Caitlin's baby bottle caries?

I'm wondering whether Caitlin has baby bottle caries? After discovering a brown spot on her front teeth (and even before), I've been very diligently brushing her teeth. As soon as she know how to spit out water after rinsing her mouth, I am using a fluoride toothpaste on her twice a day. I have high hopes that her condition will get better and the problematic areas will remineralise. But I was wrong! She had a few more cavities lately! I noticed brown spots on the two upper molars (she only has two upper molars now), and a very obvious cavity on one of the front teeth, and both lateral incisors have one brown spot in front and one brown spot behind and a developing small spot in front! A total of 5 teeth affected! All the brown spots are on the upper set of teeth and her lower set of teeth are cavity free and gleaming white. I read online that THIS means it is baby bottle caries or early childhood caries. But you know what is most ironic about it? She does NOT take a bottle at all! Caitlin is a TBF baby, a TOTAL BREASTFED BABY! So how did this baby bottle caries come about?!

I'm so perplexed. I have read many articles that said nursing baby to sleep is not linked to childhood teeth decay. And yet my breastfed baby has baby bottle caries. I must also say that she probably has the bacteria from her older brother who had cavities treated earlier on. But I thought breastmilk is supposed to have anti-bacteria property? This is worrying me to death and I do not want my daughter to have decayed teeth that will cause her pain and embarrassment later in her childhood. I definitely want to help her remedy the situation NOW. But the problem is how? Must I really quit the night nursing? Nursing to sleep is a die-hard habit for her. I tried to get her to sleep without nursing and she cried her heads off. She's a very headstrong girl. She usually needs to feed once or twice in the middle of the night too. After yesterday's failure, hubby and I thought we'll just continue to nurse her and we'll see the dentist on Tuesday to see what we can do for her. Today, I tried something else. I have got this baby toothpaste that has Xylitol (bacteria fighting sugar found in some toothpaste) that is safe to swallow. So after she fell into deep sleep, I put a smear of the toothpaste on her toothbrush and brushed her teeth. She sucked a bit and then went back to sleep. I dunno if this works in the long term. If I have to wake up to brush her teeth every time after she wake up to nurse and then fall back to sleep, I will do it if it means my daughter's teeth will be protected. I can't reach all the teeth with this method but at least the front ones will be brushed.

Sigh. A mother has endless worries.

I feel so frustrated and beaten because I followed expert advices and did so much for my children, and yet problems cannot be avoided. I'm a really sad and worried mummy. As much as possible I would love to avoid the GA option. I can't bear to see my child go through the risk and the operation. Little Caitlin is not calm and composed like her brother. She screams her head off when we step into the doctor's office, before the doctor even touch her. At the dentist, I don't know what will happen.

Please God, please let my daughter be cooperative and please let her be well!

On the brighter side, Kieran's teeth have since been cavity-free and shining. I made sure I brush his teeth after breakfast, lunch and before sleep, and always floss them clean before bedtime.

Caring for children's teeth

I'm just sharing some tips by the paediatric dentist on caring for the preschooler's teeth:

• Bring the child to see the dentist when she is young (some recommend when the first teeth sprout) to get her used to seeing one, so that when she needs cleaning or treatment done later on, she's not so afraid. I started bringing Kieran for dental visits when he was two years old. I was a bit late. Many started at one year old or younger.
• Brush the child's teeth three times a day. By this time, the child will have all his baby teeth. And he would have learnt how to spit out water after gargling. So you can brush with a fluoride toothpaste. 
• Use an adult strength fluoride toothpaste. The dentist recommended one with 1400ppm (the strength of fluoride in the toothpaste). We bought one with tutti fruitti flavour at 1350ppm, which is close enough. The fluoride will help to re-calcify the enamel if food/acid/juices decalcify it. This prevents decay. Kieran will not use an adult's toothpaste because of the mint.
• Floss the teeth which are close and tight together as trapped food will cause decay. Kieran's teeth have tiny spaces in between them which the dentist say is great because these are spaces for adult teeth to come in. That is good news for us because it means we only need to floss between those teeth that are tight together which is between the molars and between the two front teeth, total of 5 times.
• Floss at least once at night. I floss whenever his teeth trap food which is after every meals. But then I'm a SAH(Paranoid)M so it's my prerogative. Haha!
• Reduce teeth contact with food/milk/juices. Kieran usually had a bottle of milk to sip throughout the morning. I changed it to lesser amount of milk so that he can finish the milk quickly and brush his teeth. He also took very long to finish his meals so now I time him and coax him to finish his meals within an hour. He has some vitamin gummy bears a few times a week. I let him eat them before lunch, then the sweet stuff will be chomped away while he eat his lunch, and then brushed away after lunch. I also reduced his intake of sugary drinks when we go out. I used to buy him yakult or strawberry milk or fruit juices to drink while he's on the stroller. Now he drinks plain water and he only have these sweet stuff occasionally after meals and then brush after drinking it.

The paediatric dentist said his mouth and gum shape is very good and is genetically determined for a nice set of adult teeth. I hope this means no need for braces. He must have gotten the good genes from his daddy. Hubby has a beautiful set of teeth that look like you know the silhouette logo you see on 黑人牙膏 packaging? Haha!

Now, I'd also like to share some tips from another dentist on getting the preschooler to fill his teeth:

• Prepare him for the treatment. Talk to him about it, show him videos about filling teeth. Tell him that it will be quick and painless (which is true, contrary to what we believe! No, Kieran does not need local anaesthesia at all for his filling. But then again that's because his cavity was shallow. If your child needs a root canal, it will be a different story.)
• Get the calmer parent, and the parent whom the child is less attached to to accompany him into the dentist's room. In my case, it is the daddy. Kieran fussed to see mummy and the dentist and daddy said he could very soon if he will be cooperative. Daddy won't give in to his cries and whims, unlike me! So this is a very good decision, to let Daddy go in for treatment with him.
• When you bring the child for his first visit, let him get used to seeing the dentist and build a rapport with her, and let her do some less scary treatments like cleaning and polishing and checking the teeth. This also allows the child to not be afraid of lying down on the dentist's chair.
• The dentist's clinic has a computer on top that lets him watch cartoons on youtube while she fills his teeth so that's a very good distraction.
• Give a small toy as reward to the child for being brave after he has done his treatment. Kieran has been saying that he wants a doctor's toy set so we got it for him and passed it secretly to the dentist, and the dentist said she will give it to him after he gets his tooth cavity cleaned and filled. He was allowed to hug the toy while she filled his teeth.

I am so happy to see the black spot on his tooth replaced with nice white composite filling. Kieran hated brushing his teeth like all preschoolers but it's our job as parents to make sure he gets his teeth clean no matter how much he hates it. Clean teeth means no toothache, no heart pain, no anxiety and no need to worry about coaxing the child to do dental treatment, and of course, less money spent.

I noticed some greyish spots on his teeth but I guess decalcification has already taken place on some molar crevices, so I'm extra vigilant. Even if it's the festive period now and sugary temptations are everywhere, there can be no slacking off the brushing and flossing for mummy and daddy.