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Sippy Cups

Many pediatric dentists believe that frequent, prolonged sippy cup use contributes to toddler tooth decay.  Sippy cups are an excellent tool to help ease the transition between baby bottles and regular adult drinking glasses.  However, sippy cups have become so effective in preventing spills and leaks, that the majority of parents continue to use them - often well into late toddlerhood.  As a consequence, pediatric cavities (often called “baby bottle cavities”) are becoming increasingly prevalent in children between the ages of two and five.

The American Academy of Pediatric Dentistry (AAPD) advises parents to make a “well-baby” checkup with a pediatric dentist approximately six months after the first tooth has emerged.  At this visit, the pediatric dentist is able to educate parents about sippy cup use and general oral care routines, as well as provide strategies for eliminating unwanted oral habits.

When should my child use a sippy cup?

A sippy cup should be introduced when the child is first physically able to grasp it.  Its use should be discontinued as soon as the child has enough motor control to use an adult-sized cup – usually around one year of age.  Children are at risk for tooth decay as soon as the first teeth emerge from the gums, making it crucial to implement a good oral care routine as early as possible.

During the sippy cup period, pediatric dentists provide the following guidelines for parents:

  • Don’t fill sippy cups with sugary liquids (opt for water whenever possible).
  • Don’t let children sip continuously from a sippy cup (remove the cup when the child has finished drinking).
  • Don’t let the child take a sippy cup to bed (unless it contains water).
  • Don’t use sippy cups to comfort a distressed child (especially one containing sugary liquids).
  • Frequently rinse the sippy cup with water to eliminate germs.
  • If the child must drink sugary liquids, let them do it at mealtime (when saliva production is at its highest levels).

How do sippy cups cause tooth decay?

Sippy cups alone do not cause tooth decay.  Oftentimes, the real problem is that parents tend to fill them with sugary, decay-promoting liquids.  Examples of such liquids are: breast milk, baby formula, fruit juice, soda, and sweetened water.

Since sippy cups only emit a tiny amount of fluid at a time, the sugars in the fluids are continuously being swashed in and around the child’s teeth.  Oral bacteria feed on these sugars and produce harmful oral acids. Acids attack the tooth enamel, weakening it and rendering it susceptible to decay.  Sometimes cavities (caries) form between the teeth, which are hard to see.  Biannual appointments with the pediatric dentist are the best way to monitor the condition of the teeth, and to ensure that cavities are not developing.

Which sippy cup should I choose for my child?

All sippy cups are not created equal.  The American Dental Association (ADA) provides the following guidelines for choosing a good sippy cup:

Avoid “no-spill” valves – In essence, sippy cups with no-spill valves do not advance the child’s sipping.  They only release a tiny amount of liquid, meaning that sugars are swilling around the mouth more often.

Choose a spout – Cups with a snap-on or screwing lid with a spout are preferable to the alternatives.  These cups promote good drinking habits, as opposed to being “glorified baby bottles.”

Two handles are better than one – The goal of the transition is to make the child feel comfortable enough to grasp an adult-sized cup.  Since larger cups require the use of two hands, it is better for the child to get into this habit early.

If you have questions or concerns about tooth decay or the use of sippy cups, please contact our office.

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Testimonials

My mother is in a nursing home in Harrisville Michigan. She dropped her dentures and broke a tooth. The entire staff was in her room trying to find the broken tooth, but it must have fallen into the heat register or something. Anyway it never turned up. My brother, Rick, went to visit and called to tell me about it. "We have to do something," he told me. "I can't stand to see mom looking like this." He was planning to take a few days off and take me up north to see about getting her to the dentist to get her plate fixed. I went online and called several dentists in the area. They could not help me with the problem. Then I found Dr. Gregg Resnick DDS in Alpena. He said he could fix them and have them ready by the next day. I had our friends, Shirley and Tom Harmon, pick up the plate and take it to his office. The doctor called me (I live over 200 miles from where my mom is). Dr. Resnick was concerned that he might not be able to grind the tooth properly and that my mom wouldn't be able to chew properly. You see he was under the impression she had a full set of dentures and didn't realize that she had some lower teeth. He told me that although the tooth was broken mom would not have a problem chewing with it that way. "But, we do have a problem," I told him. "My brother can't stand to look at her with that broken tooth." He sighed and said, "Let's do it then." I could have hugged him through the phone. I promised him that if mom had a problem chewing that I would bring her handicap van and get her to his office the next day. Well, mom got her plate today. She ate dinner and said that she could chew just fine. I have Dr. Resnick to thank for this. He did me a favor and it worked out just fine. I wish there were more dentists like him. He and his staff gave me 5 star service.

Sandra C.

My name is Brad Boehm. I am a local physician in Alpena, Michigan. I had an erosion problem with my teeth that made them appear yellow and deformed. I went to see a cosmetic dentist in Atlanta, Georgia. The repair work to my teeth including veneers was over $70,000. I came home very depressed. While at a routine cleaning I discussed this with Dr. Gregg Resnick, my new dentist. He formulated a treatment plan that was identical to the plan from Georgia at less than one-third the cost. I am sure the cost in Georgia included partial rent payment for the mansion the clinic was located in.

I chose to have my teeth fixed by Dr Resnick and I truly could not be happier! During the treatment process minor adjustments were made. This required a quick end of the day visit to see Dr. Resnick instead of a day or two wasted flying to Atlanta. My family and friends comment all the time about my teeth and how I smile so much more. I would recommend Dr. Resnick to anyone who wishes to improve their smile.

Dr. Boehm

I first met Dr. Resnick 20 years ago when referred by a friend for emergency care. Now Nancy and I are thankful he has been our dentist ever since. We think of our appointments as going to an office where we will be treated as friends, not only by him, but also by the staff.

Dr. Resnick is always calm, patient, encouraging and knowledgeable in dental care. His staff reflects his demeanor. Furthermore, he is an interesting guy.

He is always interested in patients as individuals outside of the office. I remember telling him of impending surgery and later he called me at home to encourage and wish me well.

We recommend him to all our friends.

Robert and Nancy Sloan

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