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Subject:
From:
Karen Clements <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 4 Jul 2003 08:14:45 +1000
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Hi Andrea
re your 'ugh' (LOL) I have a few online references you could try:

http://www.brianpalmerdds.com/bfeed_caries.htm

and
http://breastfeed.com/resources/articles/sweettooth.htm

and
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10197331&dopt=Abstract
Investigation of the role of human breast milk in caries development.

Erickson PR, Mazhari E.

Division of Pediatric Dentistry, University of Minnesota, USA.

PURPOSE: The objective of this study was to determine the caries-related
risk associated with human breast milk (HBM). METHODS: First, the plaque pH
of 18 children (12-24 months) was monitored before and after a five-minute
feeding with HBM to determine the pH drop and minimum pH obtained. Second,
Streptococcus sobrinus 6715 was cultured for 3 hr in HBM, and the increase
in the number of colony forming units (cfus) and the culture pH was
measured. Third, HBM was incubated for 24 hr with powdered enamel to
determine the solubility of mineral in the absence of bacteria. Fourth, HBM
was mixed with acid to determine the buffering capabilities. Finally, enamel
windows were created on extracted premolar crowns (N = 33) that were
colonized with Mutans Streptococci and incubated with HBM. Caries was
assessed visually and radiographically for 12 weeks. RESULTS: One- and
two-way ANOVAs of these five assays demonstrated that HBM did not cause a
significant drop in plaque pH when compared to rinsing with water; HBM
supported moderate bacterial growth; calcium and phosphate were actually
deposited onto enamel powder after incubation with HBM; the buffer capacity
of HBM was very poor; and HBM alone did not cause enamel decalcification
even after 12 weeks exposure. However, when supplemented with 10% sucrose,
HBM caused dentinal caries in 3.2 weeks. CONCLUSION: It is concluded that
human breast milk is not cariogenic.

PMID: 10197331 [PubMed - indexed for MEDLINE]

Best of luck!
Karen Clements
IBCLC Melb Aust

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