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Is it possible that nightly breastfeeding DOES impact tooth decay?

post #1 of 6
Thread Starter 

Long story short, my two year old has decay on his four upper front teeth. My dentist is crazy, and I am working very hard on finding a sane one - which is really difficult in my country of residence, because they all get taught the same things. They won't fill or drill or do anything to my son's teeth right now, because they don't believe in treating two year olds for various crazy reasons, but that is another thread.

 

So the dentist told me that nightly breastfeeding causes decay, and I need to quit breastfeeding. He even went as far as to say the teeth will stop decaying "100 percent certainly guaranteed" if I weaned immediately. Is there any chance this is true? I have not found any really scientific evidence on either side of the argument, and I'd like some reliable information.

 

Help! Please!

 

PS, we haven't quit breastfeeding

post #2 of 6

My understanding is that it's not the breastmilk that causes decay, but particles of food that may be left in the mouth that interact with the breastmilk. You might have your DC drink water after every meal (I've heard that eating berries at the end of a meal or chewing on carrot prior to the water can help, too) and be sure to brush at night after dinner/before nursing. I think that taking care of your own teeth also has some positive impact -- since cavities are caused by bacteria (not just food) and that can be passed from one person to another. HTH and good luck finding a new dentist!

post #3 of 6

As the PP said, cavities are caused by bacteria (S. Mutans), not food.  Sugary and sticky foods feed the bacteria. 

 

Unlike bottles, breastmilk is delivered to the back of the mouth.  Baby bottle mouth is caused by baby falling asleep with a bottle in his mouth, bottles drip with or without sucking, and the milk pools around the front teeth.  Unless your son is falling asleep on his tummy with a mouthful of breastmilk, it would be next to impossible to get the same scenario with breastfeeding.

 

The LLLI website has several links (all are short enough to read in the brief minutes your baby will give you at the computer!) containing resources, information, and mothers' stories: http://www.llli.org/NB/NBdental.html.  Some important points from these links and from the 8th edition of the Womanly Art of Breastfeeding. . .

 
Food does not cause dental disease.  Damaging oral bacteria (S. mutans) cause cavities.
Dental disease is a relatively recent event.  Our modern diet contains many foods that are sticky and high in sugar (crackers, dried fruits, cereals, etc). 
Genetics and some prenatal events, such as Mom's diet and antibiotic use during pregnancy, can affect primary teeth enamel formation, making them more susceptible to cavity formation.  Breastmilk itself is not cariogenic (cavity causing).
Breastmilk contains lactoferrin, which binds to the iron in milk, making it available to the baby but limiting its availability to bacteria.
Breastmilk also contains antibodies which inhibit bacteria, and calcium and phosphorus which strengthen teeth.
Breastfeeding contributes to oral health by promoting normal facial and jaw development, reducing teeth crowding & potentially decreasing the need for orthodontia later on.
Breastfeeding is about the whole child's physical and emotional development, not simply about oral health.
 
Some mothers have found that a combination of scrupulous oral hygiene (toothbrushing morning and night, flossing if teeth are close together) and minimizing carbohydrates / "sticky" foods is helpful for preventing or reducing oral decay.  You might explore the use of fluoride and/or xylitol, both of which are considered by some to help promote oral health.  And, of course, finding a dentist who either supports breastfeeding or with whom you can "agree to disagree" is important!
post #4 of 6
Thread Starter 

Thanks so much for confirming what I already knew to be true... I am looking for a new dentist, but once I do find one, I will not answer questions about breastfeeding in quite the same way. It can be difficult to make a sane argument in another language (we live abroad), and the worst thing is they are refusing to do fillings. I ordered xylitol, and am looking into cell salts. My guess is that breastfeeding can only keep my son healthier and even aid the healing process (if we succeed!). Indeed, it is very frustrating how dentists see only teeth, rather than a whole person!

post #5 of 6
Moving out to Breastfeeding Beyond Infancy
post #6 of 6
Quote:
Originally Posted by MittensKittens View Post

Indeed, it is very frustrating how dentists see only teeth, rather than a whole person!



Yes!!

 

That was my exact thought when our dentist said my 3-year old daughter's caries were caused by "snacking" at the breast all day.  Even if it was the breastfeeding (and if it was, why did her twin brother have NO decay?), why would I wean with all the other innumerable benefits to us.

 

Good luck with your LO. 

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