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Maternal and Child Health Bureau logoA Health Professionals Guide to Pediatric Oral Health Management
HomeModuleModule 1: An Introduction to Infants' and Young Children's Oral HealthModule 2: Managing Infants' and Young Children's Oral HealthModule 3: Oral Conditions and AbnormalitiesModule 4: Prevention of Oral DiseaseModule 5: Non-Nutritive Sucking HabitsModule 6: Oral InjuryModule 7: Infants and Young Children with Special Health Care NeedsContentsGlossaryEvaluationHelp
Module 4: Prevention of Oral Disease
Module Contents
Overview
4.1 Oral Hygiene
4.2 Fluoride
Systemic Fluoride
Topical Fluoride
4.3 Nutrition
The Role of Food in
Oral Health
Anticipatory Guidance (current page)
Key Points
Post-Test
References
Additional Resources



4.3 Nutrition, continued

Anticipatory Guidance, continued

Anticipatory Guidance to Share with Parents of Infants

  • Breastfeed the infant exclusively for approximately the first 6 months of life. Breastfeeding can be continued until age 12 months, or as long as the mother and infant wish to continue. For mothers who cannot breastfeed or choose not to breastfeed, feed the infant a prepared infant formula. No additional nutrients are needed.

  • To prevent the transmission of bacteria that cause tooth decay from the parent (especially the mother) via saliva to the infant, avoid testing the temperature of the bottle with the mouth, sharing utensils (e.g., spoons), or cleaning a pacifier or a bottle nipple with saliva.

  • Do not put the infant to sleep with a bottle or sippy cup or allow frequent and prolonged bottle feedings or use of sippy cups containing beverages high in sugar (e.g., fruit drinks, soda, fruit juice), milk, or formula during the day or at night to prevent sugary fluids from pooling around the teeth, which can increase the infant's risk for tooth decay.
  • Hold the infant while feeding. Make sure to never prop a bottle (that is, use pillows or any other objects to hold a bottle in the infant's mouth).

  • Never add cereal to a bottle. This causes sugary fluids to pool around the teeth. Feed the infant solid foods with a spoon or fork, or, once the infant is able, encouraging self-feeding.

  • Introduce a small cup when the infant can sit up without support.

  • Wean the infant from the bottle as the infant begins to eat more solid foods and drink from a cup. Begin to wean the infant gradually, at about age 9-10 months. By age 12-14 months, most infants can drink from a cup.

  • Do not introduce juice into infants' diets before age 6 months. Serve the infant juice in a cup, and limit juice to 4 to 6 oz per day. Serve 100 percent fruit juice or reconstituted juice.

  • For infants ages 6 months and older, serve age-appropriate healthy foods during planned meals and snacks, and limit eating (grazing) in between.

  • Serve foods containing sugar at mealtimes only (not between meals), and limit the amount. Frequent consumption of foods high in sugar, such as candy, cookies, cake, sweetened beverages (e.g., fruit drinks, soda), and fruit juice increases the risk for tooth decay. In addition, frequent consumption of foods that easily adhere to the tooth surface, such as fruit-roll-ups and candy, increases the risk for tooth decay. When checking for sugar, look beyond the sugar bowl and candy dish. A variety of foods contain one or more types of sugar, and all types of sugars can promote tooth decay.

 

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logo: U.S. Dept. of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau