It is very important to try to prevent decay of your child’s primary teeth. As soon as teeth appear in the mouth, decay can occur. One of the risk factors for this “baby bottle tooth decay” is frequent and prolonged exposure of a baby’s teeth to liquids containing sugar. These liquids could include milk, breast milk, formula, and fruit juice. Tooth decay can also occur when parents or caregivers put a baby to bed with a bottle – or use milk, formula, or juice as a pacifier for a fussy baby. If you use a pacifier, use a clean one. Never dip a pacifier in sugar or honey before giving it to a baby. Prolonged use of pacifiers can harm the teeth just like prolonged thumb sucking, but it is often easier to wean a child from a pacifier than a thumb. Encourage children to drink from a cup by their first birthday, and discourage frequent use of a training or Sippy cup. Never allow a baby to take a bottle to bed at night or naptime.