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Seeking Advice on "Nursing" Caries

Sara's wrought with worry over a nursing caries situation.  Any advice, please?!?

I'd like to ask if any Mama's have had to take a very young child to a pediatric dentist for extensive "nursing" caries. I saw one thread regarding the first dental visit, but it sounded as if those babies might have been much older than mine.

I co-sleep and night nurse my 12 month old son. Last month a very small pit, confirmed to be a cavity, developed in one of his upper front teeth. Over the last few weeks, while waiting to take him to the follow up exam, all four of his front upper teeth have become ravaged with decay. They are noticeably being eaten away. I am going crazy with worry over every aspect of this, the knee jerk "night nursing" diagnosis, the idea of him being strapped down to fill cavities, the idea that they might not even fill them or that it may be too late, the risks of general anesthesia, the cost, the slow referral/appointment/interview process in light of the very rapid decay. Not to mention the guilt. Or the numerous opportunities for emotional scarring. I am losing a lot of sleep, and can not seem to find much information. I plan to call the La Lecher League this week in hopes of finding a pediatric dentist who might be able to offer us options, or support, but if any of the Mama's have suffered through this and have any suggestions or referrals I would very much appreciate them.

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I'm so sorry to hear what you and your baby are going through! I have not had any experience with this, but I do have the name of a great pediatric dentist. Her name is Dr. Krista Badger and she is located right across from the Hollywood Bowl. Her number is 503-288-5891.

I cannot say enough wonderful things about how great her whole staff is in making visiting the dentist as fun as possible. She also has a 17 month old daughter so I think she can very much relate to what you're feeling.

I hope this helps and please let us know if find out any more information on this condition.

Rosanne

Sara, I'm so sorry. I feel for you and your small person. I could have written your post myself. My son Sam had exactly the same situation at 12 months. It sucks, and the rate at which that dentin (tooth matter) goes makes it that much more alarming. But try not to beat yourself up. It's probably nothing you did or didn't do. I wonder if you have an early teether like mine. Sam had four teeth at four months and those were the teeth effected eventually.

We also co-sleep and while he'd always nursed once (not continuously)during the night, he had never had juice or bottles, sugary snacks, we brushed. I couldn't figure it out and it happened so fast! We too made an appointment immediately after seeing the little spots on his two front teeth and had lost tooth matter in the month it took to get in to see someone.

The first pediatric dentist we went to informed me (after spending less than five minutes with us and having never met us before) that I had to stop nursing period. We fired him. When we went to see Dr. Badger (she rocks!) she explained that while night nursing wasn't helping, it also wasn't causing the problem. According to her, some kids just have a biochemistry that makes their enamel extra weak. It doesn't mean that they'll continue to have the problem with their next set, but you'll have to be extra dilligent. Also, if you're not doing floride drops or chewables now, I'd recommend it. We opted not to and while I know quite a few kids who don't and have no teeth problems, since we started it ours have become a thing of the past.

In our case, there was no question Sam's teeth were going to have to come out but that didn't make it any easier. I agonized about it. Dr. Badger had suggested we wait as long as possible to allow them to grow out of the gum more to avoid more invasive procedures. In the process two more of Sam's teeth were effected. I worried about the anesthesia, I worried about his ability to eat, would it affect his speech when he started talking...you name it, I worried.

What we found, (and what I wish for you!) is that all that worry was for naught. At 19 months Sam had the teeth out, was nursing within minutes after being out of the recovery room and seemed in no way traumatized then or now. In fact, while he hadn't been overly fussy or cranky before, he seemed so relieved.

Sam's almost three now and is decay-free so hang in there. I'd be happy to talk to you more about it too if you like.

Take care, kym

It's greatly helpful that both of you have recommended the same person. I'm going to call Dr. Badger first thing in the morning (I'm trying very hard not to call right now) and try to get in as quickly as they'll see us.

Thank you both. And thank you, Kym, for relating your own experience with this. I'm still worried sick, and anxious to know what's going to happen to my sweet little boy, but reading about your happy Sam has helped immensely.

Sara,

I don't even like to remember back to when I first realized we had this cavity problem. My daughter, Lily, has been treated by Dr Noel Larson at Pediatric Dentistry by the Hollywood Fred Meyer. They do an in-office sedation and composite fillings which beats the hospital. We went to Dr Badger but she was leaving to have her baby when Lily needed the work done.

Lily was 2 1/2 (she is now 5) before we realized what a problem we had -all but 2 teeth in her mouth needed filled (15 teeth). If you want to check out all the options please inquire about the sedation as it was such a relief to me that we would not have to go to the hospital and she would not be traumatized by the experience. She still thinks they were just brushing her teeth for her.

I wish I had had this resource when I was dealing with this. We went to at least 5 different dentists looking for the right solution. One wanted us to just wait till they fell out, another wanted to strap her to a board and start drilling and another would not even touch that many cavities. I cried at every office we went into.

We are now doing fine. We brush diligently and use a Xylitol rinse and gum. I am hesitant with the flouride. If you do some research (www.keepersofthewell.com) you may be also.

I wish you the best, Jen

Jen,
I had this problem with my son Fionn as well. I thought we were the only ones in the world it had ever happened to, and I felt horrible! I am a preschool teacher, and when I started asking around in my school, I realized it is a widespread, common situation. In our case it was clearly caused by a combo of weak enamel + night nursing. The 4 front teeth were affected, the most damaged tooth was the one where the milk settled at night on the right front tooth. We have been to Pediatric Dentistry more than once, and really like Dr. Larson as well. Fionn had the 4 front teeth capped, and this year (at 4 yrs. old) we had to pull the worst tooth, which was an amazingly easy process. We put the sad looking little stump under his pillow for the tooth fairy so he wouldn't miss that rite of passage. He is thrilled to have "lost a tooth," and feels like such a big boy! It's all okay now, (and it will be for you guys too.)
Now I'm nursing my 2nd baby, and will religiously "wipe down" her teeth before she falls asleep. When she gets teeth. I sure wish all the nursing literature I read as a new mom mentioned that! Instead, the only article I could find on tooth caries ("nursing" caries, or "bottle rot") was in an old Mothering Magazine that assured me that nursing does not cause tooth decay. Well, it's clear that it contributed, and that little piece of advice, (the "wipe down") could have helped so much. I'm so glad you have this forum. One thing...I was told by many that weak enamel and caries are not indicative of problems with the adult teeth. We're banking on it!

I'm sorry to see that so many of you have run into this problem...sounds so scary! We're not running into any of this, but I'm reading this and wondering about a few things to watch for with my Anders...

How old were your kids when you noticed the spots on their teeth? And what exactly did you see that raised your red flag?

We can barely get a good enough look to see if new teeth are coming through, much less to check the condition of the existing ones! So we brush twice a day as well as we can and hope everything's ok...

Hiya NoPo Mama!
With Fionn, I noticed a golden looking gap between the tooth and the gumline, just big enough to get a fingernail in. As it turns out, brushing at night after the last nurse is the best prevention. We had been doing our best brush of the day in the mornings.
So now you know. You're set!

I noticed Sam had these little brown spots, almost shadows actually, on the front on his two front teeth at about 13 months. He had such a powerclamp on that top lip whenever we'd try to get in there, maybe he'd had them awhile before that, but not too long.

A technique Dr. Badger showed us that might help you get a better peek in there is to sit facing another adult, knee to knee. With your munchkin in your lap or their's, facing you, you can lay them back with their head on your partner's knees. For us, we found the person not holding Sam was able to get the best look/angle to brush. Sam wasn't super crazy about it, but it sure helped us get stuff we had to done.

Thanks for the info on keepers-of-the-well, Jen. I, too, was really hesitant about floride (which is why we chose not to fill the prescription our doc gave us at 6 months) but watching my son's teeth rot out of his head made us desperate. Looks like good info there and I'm glad your daughter's doing well on xylitol.

kym

Well, I went in to see Dr. Badger this afternoon. She said that it was a case of "night nursing." The youngest person she's actually treated for this was 18 months, and the age at which she prefers to do work is 2 years.

She doesn't think his teeth will last that long.

Even though I swore off fluoride a while back, after freaking myself out with internet research, I've decided I'm going to take her advice and use the topical, brush-on fluoride. This at least seems more reasonable to me than making him eat it. I'm also going to try to night wean, even though it breaks my heart.

We have another appointment in three months. With any luck, the decay will have slowed down, the teeth will have grown out more, and we'll be able to wait another three months until he's 18 mo. Or, if the decay continues to progress as it has been then he will lose his teeth.

It sucks.

It started as a very faint marbling of whites. His teeth looked bright and shiney white to everyone else, but being able to see him in a variety of different lights, and looking at him almost all day, I was very clearly able to see mottling. Then a little dot showed up on the one tooth; a very small, white hole. It stayed white for a very long time, and then about a month ago turned the golden-brown color. At that point the decay became very rapid. I think this golden color is the color of active decay. The most common places to find decay, I've read, is the back of the upper-front teeth near the gum line, followed by the front of the upper front teeth, across the gum-line. It's easy to miss, because you may wind up thinking that you're looking at the top of the teeth, but you can't really see the gum line without lifting the upper lip. Also, having good light makes a difference.

I think it's important to get the teethies looked at as soon as they erupt. I'd asked his pediatrician if I should see a dentist when his teeth came in, and she'd told me it wasn't necessary until 3 years or so. Now I wish I'd done it anyway. Obviously.

Thanks for all of the support, Mama's. It's helped me quite a bit. If anyone has any suggestions on night-weaning a co-sleeping 12 month old, I'll be wide awake all night.........

I want to thank everyone who contributed their stories to this post. We have been fortunate that this has not occurred (at least yet) in our household (I have a part-night co sleeping 11.5 month old who had been nursing twice per night). This post was just the stimulus I needed to suffer through our night wean.

After reading the posts, I turned to my Dr Sears book on "night weaning". He simply said that it is OK to be tough (I was actually surprised at that!) and that it would be a difficult several nights. It has been about 4 nights so far, and our daughter has now slept through until 5:30 without awakening. We have simply had to suffer through some mad crying, but I know that it is for the best. When it is really bad, I simply leave the bed and she settles down within about 5 minutes.

With regards to fluoride, as a physician, I simply followed (without questioning) the recommendations of my pediatrician. I did speak to my mother-in-law who is a German dentist (everything over there is more naturopathic/homeopathic driven) when my daughters teeth started coming in, and she felt very strongly that the benefits of fluoride (which they provide to children in pill/elixir form also) greatly outweighed the risks.

In short, because of the night wean, I myself am much happier. Last night I slept the first consecutive 7 hours in almost a year! And the icing on the cake is that now I know that it is best for the health of my little girl.

Thanks for all the posts on this topic -- we have an appt. with Dr. Badger (that we made a few weeks ago) due to the pediatrician noticing some discoloration in our 9-month son's teeth. We may be in the same boat as many of you -- reading your stories makes me less worried about what's ahead.

Sara,

We had a similar situation with our daughter Mila. We took her to her first dental appointment at one year and discovered some cavaties.

We also had a horrible experience with the first dentist. He insisted that we need to have oral surgery done.

First of all, nursing is unlikely to be the cause of this. I recommend you check out this article in Mothering magazine for more info:

http://www.mothering.com/articles/growing_child/child_health/cavities.html

Second of all, get a second opinion. We talked with a few dentists and settled on Dr. Allan Pike - http://www.doctorpike.com/

He capped Mila's teeth in the office to stop the decay - no surgery, no anesthesia, no straps. Now that Mila is older - 4 - we have had one of the caps removed and the cavity filled.

Perhaps more importantly, we have a dentist who listens, a dentist communicates well with us, and we have a daughter who looks forward to seeing the dentist.

We have also used Dr. Morish, who is in the same office. She also has a positive bedside manner for parents and child.

Best of luck,

Tony

I didn't see the updates from Sara until after I posted my comment.

Thanks for your support, Tony. It still helps! I read that article and it did relieve some of the guilt that was reinforced by the dental visit.

I'm still planning on getting a third opinion from someone recommended by the La Leche Leage. If Dr. Pike is on their list then he will be my first choice.

And, with three months to wait, I actually may get a fourth opinion. Maybe that seems like overkill, but it's better than doing nothing. And maybe we'll find out something new. Dr. Badger wasn't really all that supportive of nursing.

Thanks again! I'm still reading and finding comfort from everyone's stories.

My 2 front teeth were pulled when I was ten months old. I was born without the enamel coating on those two teeth (the others were fine, though). The only emotional trauma I could be said to have from this is from teachers who forced me to sing that horrible, horrible song every holiday -- All I Want for Christmas is my Two Front Teeth! I promise the only lasting effect from all this is an intense hatred of that song.

Best of luck to you and your boy!

An update:

Since my visit with Dr. Badger last Monday I've quit night nursing, have upped the tooth brushing to 6 times per day, and have started using fluoride for one of those brushings. Much to my dismay, the little one's teeth have gotten worse even over such a short period of time. Since I'd already taken all the advice that Dr. Badger had to give me, and since it was obvious that his teeth would not survive the 3 month wait for our next appointment, I took my son for a third opinion.

Tony and the La Leche steered me to Allen Pike, who I saw this morning.

He was WONDERFUL.

Very kind, very in-tune to my 12 month old child, and best of all he had a course of action. He put an iodine solution on the wee one's teeth, coated them in a fluoride varnish, provided me with information on how to arrest the tooth decay, and set me up with another appointment in just a month.

His goal was not to just wait, wait, wait until all the work can be done under GA, but to halt the decay TODAY with the intent of postponing restoration until it can be done safely.

I can finally feel my heart pumping again.

So, thank you all for your advice and your support. It has been far more helpful that you could imagine. I'll give some small updates as I learn more about what's going to happen, since future Mama's (and Dada's) might also turn to this site for information. What a resource we have here. It just blows my mind. Thank you!!

I've been using this particular page as my soothing balm; my nearly-2-year old daughter has to have her front teeth pulled (and have extensive work on her molars done), and my husband and I are agonizing over it. Kym Snow, if you're out there, I would REALLY love to talk with you about your expirience with your son's teeth extractions. PLEASE HELP!!! I'm a Seattle mama, so the number is (206) 527-2031, or email please at [email protected] Thanks so much!

Thanks to everyone who is sharing this heart rending situation. My daughter Kate is 16 months old and her top four front teeth are rotting. I feel awful. Yesterday she got the flouride varnish and we are brushing after every "meal". I guess I have to stop night nursing and really would love some tips on that -- it feels daunting and cruel as she has always fallen to sleep at night by nursing and she has an ear infection, so is nursing more than usual these days (that won't last long but as everyone has lamented -- the decay is rapid!!). Thanks for any good advice. I am so happy to have found this forum!! Katie's Mama

I just got back from my 8 year old sons semi annual dental exam. Since we saw a new dentist I had to give his dental background as if it wasn't obvious from examining his teeth. He was 2 when diagnosed with nursing caries and subsequently lost one tooth, has had several fillings, 3 root canals and, two crowns. His 7 year molars just came in and look GREAT! But, we are still battling the decay from the baby teeth. The nerve under one of his crowns is shrinking and he might end up loosing that one also. But it's lasted this long!!! One of the old fillings showed further decay so we scheduled another crown. Once again I am left with that horrible guilty feeling.
I too nursed and co slept my child at night until he was two and we discovered the damage to his teeth. We started by not offering night time feedings but still sharing a bed. This was hard and he cried us awake for a while. Once he got used to no feedings (1 night) we then made him a sleeping area next to our bed. He was expected to sleep next to our bed and not allowed in our bed. This wasn't as hard but he still protested a little. Works best if Dad helps enforce the rule. After he was used to sleeping by himself and soothing himself to sleep we transitioned him to his ‘big boy room’. We made a big deal out of re-decorating it and talking it up to everyone in his ear shot. He started falling asleep in his new big boy room but would still wonder in to our room and I would find him sleeping next to our bed again. Eventually he did stay in his own room.
With my next child I never started the co sleeping night time feedings. I got a big comfy nursing chair I used for night nursing and once the baby was done I put him right in his own bed. Not as convenient, but neither is extensive painful dental visits.
Some people prefer the cold turkey method of just putting them right to their own bed and letting them cry it out. I heard this only takes one or two nights of crying. Whatever your tough enough for will work eventually if you stick to it. The key is to not give in. Giving in confuses them and makes them think if they cry load and long enough you will cave in. Just remember you have to be tough because it's best for them. This might be the first learning experience in setting healthy boundaries. Next it will be a debate over why he can’t stay up all night playing video games. Although the reasons are more obvious its consequences aren’t as painful.

My daugher just had her first appointment with Dr. Pike. What a great experience!
Now, I am just kicking myself that I didn't take her in sooner.

I worried about her teeth; they had some mottling and never the same sheen as he older brother. I pointed out a few grey spots to our "grown-up" dentist and he said they were nothing. Oh how I wish I had not taken his word for it and waited another year to see Dr. Pike: She has 1 cavity that must be filled and 9 cavities we can delay filling with due diligence concerning habits and treatment.

Anyway, I highly recommend Dr. Pike. He is thorough, considerate, and compassionate.

Best of luck to everyone else dealing with this issue.

when I read the postings, it was as if I was reading my own son's story. He is 17 month's old and breastfeeding (count nght nursing). His tooth cleaning started with the very first one and it was shocking when we discovered that he had developed caries on his top 2 teeth whe he was 14 month's old. The first ped dentist that we took him to didnt even look at his mouth and blamed everything on breastfeeding. This really made me angry and we just didnt bother to go back. He did warn us that tooth decays very fast and unless I did something to night nursing, I would lose his teeth.

My husband felt strongly that we should stop night nursing and tried to handle the night feeding by staying with him. It was difficult the first one week but then when I thought the situation was taken care of, my son had diarrhea and stopped eating or drinking. So I had to begin night nursing again. By 17 months one tooth just chipped away leaving a stub, the top right tooth, the other is in a bad state and now all the 4 top tooth have caries. I have just been blaming myself for losing that tooth. after many visits to different dentists', I have finally found one who talks sense and is going to probable do a varnish to prevent further decay. But she gently warned me that prevention is better than cure and good hygiene and good nutrition should be the objective and not repair of the tooth.

I have decided to stop night nursing because even after all that reading, i feel the milk did pool in the mouth, coz the side that he usually used to sleep nursing is the tooth that was rotten away and when i changed the position, i notice the other one has become affected. this of course may not been the only factor but I see this happening and I have to do something about it.

I will definitely post any of the treatments suggested. Unfortunately, I cannot recommend any doctor to this group as I do not live in US.

Hi everyone,

It has been both sad (that so many have these issues) and reassuring to read all these posts. My son is two and for the last year we have been carefully watching three teeth that have had decay and now have cavities. we did the varnish and brushed twice a day. We also co-sleep and the little guy nurses about every two hours at night. I have done extensive research and though I don't want to believe it, I feel the night nursing contributes to the decay. My son has never had sugar or white flour, etc. so now, we are on to the night weaning which I am so scared about. I am going to use Dr. Sear's methods because I trust him but I am still broken hearted. Our pediatric dentist said she would use valium and then do the fillings with our son "sedated". Has anyone done this and if so, how did it go? I am terrified. Plus, they say to do the procedure he cannot nurse or eat for 8 hours prior so we feel we have to night wean before we can get the work done. i can't imagine not allowing him to nurse at night for the first time prior to an appointment involving valium and fillings! That just seems crazy. Any advice?

Thanks,
Alexis

PS- does anyone have a good reccomendation for a pediatric dentist in SF?

Thanks!
Alexis

PS- does any know of a great pediatric dentist in SF?

Thanks!
ALexis

Hi there.. I'm a student dental hygienist actually doing a project regarding the importance of educating expectant mothers about "baby bottle tooth decay" when I stumbled upon this post. I am astounded as to how many people simply do not know of this condition until it is too late. Just thought I'd clarify a few things:

-the reason that this decay occurs is because milk (breast milk included) contains lactose which is a sugar. Putting a child to bed with a bottle or allowing them to fall asleep at the breast allows milk to pool around the teeth for a prolonged period of time... kind of a long story, but bacteria that live in the mouth produce acids in the presence of sugar (like lactose)which dissolve the minerals that make up a tooth. Basically you get the same effect if milk is left in the mouth as if pop was left (sugar is sugar). After repeated demineralization of the tooth, eventually permanent damage to the tooth structure results (a cavity). To prevent this a child should never be put to bed with a bottle containing anything other than water, and nursing should be discontinued once theyve finished eating (don't let them continue to lie at the breast all night).

-Ideally all children should see a dentist when their first tooth arrives but no later than their first birthday.

-Fluoride is a naturally occuring ion that in therapeutic levels helps with the remineralization process of the tooth and combats decay. Fluoride is very useful in proper amounts but you must be careful to only administer a pea sized amount on a toothbrush to prevent consumption, as well, if you have fluoridated water talk to a dentist before giving your child additional fluoride supplements as over-fluoridation can lead to fluorosis which poses an aesthetic problem later in life.

-Also, we now recommend that brushing should not take place immediately after eating(during the acid attack) because it is now known that the minerals from the tooth will be brushed away and not given a chance to remineralize back into the tooth. Most acid attacks last about 20 minutes so it is safe to brush after that time frame.
Giving water or cheese after any sugar product (milk, juice, of candy) can also help to bring up the PH and stop the acid attack and consequent demineralization.

-Last but not least, baby bottle tooth decay should be taken seriously...it can affect the permanent teeth if allowed to progress to a point when there is an infection resulting in an absess. An infection of a primary tooth can interfere with the maturation of an adult tooth and cause lifelong aesthetic and functional problems.

Hope this isn't too confusing, its one in the morning and I'm pretty exhausted! Lots of good information can be found regarding this issue on the ADA (American dental association) website. Good luck everyone, remember oral health is an important part of your childs overall health!

Here's another factor in the tooth decay "game" (our little guy, now 5, has had 3 cavities filled despite brushing twice/day religiously w/Tom's kiddie flouride t-paste for years). Our old dentist told us that other factors in addition to genetics and night nursing (which we did until age 1.5) can weaken enamel: being a preemie and running very high fevers under the age of 1, both of which he has. Just to keep it in perspective...

hello!
These posts have been extremely helpful. I have had the worst day after going to the dentist with my 16-month-old this morning. I thought he had chipped his tooth from a fall and wanted it looked at. I was horrified when the doctor said it's nursing caries. I co-sleep and night nurse him and am feeling horrendously guilty no matter how much everyone is telling me not to. I brush his teeth twice a day and he has a very healthy diet. I am also shocked at how rapidly the decay seems to be taking over. Both of his eye teeth are affected. His two front teeth look good THANK GOD! Our dentist put a flouride varnish on them and then we are going in for him to "cap" them soon. I am scared the decay will go too far before he's able to do this. I want to go right NOW!! We are night-weaning him which breaks my heart, but I do feel it's best after getting many opinions on the subject. I will still nurse him during the day.
Off for now - would love any advice!!
Feeling like a horrible mom,
Kim

My no-sugar, organic food-eating son had exactly these situations, plus a cavity that absessed (at age 3); it went from "my tooth feels funny" to the entire side of his head swollen in about 45 minutes; also a tooth that died resulting in an absess in the gum above. Our homeopathic dentist said the same thing happened to his child; from the holistic perspective, dental problems can be indicative of deeper problems in the body. After various workups by various professionals, we determined that our boy's pH was very, very acidic, he had very high levels of electrolytes, ammonia, nitrates, and blood glucose and other nasty stuff going on that was also leading to lots of colds and body aches. Once we got his system balanced out (high alkaline diet [lots of greens daily], drinking water first thing daily to flush his system, homeopathic calcium [Weleda makes an am/pm formula specifically for teeth strengthening], enzyme supplements, things generally straightened out. He did have teeth pulled, fillings and sealant done to protect the health of remaining teeth. His general health really improved with the diet change and supplements, and even now (at 8 years old), he can tell fairly immediately if he's out of wack (tomato sauce and citrus make his whole mouth and throat really uncomfortable and if his body gets achy he asks for broccoli). So, even if folks go the more conventional route with healthcare, I think it's always good to work with naturopaths, homeopaths or traditional Chinese medicine practioners as an additional form of support.

Thanks Andrea - great information. I agree with you - the body make-up has so much to do with all of this. I nursed my other child exactly the same way with lots of night nursing and his teeth are in excellent condition so it is so obvious that this has more to the subject than just nursing too much at night. Thankfully, our dentist agrees with this and we are taking the least invasive approach. We are night- weaning our little guy and he's doing great with lots of cuddling and sips of water instead of nursing. Then, right after I nurse him during the day, I brush his teeth. The decay seems to have stalled a bit - just Cannot wait to get in to fix this before it spreads any more. These posts are helping SO much. The guilt is overwhelming - feeling likeI could have prevented this so easily! Here I was thinking the more nursing the better and meanwhile his little teeth were taking a hit. UGH!
More advice would be greatly appreciated!
kim

There is a line of xylitol products that helps balance mouth PH levels. Some of the products combine xylitol and fluoride. It is called Carifree and my kids have used it and so has my husband. It is a little spendy, but might be worth a try. I cannot say it is a miracle cure, but my husband's bacteria count has gone way down. My daughter seems to be doing well with it, too.

Thank you for bringing up this its a god subject to explore,keep posting!

florence

i'm also looking for a dentist reco for the bay area... thanks everyone for posting your stories

for those of you who got fillings - did the dentist put your kid completely under?

Blogs are so informative where we get lots of information on any topic. Nice job keep it up!!

I just had a dental implants treatment in Los Angeles yesterday and reading this post is a huge break. Aside from learning many things here, I'm also able to share the tips with my sister-in-law who's experiencing the same problem with her little boy. I'm so grateful with loving mothers who shared their experiences here.

Dental appointments do not limit any age range as long as there is a tooth or teeth involved. No one is too old or too young to see a dentist. It's actually advised that as early as possible, children should have a regular dental check-up to better monitor their teeth as they grow older.

Seeking Advice on "Nursing" Caries <--------- that's what i was looking for

Oh, Sara, I commend your patience in continually searching for a better solution to your baby's condition. You're such a great and loving mom. Considering different opinions from other doctors is a wise idea. It's true: different dentists have different treatments for each disease.

Hi, I am just so gutted at the thought of not nursing my little girl (now 2) in the nights any more. I dont want to do this, she loves her feeds and in this insecure world these little ones need to feel close to mummy. Please there must be some other way that she can be protected from these caries? Help:-o

There is nothing more painful than a toothache. When it hurts the child, you should be active and immediate to bring her to a dentist.

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My daughter is 3 1/2. She recently had 11 cavities capped while under GA in the hospital (outpatient surgery). This has indeed been a nightmare for us. She breastfed until 20 months; she didn't night nurse or fall asleep with a bottle of anything -- I think the term "nursing caries" should be changed. some kids get caries in their baby teeth even without night nursing. Making moms feel anything but wonderful about breastfeeding is detrimental, IMHO. I do wish we had known two things: 1) wipe her teeth after every feeding and 2) get her to a dentist as soon as a tooth appears.

She is now complaining that her teeth hurt and winces in pain after about 2 bites of food. We're plying her with the softest foods possible and supplementing with PediaSure (which I don't like to use--hopefully it will be short-term). The dentist saw her last week and says that he sees no sign of further decay under those caps, so we should just wait. I may give it another 24 hours before I find another dentist.

this blog has been very helpful. I'm going to try some of the flouride and more natural applications people have mentioned here.

Thanx for a very interesting web site. Where else could I get that kind of info written in such an ideal approach? I have a undertaking that I’m just now working on, and I’ve been at the look out for such information.

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