Counsel parents that infants should be held when bottle-fed. If a bottle is given with anything other than water at nap time or bedtime, they should use a cloth to wipe the baby's mouth prior to laying the baby down.
Bottles should not be propped with infants in cribs or car seats. Prolonged and frequent exposure to sugary liquids contributes to the caries process, and children who drink bottles while lying down may be more prone to ear infections.
Introduce a cup as soon as the infant can sit unsupported (around 6 months of age) and try to eliminate the bottle by 1 year of age.
Begin fluoride supplements in high risk patients at 6 months if drinking water is non-fluoridated. (Refer to Chapter 6: Fluoride for more information.)
Provide dental referral:
Around 12 months, especially if risk factors are present (6 months after eruption of the first tooth).