Early childhood caries is caused by prolonged nursing from the bottle and is most harmful when taken to bed. This type of feeding, with liquids high in carbohydrates, can lead to severe tooth decay. Nursing bottle decay can be prevented by not putting the baby to sleep with a bottle, and by discontinuing bottle by the age of twelve months. If the pediatrician or parent detects decay, the bottle should be discontinued and the child should be referred to a pediatric dentist. The pediatric dentist can restore these teeth so that no problems will occur in the permanent dentition.

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