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View spanish version, share, or print this article. Baby teeth are important. If baby teeth are lost too early, the teeth that are left may move and not leave any room for adult teeth to come in. Also, if tooth decay is not prevented, it can be costly to treat, cause pain, and lead to life-threatening infections.
Tooth decay called early childhood caries is the most common chronic infectious disease of childhood. Tooth decay may also be called nursing caries or baby bottle tooth decay. Healthy dental habits should begin early because tooth decay can develop as soon as the first tooth comes in. Here is information for parents and caregivers from the American Academy of Pediatrics about causes of tooth decay, signs of tooth decay, and how to prevent tooth decay.
Tooth decay develops when a baby's mouth is infected by acid-producing bacteria. Parents and caregivers can pass bacteria to babies through saliva. For example, bacteria is spread by sharing saliva on spoons or cups, testing foods before feeding them to babies, and cleaning off a pacifier in the parent's or caregiver's mouth.
Tooth decay also develops when the child's teeth and gums are exposed to any liquid or food other than water for long periods or frequently throughout the day. Natural or added sugars in the liquid or food are changed to acid by bacteria in the mouth. This acid then dissolves the outer part of the teeth, causing them to decay.
The most common way this happens is when parents put their children to bed with a bottle of formula, milk, juice even when mixed with water , soft drinks soda, pop , sugar water, or sugared drinks. It can also occur when children are allowed to frequently drink anything other than water from a sippy cup or bottle during the day or night. Milk should be served only with meals and not offered throughout the day, at nap time or at bedtime.