Article Data

  • Views 988
  • Dowloads 252

Original Research

Open Access

Prolonged Breastfeeding and Dental Caries In Children In the Third Year of Life

  • Andreia Drawanz Hartwig1,*,
  • Ana Regina Romano1
  • Marina Sousa Azevedo1

1Department of Social and Preventive Dentistry, Dental School of Federal University of Pelotas, RS, Brazil

DOI: 10.17796/1053-4625-43.2.4 Vol.43,Issue 2,March 2019 pp.91-96

Published: 01 March 2019

*Corresponding Author(s): Andreia Drawanz Hartwig E-mail: andreiahartwig@hotmail.com

Abstract

Purpose: To assess the association between long-term breastfeeding and dental caries in children during the third year of life. Study design: This retrospective longitudinal study consisted of children who were followed-up by the Maternal and Child Public Oral Health Program. Information regarding socio-economic class, demographic status, daily frequency of sucrose intake, breastfeeding duration and oral hygiene were collected with the aid of a questionnaire. Information on dental caries in the children was collected from dental records. Negative binomial regression models were used to assess the association between breastfeeding duration and dental caries. Results: We included a total of 325 children in the study. The incidence of dental caries was found to be 12.92%. Even after adjustments, children who were breastfed for a period ≥24 months were more likely to have dental caries, when compared with children who were not breastfed or were breastfed for less than 6 months. Children who had a higher frequency of sucrose intake and those with dental plaque were more likely to have dental caries. Conclusion: In this study, a greater incidence of dental caries was found in children who were breastfed for a period ≥ 24 months.

Keywords

Dental caries; Dietary sucrose; Food habits; Mother-child relations

Cite and Share

Andreia Drawanz Hartwig,Ana Regina Romano,Marina Sousa Azevedo. Prolonged Breastfeeding and Dental Caries In Children In the Third Year of Life. Journal of Clinical Pediatric Dentistry. 2019. 43(2);91-96.

References

1. World Health Organization: The World Oral Health Report 2003: Continuous Improvement of Oral Health in the 21st Century – the Approach of the WHO Global Oral Health Programme. Geneva: World Health Organization; 2003. 2003.

2. Congiu G, Campus G, Luglie PF. Early Childhood Caries (ECC) Prevalence and Background Factors: A Review. Oral Health Prev Dent,12:71-6, 2014.

3. Benzian H, Monse B, Heinrich-Weltzien R, et al. Untreated severe dental decay: a neglected determinant of low Body Mass Index in 12-year-old Filipino children. BMC Public Health; 11: 558, 2011.

4. Heinrich-Weltzien R, Monse B, Benzian H, Heinrich J, Kromeyer-Hauschild K. Association of dental caries and weight status in 6- to 7-year-old Filipino children. Clin Oral Investig,17: 1515-23, 2013.

5. Dini EL, Holt RD, Bedi R. Caries and its association with infant feeding and oral health-related behaviours in 3-4-year-old Brazilian children. Community Dent Oral Epidemiol, 28 :241-8, 2000.

6. Leal SC, Bronkhorst EM, Fan M, Frencken JE. Untreated cavitated dentine lesions: impact on children’s quality of life. Caries Res, 46: 102-6, 2012.

7. Chaffee BW, Feldens CA, Rodrigues PH, Vitolo MR. Feeding practices in infancy associated with caries incidence in early childhood. Community Dent Oral Epidemiol, 43: 338-48, 2015.

8. Feldens CA, Giugliani ER, Vigo A, Vitolo MR. Early feeding practices and severe early childhood caries in four-year-old children from southern Brazil: a birth cohort study. Caries Res, 44: 445-52, 2010.

9. Qin ML, J.; Zhang, S.; Ma, W. . Risk factors for severe early childhood caries in children younger than 4 years old in Beijing, China. . Pediatr Dent, 30: 122-8, 2009.

10. Sheiham A, James WP. Diet and Dental Caries: The Pivotal Role of Free Sugars Reemphasized. J Dent Res, 94: 1341-7, 2015.

11. Harris R, Nicoll AD, Adair PM, Pine CM. Risk factors for dental caries in young children: a systematic review of the literature. Community Dent Health, 21: 71-85, 2004.

12. Moynihan PJ, Kelly SA. Effect on caries of restricting sugars intake: systematic review to inform WHO guidelines. J Dent Res, 93:8-18. 2014.

13. World Health Organization. Sugars intake for adults and children. Geneva: World Health Organization:1-59, 2015

14. Folayan MO, Sowole CA, Owotade FJ, Sote E. Impact of infant feeding practices on caries experience of preschool children. J Clin Pediatr Dent, 34: 297-301, 2010.

15. Victora CG, Bahl R, Barros AJ, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet, 387: 475-90. 2016.

16. Victora CG, Horta BL, Loret de Mola C, et al. Association between breast-feeding and intelligence, educational attainment, and income at 30 years of age: a prospective birth cohort study from Brazil. Lancet Glob Health, 3: 199- 205, 2015.

17. Aida J, Ando Y, Oosaka M, Niimi K, Morita M. Contributions of social context to inequality in dental caries: a multilevel analysis of Japanese 3- year-old children. Community Dent Oral Epidemiol, 36: 149-56, 2008.

18. Bowen WH, Lawrence RA. Comparison of the cariogenicity of cola, honey, cow milk, human milk, and sucrose. Pediatrics, 116: 921-6, 2005.

19. Prabhakar AR, Kurthukoti AJ, Gupta P. Cariogenicity and acidogenicity of human milk, plain and sweetened bovine milk: an in vitro study. J Clin Pediatr Dent, 34: 239-47, 2010.

20. Campus G, Solinas G, Strohmenger L, et al. National pathfinder survey on children’s oral health in Italy: pattern and severity of caries disease in 4- year-olds. Caries Res, 43: 155-62, 2009.

21. Iida H AP, Billings RJ, Weitzman M. Association between infant breast-feeding and early childhood caries in the United States. Pediatrics, 120: 944- 52, 2007.

22. Kramer MS, Vanilovich I, Matush L, et al. The effect of prolonged and exclusive breast-feeding on dental caries in early school-age children. New evidence from a large randomized trial. Caries Res, 41: 484-8, 2007.

23. Mohebbi SZ, Virtanen JI, Vahid-Golpayegani M, Vehkalahti MM. Feeding habits as determinants of early childhood caries in a population where prolonged breastfeeding is the norm. Community Dent Oral Epidemiol, 36: 363- 9, 2008.

24. Chaffee BW, Feldens CA, Vitolo MR. Association of long-duration breast-feeding and dental caries estimated with marginal structural models. Ann Epidemiol, 24: 448-54, 2014.

25. American Academy of Pediatric Dentistry. Policy on Early Childhood Caries (ECC): Classifications, Consequences, and Preventive Strategies, 38:16-17, 2016.

26. Nyvad B, Machiulskiene V, Baelum V. Reliability of a new caries diagnostic system differentiating between active and inactive caries lesions. Caries Res, 33: 252-60, 1999.

27. Tham R, Bowatte G, Dharmage SC, et al. Breastfeeding and the risk of dental caries: a systematic review and meta-analysis. Acta Paediatr, 104: 62- 84, 2015.

28. Nunes AM, Alves CM, Borba de Araujo F, et al. Association between prolonged breast-feeding and early childhood caries: a hierarchical approach. Community Dent Oral Epidemiol, 40: 542-9, 2012.

29. Nirunsittirat A, Pitiphat W, McKinney CM, et al. Breastfeeding Duration and Childhood Caries: A Cohort Study. Caries Res, 50: 498-507, 2016.

30. Ozen B, Van Strijp AJ, Ozer L, et al. Evaluation of Possible Associated Factors for Early Childhood Caries and Severe Early Childhood Caries: A Multicenter Cross-Sectional Survey. J Clin Pediatr Dent, 40: 118-23, 2016.

31. Sakuma S, Nakamura M, Miyazaki H. Predictors of dental caries development in 1.5-year-old high-risk children in the Japanese public health service. J Public Health Dent, 67: 14-9, 2007.

32. Kakanur M, Nayak M, Patil SS, et al. Exploring the multitude of risk factors associated with early childhood caries. Indian J Dent Res, 28: 27-32, 2017.

33. Peres KG, Nascimento GG, Peres MA, et al. Impact of Prolonged Breast-feeding on Dental Caries: A Population-Based Birth Cohort Study. Pediatrics;140, 2017.

34. Wong PD, Birken CS, Parkin PC, et al. Total Breast-Feeding Duration and Dental Caries in Healthy Urban Children. Acad Pediatr, 17: 310-15, 2017.

35. Shim JS, Oh K, Kim HC. Dietary assessment methods in epidemiologic studies. Epidemiol Health,;36: 2014009, 2014.

36. Yonezu T, Yotsuya K, Yakushiji M. Characteristics of breast-fed children with nursing caries. Bull Tokyo Dent Coll, 47: 161-5, 2006.

37. Cury JA, Tenuta LM. Evidence-based recommendation on toothpaste use. Braz Oral Res, 1: 7, 2014.

38. Pearce J, Langley-Evans SC. The types of food introduced during complementary feeding and risk of childhood obesity: a systematic review. Int J Obes (Lond), 37: 477-85, 2013.

39. Erickson PR, Mazhari E. Investigation of the role of human breast milk in caries development. Pediatr Dent, 21: 86-90, 1999.

40. de Mazer Papa AM, Tabchoury CP, Del Bel Cury AA, et al. Effect of milk and soy-based infant formulas on in situ demineralization of human primary enamel. Pediatr Dent, 32: 35-40, 2010.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,500 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

PubMed (MEDLINE) PubMed comprises more than 35 million citations for biomedical literature from MEDLINE, life science journals, and online books. Citations may include links to full text content from PubMed Central and publisher web sites.

Biological Abstracts Easily discover critical journal coverage of the life sciences with Biological Abstracts, produced by the Web of Science Group, with topics ranging from botany to microbiology to pharmacology. Including BIOSIS indexing and MeSH terms, specialized indexing in Biological Abstracts helps you to discover more accurate, context-sensitive results.

Google Scholar Google Scholar is a freely accessible web search engine that indexes the full text or metadata of scholarly literature across an array of publishing formats and disciplines.

JournalSeek Genamics JournalSeek is the largest completely categorized database of freely available journal information available on the internet. The database presently contains 39226 titles. Journal information includes the description (aims and scope), journal abbreviation, journal homepage link, subject category and ISSN.

Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.

BIOSIS Previews BIOSIS Previews is an English-language, bibliographic database service, with abstracts and citation indexing. It is part of Clarivate Analytics Web of Science suite. BIOSIS Previews indexes data from 1926 to the present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Scopus: CiteScore 2.0 (2022) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Submission Turnaround Time

Conferences

Top