I just had this discussion with our pediatric dentist yesterday.  He is so
pro-breastfeeding ( his wife breastfeeds indefinitely, co-sleeps, and he is
the one who clips frenula when needed), but he still says that he sees
"bottle mouth" in totally breastfed babies too often.    His solution is
simple.  If the mom would only clean the baby's teeth before sleep time,
this would prevent this problem. Gauze on her finger is enough.  He can feed
on and off all night if he wants, but first wipe those excess bacteria from
his teeth so that when milk does pool in the baby's mouth ( he says that he
watches his baby and it definitely does pool in her mouth) it will not have
all the bacteria from the day to feed on.  This sounds reasonable enough.

Esther Grunis, IBCLC
Lis Maternity Hospital
Tel Aviv, Israel

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