Epidemiological research shows that human milk and breast-feeding of infants provide general health, nutritional, developmental, psychological, social, economic, and environ-mental advantages while significantly decreasing risk for a large number of acute and chronic diseases.2 Human breast milk is uniquely superior in providing the best possible nutrition toinfants and has not been epidemiologically associated with
caries.3-5 Frequent night time bottle-feeding with milk is asso-
ciated with, but not consistently implicated in, early childhood caries (ECC).6 Breastfeeding greater than or equal to seven
times daily after 12 months of age is associated with increased
risk for ECC.7 Ad libitum breastfeeding after introduction of
other dietary carbohydrates and inadequte oral hygiene are
risk factors for ECC.