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Feed only breast milk and formula to babies. Give bottles with water only during naps or at bedtime for toddlers. Take the bottle away when your child's asleep. Do not dip pacifiers in honey or sugar.
For children under one year of age, don't give them anything but formula or breast milk in their bottles. Juice and milk are too sugary, and water can lead to malnutrition. When babies fall asleep with bottles, they often keep the nipple in their mouths, allowing milk or juice to drip into their mouths and pool around the teeth and gums. The sugar in the drinks gives incentive for bacteria to stay on teeth, causing decay. It's best not to give any bottles at naps or bedtime, but if you must, then make sure to only put water in them. The exception to this rule is babies who haven't started eating solid foods yet. Babies who are still solely on breast milk, formula, or a combination of both do not need extra water in their diet. In fact, feeding them extra water can lead to malnutrition or other problems. If your child is ambivalent about the bottle or does not insist on holding the bottle or drinking once she lays down, try brushing teeth before bed and simply skipping the bottle. It also helps to offer milk at dinnertime. If just giving water doesn't work, you can try removing the bottle once your child falls asleep. That removes the liquid that could cause damage to her teeth. Most doctors prefer that you don't let your child fall asleep with a bottle at all; it can make it harder for your child to be weaned from the bottle. Offer a pacifier instead of a bottle if your baby wants something to suck. Don't forget to gently wipe her mouth out after you remove the bottle. Coating the nipple of the pacifier with any type of sugary substance (including juice and milk, which contain natural sugars) can trap sugar in the front of your child's mouth. This practice allows bacteria to gather and can cause tooth decay.