feeding from a bottle should be discouraged from the age of 1 year.

babies should be introduced to drinking from a free-flow cup from the age of 6 months.

only breastmilk, infant formula or cooled boiled water should be given in a bottle.

Some very low certainty evidence of increase in dental caries risk beyond 12 months breastfeeding, but this was observed in children experiencing high frequency of nocturnal breastfeeding and may also be influenced by confounders that the studies did not assess, for example, sugar-sweetened food and drink consumption ( 3).ДЇor parents or carers feeding babies by bottle: Weaning advice is from UK SACN guidelines ( 2). Recommendation based on WHO guidelines, taking into account benefits of exclusive breastfeeding for first 6 months on overall health ( 1), as well as low certainty evidence of a dental caries-preventive effect ( 2, 3).

then continue breastfeeding, while introducing solids from around the age of 6 months.

breastfeed exclusively for around the first 6 months of a babyвЂ™s life.

Evidence base for Table 1: Dental caries Prevention of dental caries in children 0 to 6 years of age All children aged up to 3 years RecommendationД«reastfed babies experience less tooth decay and breastfeeding provides the best nutrition for a babyвЂ™s overall health. When a recommendation covers multiple components, each GDG considered the underlying evidence for each component and based the strength of recommendation on the main component. This grading is based on the risk of bias in the primary studies included in a systematic review/guideline document, the consistency of the findings across studies, the applicability of the evidence to the specific question being addressed, the precision around any estimate of effect and whether the findings are at risk of publication bias. Supporting evidence is graded as high, moderate, low or very low certainty. Good practice points are primarily based on extrapolation from research on related topics and/or clinical consensus, expert opinion and precedent, and not on research appropriate for rating the certainty or quality of the evidence. No robust underpinning research evidence exists. Good practiceД¬linical opinion suggests this advice is well established or supported. The GDG is less confident of the effectiveness of an intervention (low or very low certainty evidence) or the balance between benefits and harms is unclear. The Guideline Development Group ( GDG) is confident that the benefits outweigh the harms of the intervention, typically based on high or moderate certainty evidence.

In Scotland the guidance will be used to inform oral health improvement policy.

Whilst this guidance seeks to ensure a consistent UK wide approach to prevention of oral diseases, some differences in operational delivery and organisational responsibilities may apply in Wales, Northern Ireland and England. This guidance is issued jointly by the Department of Health and Social Care, the Welsh Government, the Department of Health Northern Ireland, Public Health England, NHS England and NHS Improvement and with the support of the British Association for the Study of Community Dentistry.Дelivering Better Oral Health has been developed with the support of the 4 UK Chief Dental Officers.

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