Joylyn provided some good advice and links to her helpful article.
I, too, wrote an article on this topic a few years ago. You can read
it at http://www.llli.org/llleaderweb/LV/LVAprMayJun06p27.html
There were lots of references at the end. Some web sites cited no
longer work today.
Unfortunately, a very helpful online resource at the time from
Calgary, Alberta, Canada, called the "Lift the Lip" Campaign, doesn't
seem to be available any more. It had good photos for parents
showing exactly what early childhood caries looks like in all the
stages, and it taught how to assess the baby's mouth by "lifting the
lip" to check teeth status.
Here are a few more current on-line resources that may be helpful:
http://www.mchoralhealth.org/OpenWide/index.htm
This has a 2004 copyright.
> This curriculum offers health and early childhood professionals
> information to help them prevent tooth decay, which still afflicts
> many U.S. children, especially children from families with low
> incomes, children in certain minority groups, and children with
> special health care needs. The modules present professionals with
> information about tooth decay, risk factors, and prevention;
> explain how to perform an oral health risk assessment and oral
> health screening; and highlight anticipatory guidance to share with
> parents.
>
Ramos-Gomez, FJ et al. "Caries Risk Assessment Appropriate for the
Age 1 Visit (Infants and Toddlers)". California Dental Association
Journal, Vol. 35, no. 10, October 2007.
Has extensive discussion of assessment and parent teaching of 1 year
olds.
http://www.cda.org/page/Library/cda_member/pubs/journal/jour1007/
ramos.pdf
The next article should have been titled, "Lack of Association
Between Infant Breastfeeding and Early Childhood Caries..." But
might be ammunition to take to the dental visit.
Hiroko Iida, DDS, MPHa, Peggy Auinger, MSb, Ronald J. Billings, DDS,
MSDa, Michael Weitzman, MDc,d
Association Between Infant Breastfeeding and Early Childhood Caries
in the United States
PEDIATRICS Vol. 120 No. 4 October 2007, pp. e944-e952 (doi:10.1542/
peds.2006-0124)
http://pediatrics.aappublications.org/cgi/content/full/120/4/e944
Anne Altshuler, RN, MS, IBCLC, LLLL
Madison, WI
> Date: Sun, 4 Jul 2010 19:56:58 -0400
> From: Elizabeth Swift <[log in to unmask]>
> Subject: breastfeeding and cavities
>
> My 13 month old granddaughter has what appears to be the beginnings
> of cavities in two of her upper incisors. She was exclusively
> breastfeed for nearly 8 months and since getting solid foods has
> had a pretty healthy diet. She was receiving sweetened baby style
> yogurt once a day until this problem appeared. Other than that she
> rarely (like on her birthday) had anything with refined sugar other
> than once a day cheerios. Her diet has mostly been fruits,
> vegetables, cheese, and meats. She will be seeing the pediatric
> dentist this week and my daughter is concerned that they will
> insist she be night weaned (she currently still nurses at least 2 -
> 3x per night.
>
> I've e-mailed my LLL APL, have looked at what LLLI has on the
> subject, gone to Dr. Brian Palmer's website. Everything I'm
> reading says that breastmilk is not cariogenic, but my daughter
> says that what she's seeing looks like the pictures of beginning
> nursing bottle mouth. Does anyone know what the official position
> of the dental society is on this issue? Do you know of more recent
> studies than the late 90's early 2000?
>
> I'm not convinced that what she's seeing isn't a defect in the
> enamel of the tooth, but we'll know more after her dentist's visit
> on this week.
>
> So does anyone have any input on cavities in breastfed babies? My
> own daughter, who had really poor teeth by most standards never had
> a cavity before she was 4 or 5, but she did have a dysplasia of the
> enamel in one of her top incisors that showed up as soon as the
> tooth had fully erupted.
>
> Is there any sure connection between low vitamin D status and
> cavities? The doctor didn't have my gd on vitamin D, but had her
> mom taking extra vitamin D instead, only she was not always
> faithful to do so. My granddaughter was born in the spring after
> my daughter had spent the entire winter in an office job and so was
> never in the sun. In addition, she was not much of a milk drinker,
> so most of her vitamin D intake in the pregnancy was from her
> prenatal vitamins.
>
> Any thoughts?
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