RT Book, Section
A1 Shah, Ashish
A1 Sobolewski, Brad
A1 Mittiga, Matthew R.
A2 Knoop, Kevin J.
A2 Stack, Lawrence B.
A2 Storrow, Alan B.
A2 Thurman, R. Jason
SR Print(0)
ID 1181044634
T1 Nursing Bottle Caries
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181044634
RD 2024/04/19
AB The  etiology  of  dental  caries  is  multifactorial  with  an  interplay  between  microflora  (plaque  colonized  with  Streptococcus  mutans),  substrate  (fermentable  carbohydrates  from  breast  milk,  formula,  or  juice),  environmental  factors  (poor  parental  education,  low  socioeconomic  status),  and  host  (saliva  and  teeth).  Nursing  or  milk  bottle  caries  result  from  prolonged  and  frequent  night  time  breastfeeding  or  sleeping  with  a  bottle  containing  milk  or  sugar-containing  juices.  The  sugars  are  fermented  by  the  bacteria  in  plaque,  lowering  the  pH  in  the  mouth  and  resulting  in  demineralization  of  the  tooth  enamel.  The  condition  generally  occurs  before  18  months  of  age  and  is  more  prevalent  in  medically  underserved  children.  Upper  central  incisors  are  most  commonly  involved.  Outpatient  dental  referral  is  indicated.