Purpose: Baby bottle tooth decay, commonly known as “bottle rot”, has been estimated to affect nearly a quarter of all socioeconomically disadvantaged children. It most commonly occurs in the upper front teeth and is usually associated with frequent exposure to sugary drinks and bottle use at bedtime. However, many parents continue to use bottles past AAP recommended guidelines of 1 year of age and, even more damaging, many report using milk/formula in bottles (MIB) to help get their child to sleep. Therefore, it is imperative for pediatricians to be aware of the prevalence of MIB as a natural sleep aid as this can have a direct effect on oral health. Methods: An anonymous online survey was distributed via Amazon MTurk to parents of children aged 13 to 35 months (n=239). Parents were asked demographic questions, the frequency with which they use MIB to put their child to sleep (Never, Seldom, Sometimes, Most Times), effectiveness of use (No, Moderately, Extremely), and whether side effects were observed (Yes/ No). Parents were then asked if they discussed the use of food/ drink as sleep aids with their child’s pediatrician (Yes/No). Results: Of 239 survey participants, 236 responded to all questions. The mean age of our sample was 23.1 months (SD= 6.7), with 80% of the participants identifying as White and 7.6% identifying as Black. Overall, 55% of all parent respondents stated that they had used MIB at some point as a sleep aid for their infant (8.5% Seldom, 23.3% Sometimes, 23.3% Most Times). Of these respondents, 90.4% stated that this intervention was effective, while only 8.9% indicated that their child experienced a side effect after using MIB. Of all parents who administer MIB, 54.6% reported that they did not discuss food/drink as sleep aids with their pediatrician. Conclusion: Despite warnings issued by the AAP, the majority of parents report using MIB to help infants sleep after 1 year of age. Early childhood caries do not only affect baby teeth, but are also associated with loss of teeth needed to establish appropriate feeding habits, misaligned permanent teeth, and increased risk to adult dental caries. It is important for pediatricians to inform parents of the inherent health risks of using MIB as a sleep aid.