What is the typical clinical presentation of baby bottle caries?

Baby bottle caries, also known as early childhood caries, typically presents as extensive decay on the primary molars. This condition is primarily caused by prolonged exposure to sugars from formulas, milk, or juices consumed from a bottle, particularly when a child sleeps with a bottle, allowing sugars to remain on the teeth for extended periods. As a result, the primary molars, which are critical for chewing and guiding the eruption of permanent teeth, are often the first teeth to show significant decay.

While caries can affect other teeth, the molars are particularly vulnerable due to their position and function. The decay usually appears as a more widespread problem rather than localized to just a few spots, leading to severe damage if not properly managed. Other options may mention different aspects—such as localized issues or involvement of the incisors—but do not accurately reflect the typical extensive nature of the decay observed in baby bottle caries.