The "newest" old advice is brushing with baking soda (can be used with
toothpaste). This raises the pH to 6.8 which is unfriendly to acid loving
cariogenic bacteria. I tried it for myself and found improvement in
inflammation of the periodontal soft tissues as well. I will post sources
when I have a chance. This should work quite well for a BFing baby.
On Sep 29, 2014 12:00 AM, "LACTNET automatic digest system" <
[log in to unmask]> wrote:
> There are 2 messages totaling 100 lines in this issue.
>
> Topics of the day:
>
> 1. caries in hyperallergic breastfed toddler (2)
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> Date: Sun, 28 Sep 2014 20:34:15 +0200
> From: Rachel Myr <[log in to unmask]>
> Subject: caries in hyperallergic breastfed toddler
>
> With mother's permission, I'm asking for input from anyone with
> experience that can help this family. The child is 15 months old, and
> mother has been following a hypoallergenic diet since he very early on
> showed symptoms of allergy to many foods.
> At 6 weeks, he spit up and seemed to choke on what he spit up, to the
> point of not being able to breathe, so she stopped dairy, and he
> improved. He had colic-like symptoms (screaming bouts) from 2 months,
> had bloody stools from 3 months and was diagnosed with allergies at 4
> months.
> The screaming and the blood in stools resolved completely by 6 months
> when mother stopped eating any of the allergens. It took that long to
> identify them all. She has not tried to challenge him by going off the
> diet since then.
> He has eczema and at night, the only thing that really soothes him is
> breastfeeding. He has been given cetirizine once a day when needed for
> the itching from the eczema. The only beverages he has had are
> breastmilk and water, does not eat sweets and has on rare occasions
> tasted food containing any sugar, and his teeth have been
> brushed scrupulously since the first tooth appeared.
> Official Norwegian recommendation for night breastfeeding is to limit
> child to two feeds at night from when teeth appear, and to brush them
> after each feed. I've never heard of anyone who follows this advice at
> all and most toddlers who are still breastfeeding have healthy teeth.
> Parents contacted dental hygienist when they saw suspicious-looking
> spots on his teeth, which turned out to be decay. The hygienist was
> convinced it was the night feeds that caused it. In the course of just
> a couple of weeks they have progressed visibly. Mother has been
> advised by the nutritionist on his treatment team to continue
> breastfeeding, also night feeds, as her milk is one of the few foods
> he can tolerate. Various pediatricians have advised her to cease all
> night feeds or to carry on with them, none of them agree. The dentist
> she was referred to afterwards has admitted that the
> condition of his teeth can not be blamed on breastfeeding alone, but
> has no idea what the cause is. He has not seen a pediatric dentist,
> and the regional dental referral center has recommended he be examined
> at a pediatrics center to find the cause of his caries as they feel
> there must be some underlying, non-dental hygiene related, origin. His
> newly erupted molars are also affected.
> Mother has brought to the attention of all the health care providers
> she has come in contact with, the fact that the child's breath 'smells
> like vinegar' and had been brushed off in every case, because they
> feel it is not relevant to anything at all. This week they finally did a 24
> hour pH measurement which was negative for reflux.
>
> Please post if you have any suggestions for this family or just some
> supportive words if you have experienced anything along these lines.
> The mother is
> a mother-to-mother breastfeeding counsellor and a friend of mine, but
> lives far from me and I haven't seen the boy personally except on
> Skype :-) She feels she is in quite a bind because he needs her milk,
> and at the same time she is being made to feel she is damaging his
> teeth.
>
> Hope to hear from lots of you :-)
> Rachel Myr
> Kristiansand, Norway
>
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> ------------------------------
>
> Date: Sun, 28 Sep 2014 14:01:39 -0500
> From: Pat Young <[log in to unmask]>
> Subject: Re: caries in hyperallergic breastfed toddler
>
> Interesting about the vinegar odor...
> May sound cruel or cavalier, but he can do fine without teeth, but not
> fine with attacks on his body by various allergic reactions. She may not
> get both (sound teeth and Breastfeeding) until they find out cause.
> I'd be be sure and give the zyrtec every night, also ask about use of
> singulair (montelukast). He seems to be heading down the road to nastier
> allergies like asthma :-( Use of Singulair may head that off a while. Pat
> in SNJ
>
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