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Patterns of Decay

Three basic patterns of decay will be reviewed in this section. These patterns are:

Baby Bottle Tooth Decay (Nursing Caries)
Pit and Fissure Caries
Smooth Surface Caries




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Baby Bottle Tooth Decay (Nursing Caries)

Nursing caries initially affects the primary maxillary incisors in children who are routinely given a nursing bottle at night or nap times, or who breast-feed (at will) after teeth have erupted.

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As the child sleeps, pools of fermentable liquid can collect around the teeth, especially the maxillary incisors, which can initiate the decay process. Additionally, upper primary incisors are in a saliva-deficient area and therefore are more susceptible to acid attack. The nipple of the baby bottle and the infant's tongue cover the mandibular anterior teeth, which are also wet by the major salivary glands. Lower anterior teeth are rarely affected. If detected at an early stage, further demineralization can be minimized by correcting the feeding pattern.

[Photo: mild baby bottle tooth decay (nursing caries)]

Download the Smiles for Tomorrow Dental Caries and Prevention PowerPoint Presentation.
(72 Slides)