I told my client I would post on Lactnet with the hope that someone would
have some new advice.

Baby is 6 months old and just got her first 2 top teeth. The mom works full
time and dad bottle feeds all day then mom nurses for all other feeds. Dad also
brings baby to mom to nurse at lunchtime 3 x per week. The bottle feeding has
been going on for 2 months and there have been no breastfeeding problems.

Mom now has a deep indentation on her left breast that is obviously from one
tooth. Baby does not appear to be biting but the tooth is causing injury. This
has been ongoing for 2 weeks before I saw them.

I suggested holding baby's head closer in to breast, changing positions to
see if has to do with the way the mouth falls in the cradle position that is
causing the dent, and treatment with APNO (she already had a Rx for it) for the
actual wound.

My thought was perhaps the injury happened as the tooth was coming in and
baby was very uncomfortable and maybe gnawing on her. Maybe if the injury was let
alone to heal the problem would not continue because the teeth are now fully
in and not causing discomfort in the baby. But since mom works full time she
is not wanting to give up any of her nursing time at home to pump and let the
injury heal.
She is also hesitant to try many other positions because she is afraid of
developing dents all around the nipple. Everything else looks great...latch,
position and nursing was pain free before the eruption of the teeth.

Any thoughts, suggestions? What advice would you all have given? What
questions would you ask? Thanks so much! Heather Dana

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