Breastfeeding and Dental Health
Breastfeeding is one of the first (and most personal) decisions a mother makes for her baby. It can help your baby’s body fight infections and reduce health risks like asthma, ear infections, SIDS and obesity in children. Nursing moms may lower their chances of developing breast and ovarian cancer. But did you know breastfeeding can impact the dental health of both baby and mom? Here’s how:
Breastfeeding May Help Build a Better Bite
Several recent studies, one in Pediatrics in 2015 and one in the August 2017 issue of the Journal of the American Dental Association, found that babies who were exclusively breastfed for the first 6 months were less likely to have teeth alignment issues such as open bites, crossbites, and overbites, than those exclusively breast fed for shorter lengths of time or not at all. Still, this doesn’t mean your exclusively breastfed baby won’t need braces someday. Other factors, including genetics, pacifier use, and thumbsucking, affect alignment. “Every baby, every child is different,” says Dr. Ruchi Sahota, mother and American Dental Association spokesperson. “The best thing for mom to do is to take the child to the dentist and make sure the dentist is able to monitor eruption, that baby teeth are coming out at the right time and permanent teeth are coming in at the right time.”
You Don’t Have to Wean When Your Baby Gets Teeth
It’s a question that often pops up in parenting message boards and conversations with new moms: Should I stop breastfeeding when my baby starts teething? The answer is not if you don’t want to. The American Academy of Pediatrics recommends breastfeeding for the first year of a baby’s life; the World Health Organization encourages moms to go for two. “As it goes with breastfeeding, every child is different, every mother is different,” Dr. Sahota says. “You should stop breastfeeding when you think it’s the best for you and the baby but not just because the teeth come in.”
Breastfeeding Reduces the Risk for Baby Bottle Tooth Decay
Another benefit of exclusive breastfeeding, Dr. Sahota says, is a reduced risk of baby bottle tooth decay, the frequent, prolonged exposure of the baby’s teeth to drinks that contain sugar. This type of tooth decay often occurs when a baby is put to bed with a bottle – even ones containing formula, milk or fruit juice. (Water is fine because the teeth won’t be bathed in sugary liquids for a prolonged time.) It most often occurs in the upper front teeth, but other teeth may also be affected.
Breastfed Babies Can Still Get Cavities
It’s one of the most common questions nursing mothers ask: Can breastfeeding cause cavities? Yes, it can. Although natural, breast milk, just like formula, contains sugar. That is why, breastfed or bottlefed, it’s important to care for your baby’s teeth from the start. A few days after birth, begin wiping your baby’s gums with a clean, moist gauze pad or washcloth every day. Then, brush her teeth twice a day as soon as that first tooth emerges. Use fluoride toothpaste in an amount no more than a smear or the size of a grain of rice.
Need Dental Work Done? Double Check Your Medications
If you need to have a dental procedure that requires medication while nursing, check with your dentist, personal physician and pediatrician to make sure it is safe for baby. “It’s important to know there are antibiotics we can give you that won’t hurt the baby,” Dr. Sahota says. “It’s not only safe to go to the dentist while you’re pregnant and while you’re nursing, it’s very important to do so for the best health of your child.” Another helpful resource for nursing moms is the U.S National Library of Medicine’s Drugs and Lactation Database (LactMed). Simply search for any medication and get information about how it affects your supply, your baby and if there’s an alternative available. Talk to your doctor about what you find.
Mom, Take Care of Yourself
Dr. Sahota says there’s one thing she sees in new moms, breastfeeding or not. “I definitely see moms who are, as simple as it sounds, are not able to take care of themselves as well as they did before the baby,” she says. “Moms that are just not brushing as much as they used to, whether they’re brushing once a day or not brushing at all.” A dip in dental care could lead to more gum disease and cavities. Cavity prevention is especially crucial for moms, as even the simple act of sharing a spoon with could transfer that bacteria into your baby’s mouth. “It’s really important to do the basics: Brush twice a day, floss once a day. See your ADA dentist regularly,” she says. “Make sure you have prevented decay and don’t have any cavities so you don’t transfer that to your baby.” Dr. Sahota says she also sees more teeth grinding (bruxism) in moms. “I see a lot more head and neck muscle tension, which causes our jaws to be a little bit more tense and then that causes us to grind our teeth,” she says. “Trouble sleeping when we’re pregnant, that can cause us to grind our teeth a little bit. Postnatally, stress can increase and it can also be an issue.” All moms need to stay hydrated, especially if breastfeeding. “Not drinking enough water, that in itself is a very dangerous thing for your mouth,” she says. “If we have a dry mouth, we put ourselves at risk for gum disease, for cavities, so many things.” And there’s one last piece of advice Dr. Sahota gives all moms. “Just like if you’re on an airplane, you have to put your oxygen mask on first before you put it on your child,” she says. “If you’re not healthy, you will not have the time and the energy to make sure your children are also healthy.”