgiven the dentists who kept showing me how to brush her teeth, I mean, they don't know better...When I asked one of the dentists if my daughter does not have enough nutrients in the body, and that's maybe why her teeth decay (because the body takes all the essential nutrients from the teeth first), he disregarded it and said this could not be the case because all her teeth are formed very well. I did not argue with him, because I knew he was not taught anything about diet in his medical school. I just stopped going to dentists and now I try my best to follow the diet (for my daughter and rest of family) Rami outlines in his book.

    If you are discouraged and don't know what to do, get this book. I was very worried and upset about my daughter's teeth at first, but now I am actually very calm because I know I am doing the right thing.

  • Marina, Canada

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