Nursing caries and Rampant caries Nursing caries It is a unique pattern of dental caries in very young children due to prolonged and improper feeding habits. Etiologic agents in nursing cares 1) Bovine milk, milk formulas and human breast milk have all been implicated in nursing caries because of their lactose contents. 2) The basic mechanism of demineralization is the same and the caries tetralogy is the key in the whole process of nursing caries as all the four variables, pathogenic microorganisms, substrates, host factor( tooth) and time are essential in causing demineralization. Pathogenic microorganisms- 1) Streptococcus mutans is the principle organism which colonized the tooth after it erupt into oral cavity. 2) It is transmitted to the infanta mouth primarily through mother. 3) It is considered more virulent because of the following reasons- a) It colonized the teeth. b) It produces large amount of acid. c) It produces ...