Baby Bottle Tooth Decay (BBTD) is a typical nursing pattern decay caused by inappropriate feeding of children. It may also be referred to as nursing bottle caries, nursing caries, bottle caries, infant caries, early childhood caries etc…

• Avoid making the infants sleep with a bottle containing any liquid other than water
• Encourage them to drink from a cup before their first birthday
• Discontinue bottle feeding at 12-14 months of age
• Supplement their diet with non-liquids at 4-6 months of age
• Tooth brushing should be started with eruption of the first primary tooth
• It is time for the first dental visit within six month of eruption of the first tooth (no later than the first birthday)

• The treatment options vary with the progression of disease.
• Treatment option for early demineralization and chalky white spots or lines, is to rematerialize teeth with fluoride application and diet modification.
• In case of tooth decay, coverage of the teeth with stainless steel crowns or veneered crowns is indicated.
• Tooth decay reaching the pulp chamber requires pulp therapy or extractions.
• Young or uncooperative children may need sedation or general anesthesia to accomplish treatment.