Nursing caries is a unique pattern of dental caries in very young children due to prolonged and improper feeding habits. Today, the new name of this type of caries is “MATERNALLY DERIVED STREPTOCCUS MUTANS DISEASE” (MDSMD).

Despite the fact that the dental caries is reducing in our youth there are still a large number of children with advanced multiple carious lesions, victims of parental ignorance of nursing caries which is distinct clinical entity.


ADA Statement on Nursing Bottle Caries

Early childhood Caries is defined as the presence of one or more decayed (non-activated or cavitated lesions), missing (due to caries) or filled tooth surface in any primary tooth in a preschool – age child between birth and 71 months of age. The term “Severe Early Childhood Caries” refers to “atypical” or” “progressive” or “acute” or “rampant”  patterns of dental caries.

The Association recognizes that early childhood caries is a significant public health problem in selected populations and is also found throughout the general population.

The Association urges health professionals and the public to recognize that a child’s teeth are susceptible to decay as soon as they begin to erupt. Early childhood caries is an infectious disease. There are many aspects of early childhood caries; baby bottle tooth decay is recognized as one of the more severe manifestations of this syndrome.

The Association urges parents and guardians, as a child’s first tooth erupts, to consult with their dentist regarding:

Scheduling the child’s first dental visit. It is advantageous for the first visit to occur within six months of eruption of the first tooth and no later than 12 months of age, and

Receiving oral health education based on the child’s development needs (also known as anticipatory guidance).

The Association urges its members to educate parents (including expectant parents) and care givers about reducing the risk for early childhood caries.

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What Is Nursing Bottle Caries

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