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What is Baby Bottle Tooth Decay?

Illustration of baby bottle tooth decay in children, multiple cavities on front teeth.Generative AI

Baby bottle tooth decay—also called early childhood caries—happens when a baby’s teeth are frequently exposed to sugary liquids. Bacteria feed on these sugars and create acids that weaken enamel and cause cavities.

Signs & Progression

  • First affected: the upper front teeth

  • As it worsens, you may see dark brown bands around the teeth

  • If untreated, teeth can decay down to the gumline, leading to:

    • Pain

    • Poor eating habits

    • Speech problems

    • Emotional difficulties

    • Damage to developing permanent teeth

How to Prevent Baby Bottle Tooth Decay

  • Don’t put your baby to bed with a bottle

  • Transition to a cup by 12 months

  • Avoid dipping pacifiers in sweeteners

  • Limit sugary drinks—choose water instead

  • Clean your baby’s teeth every day

When Should My Child See a Dentist?

Schedule your child’s first dental visit when the first tooth appears or by the first birthday.
Regular checkups help spot problems early and provide guidance on daily care, sealants, and fluoride.

Need Care or Have Questions?

We’re here to help with gentle, kid-friendly dental visits.
📞 Call: 833-867-4642
🌐 Learn more: nhcare.org/dental

Printable Resource: Download the Baby Bottle Tooth Decay Handout (PDF)