What are Baby Bottle Syndrome and Nursing Carries?

Early childhood caries, also known as baby bottle caries, baby bottle tooth decay, and bottle rot, is a syndrome characterized by severe decay in the teeth of infants or young children. Early childhood caries (ECC) is a very common bacteria infection. Its prevalence is epidemic; in the US its rate is highest in minority and rural populations, at times infecting over 70% of the children. A large body of scientific evidence indicates that ECC is an infectious and transmissible disease, with Streptococcus mutans the primary microbiological agent in the disease. The disease process begins with the transmission of the bacteria to the child, usually from the primary caretaker, the mother. Mothers with untreated dental disease present a very high risk to their children.

"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." The ADA adds, "It's not just what you put in your child's bottle that causes decay, but how often — and for how long a time.