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Lactation Information and Discussion <[log in to unmask]>
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Fri, 10 Dec 1999 05:46:08 EST
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Sorry to hear that dentists are still recommending that infants be weaned at 
one year because of the risk of infant caries.  The following recent articles 
should help change those recommendations - you should be able to get copies 
of the articles from any dental school library:

1 - Pamela R. Erickson, Elham Mazhari, “Investigation of the role of human 
breast milk in caries development”. Pediatric Dentistry (J. or the American 
Academy of Pediatric Dentistry), 1999: 21:2 (Mar/Apr);p86-90.
- Conclusion: Human breast milk is not cariogenic.
For this research, Dr. Erickson was the runner-up for the 1998 American 
Academy of  Pediatric Dentistry Educational Foundation Research Award.

2 - Pamela R. Erickson et al.  “Estimation of the caries-related risk 
associated with infant formulas”.  Pediatric Dentistry, 1998, 20:7, Nov-Dec. 
p395-403. 
- Conclusion: Infant formula (IF) can lower pH significantly, some IF 
supported significant bacterial growth, enamel was dissolved in some IF even 
in the absence of bacterial fermentation, buffer capacity varied, most infant 
formulas were cariogenic in an in-vitro model.
Dr. Erickson was the first place recipient of 1997 American Academy of  
Pediatric Dentistry Educational Foundation Research Award for this research

3 - Joyce Sinton et al.  “A Systematic Overview of the relationship between 
infant caries and breast-feeding”. Ontario Dentist (Ont Dent), Nov. 1998, 
75(9):23-27.
Conclusion: Literature review shows contradictory results of various research 
projects.  Recommend there is no “right time” to wean a breast-fed infant. 

4- Slavkin, Harold C.  “Streptococcus Mutans, Early Childhood Caries and New 
Opportunities”. JADA, (J of Amer Dental Assoc) Vol 130, Dec 1999, 1787-92.  
Dr. Slavkin explores early childhood caries, one of the most prevalent health 
problems of infants and toddlers.  Outlined statement - “Population-based 
studies do not support a definitive link between prolonged breastfeeding and 
caries.”  Dr. Slavkin is director of the National Institute of Dental and 
Craniofacial Research, Bethesda, Md.

A video of a presentation I gave entitled “Dental Caries and Tight Frenulums” 
was reviewed in the Sept,1999, 15(3) issue of JHL, p267.  It covers my 
research and position that breastmilk does not cause decay.  The above 
articles, not available when my video was made, will help to support the 
points discussed in the video.  An added benefit of the video is that it also 
covers why tight frenulums need to be addressed and clipped at birth.  
Several LCs have told me the video has helped convince some MDs to recommend 
frenotomies.  The video is available in both VHS and PAL format so it can be 
played in most countries.  I feel comfortable discussing the video as I do 
NOT receive any royalty or compensation in any way from the sale of the 
video.  

Good news!  Physicians and sleep apnea patients are slowing accepting my 
research that breastfeeding reduces the risk of snoring and sleep apnea.  If 
not aware of this benefit, see my article in Breastfeeding Abstracts, “ 
Breastfeeding: Reducing the Risk for Obstructive Sleep Apnea”, Feb 99, 18(3), 
p19.

Wishing everyone a happy holiday season.

Brian Palmer, D.D.S.
Kansas City, Missouri

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