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Expert Q&A:
Will a pacifier or a bottle at bedtime create dental problems for my 17-month-old daughter?

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Angela Rosas
Answered by Angela Rosas M.D.
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"The most enjoyable thing for me in practicing general pediatrics is to use my professional training and my experiences as a mother to help families to improve the health of their children," says Angela Rosas. "It is a wondrous feeling to watch children heal and develop into healthy young adults, knowing that you played a small role in the process."

Angela Rosas M.D., graduated from Stanford University with a degree in human biology. She attended medical school and completed her residency in pediatrics at the University of California at San Diego. She has been a fellow in the American Academy of Pediatrics since 1991. Dr. Rosas has practiced general pediatrics for eight years in community clinics, private practice, and university hospitals. She is currently Assistant Professor of Pediatrics at the University of California at Davis Medical Center in Sacramento, California. Her clinical and research interests are breastfeeding, asthma, adolescent care, children with disabilities, child abuse and neglect, and accident prevention. Dr. Rosas has published several articles in peer-reviewed journals and contributed to various pediatric textbooks. She frequently lectures on pediatrics issues at medical conferences and for community agencies. Dr. Rosas is married to another pediatrician and has three young daughters.
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Question


Will a pacifier or a bottle at bedtime create dental problems for my 17-month-old daughter?

Answer


Many toddlers enjoy sucking on a pacifier to sooth themselves in stressful times or help them fall asleep. The pacifier really doesn't cause any dental problems, and most babies give it up by 3 or 4 years of age, though sometimes with encouragement. The bottle before bed, however, can cause cavities, especially in the front teeth. Try giving the bottle well before your baby goes into the crib, and substitute a favorite blanket, soft toy, or the pacifier to help her to go to sleep.
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