Sweet dreams and sour awakenings

BMJ 2003; 327 doi: (Published 30 October 2003) Cite this as: BMJ 2003;327:1040
  1. Andreas D Meyer, paediatrician (,
  2. Yasmin Khan, clinical director
  1. Chailey Heritage Clinical Services, South Downs Health NHS Trust, North Chailey, East Sussex

    Almost a quarter century ago Roberts and Roberts proposed in the BMJ that liquid medicines for children should be either unsweetened or sweetened with non-acidogenic substances.1 They proved a clear association between sugar sweetened drugs and dental caries in children. Since then others have pointed out the high risk of regularly using preparations containing sugar, particularly for chronically sick children.2

    At a health review of a child with severe cerebral palsy, rampant carious teeth were …

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