Putting a baby to sleep with a pacifier or bottle may seem soothing, but it is one of the most common causes of early tooth decay in infants — medically known as Pacifier Bottle Tooth Decay or Early Childhood Caries.

This condition occurs when liquids such as milk, formula, or fruit juices remain in prolonged contact with a baby’s teeth, especially during sleep.

Why Does It Happen?

During sleep, saliva production decreases significantly. Saliva normally helps cleanse the mouth and neutralize acids. When sugars from milk or juice stay on the teeth, oral bacteria feed on them and produce acids that attack tooth enamel.

Over time, this leads to rapid and severe decay, usually starting on the upper front teeth and potentially spreading to the back teeth if left untreated.

Warning Signs Parents Should Not Ignore

Dentists often identify this condition by brown or black stains near the gum line. If not addressed early, it can cause:

• Tooth pain

• Difficulty feeding

• Oral infections

• Long-term effects on speech development and alignment of permanent teeth

Unfortunately, many parents notice the problem only when visible damage has already occurred.

How to Prevent Pacifier Bottle Tooth Decay

Pediatric dental experts recommend:

• Never putting your baby to sleep with a bottle or pacifier containing anything other than water

• Gently wiping the gums with a clean, damp cloth after each feeding

• Starting gentle tooth brushing as soon as the first tooth erupts

• Scheduling the first dental visit by the age of one year

Visit Ledismile Clinic

🦷 Visit Ledismile Clinic for an early dental check-up for your baby and receive professional guidance on oral care from the very first months of life.

ℹ️ This article is for educational purposes and aims to raise awareness about children’s oral health. For personalized advice, always consult a pediatric dentist.