Nursing Bottle Syndrome

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Nursing bottle syndrome in deciduous teeth

As early childhood caries ( baby bottles caries , also Early Childhood Caries (ECC), baby bottle caries, baby bottle tooth decay) refers to decay to the milk teeth , especially at the upper incisors and molars , from babies and toddlers .

causes

The nursing bottle syndrome arises from beverages such as milk , teas sweetened with sugar or honey, and fruit juices that are administered using drinking bottles . The special reason lies in the long exposure to the drinks. Sippy cups or drinking cups can also trigger this effect. One argument against giving drinks at night is that the saliva production that protects teeth is restricted at night. Children who fall asleep with milk in their mouth, for example, are particularly at risk.

The lower teeth are more protected by the tongue than the upper ones, which is why the typical caries pattern arises. Brown discoloration is already a warning sign. Since not only the bottles are a possible cause, we speak more generally of early childhood caries ( English early childhood caries ).

The yeast Candida albicans helps promote plaque production and thereby increases the risk of tooth decay. Experiments showed an increase in tooth damage due to the combination of yeast and streptococci , especially Streptococcus mutans .

therapy

Teeth that are worth preserving are provided with fillings. If the caries has penetrated to the pulp of the tooth , endodontic treatment can be carried out to preserve the tooth. In severe cases, the destroyed teeth have to be removed completely, which can lead to problems with food intake, language development disorders and impairment of the further development of the teeth . In many cases, the treatment has to be carried out under general anesthesia due to a lack of cooperation on the part of the young child.

Occurrence

Studies have shown that children from socially disadvantaged backgrounds are particularly affected by the NBS.

Early detection and prevention

Since the dentist is usually not yet visited in the first year of life, the pediatricians are called upon to pay attention. If the first lesions appear, the dentist should be referred to the dentist in good time.

The following preventive measures are recommended:

  • Do not use a feeding bottle as a permanent teat
  • Withdrawal of the feeding bottle after the 12th month of life
  • Prevention or minimization of the transmission of cariogenic bacteria
  • Never let children fall asleep with the bottle in their mouth
  • Use of water and unsweetened teas
  • Limiting the amount and frequency of fermentable carbohydrates
  • Bottles should not be given to sleep or to calm down, in order to avoid a habituation effect
  • the teeth should be cleaned in the morning and in the evening after the eruption of the first tooth (with a brush or a damp cloth)
  • Administration of fluorides in the form of fluoridated table salt or brushing teeth with fluoride toothpastes for children.

Additional early detection examinations and enamel hardening measures

In Germany, three additional dental screening examinations (FU) are planned for young children up to the age of 33 months with statutory health insurance from July 1, 2019 . The Federal Joint Committee (G-BA) decided on January 17, 2018. They include, among other things, a detailed examination of the child, advice to parents and instructions for daily brushing of toddlers' teeth. In addition, toddlers up to 33 months of age have an additional right to enamel hardening with fluoride varnish twice every six months in the dental practice.

literature

  • A. Behrendt, F. Sziegoleit, et al .: deciduous tooth caries. Increasing influence of the NBS through sippy cups . In: zm , 2000, No. 8, p. 72 (2000).
  • W.-E. Wetzel: Early childhood caries due to malnutrition . In: zm , 98, No. 6, pp. 114-118 (2008).

Individual evidence

  1. ^ A. Behrendt, F. Sziegoleit, V. Muler-Lessmann, G. Ipek-Ozdemir, WE Wetzel: Nursing-bottle syndrome caused by prolonged drinking from vessels with bill-shaped extensions . 2001, PMID 11324407
  2. ↑ a b c d K. Martin: Early childhood caries . (PDF; 111 kB)  ( Page no longer available , search in web archives )  Info: The link was automatically marked as defective. Please check the link according to the instructions and then remove this notice. University of Manitoba, 2011@1@ 2Template: Dead Link / umanitoba.ca  
  3. ↑ ML Falsetta, MI Klein a. a .: Symbiotic Relationship between Streptococcus mutans and Candida albicans Synergizes Virulence of Plaque Biofilms In Vivo. In: Infection and Immunity . Volume 82, Number 5, May 2014, pp. 1968-1981, ISSN  1098-5522 . doi: 10.1128 / IAI.00087-14 . PMID 24566629 .
  4. ^ Astrid Hippke: Caries in one and two year old crèche children in Hamburg . 2012, uni-hamburg.de (PDF)
  5. ↑ a b c R. Schilke, JA Lisson, B. Rodeck, J. Tränkmann: The Nursing Bottle Syndrome. A challenge for the pediatrician. In: Monthly Pediatric Medicine , Volume 145, Number 7, July 1997
  6. ↑ Fluoridation measures - patient information - guideline of the DGZMK (PDF; 148 kB)
  7. ↑ Three additional early detection examinations and enamel hardening measures for the smallest of the little ones . National Association of Statutory Health Insurance Dentists, January 17, 2019; accessed on January 21, 2018.