PROBLEMATIC FINDINGS ASSOCIATED WITH NURS ING-BOTTLE SYNDROME

Introduction: Children with ''nursing bottle syndrome'' and long stand ing teeth destructions and no treatment so far were examined for accom panying pathological changes in the bacterial flora of the mouth and a lterations due to chronic inflammation of the oral mucosa and the alve olar jawbone. Methods: In the years between 1993 and 1996, out of 200 annual p atients with ''nurse bottle syndrome'' four were selected bec ause of their extreme condition. Besides caries diagnosis and clinical documentation, microbiological and histopathological examinations wer e carried out. Results: Diagnosis and therapy of cases of giant cell r eparative granuloma, oral candida infection, actinomycotic bone seques tration and displaced eruption of permanent maxillary incisors due to the persistance of suppurated temporary teeth are presented. Conclusio ns: These examples of serious complications of the ''nursing bottle sy ndrome'' demonstrate that it is still urgently necessary to inform par ents about the disease and its consequences, but mainly its prevention by dental care.