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Impact of infant feeding practices on caries experience of preschool children
Morenike O Folayan1, Christiana A Sowole, Foluso J Owotade
1Department of Child Dental Health, Obafemi Awolowo University, Ile-Ife, Nigeria. toyinukpong@yahoo.co.uk
Insights
Prolonged breastfeeding, especially exclusive breastfeeding, significantly increases the risk of rampant caries in Nigerian preschool children. Longer breastfeeding duration directly correlates with higher caries experience.
Area of Science:
- Pediatric Dentistry
- Oral Health Research
- Public Health Nutrition
Background:
- Dental caries is a prevalent issue in preschool children.
- Understanding risk factors associated with feeding practices is crucial for prevention.
- Previous research has explored various feeding modalities and their impact on oral health.
Purpose of the Study:
- To investigate the association between breastfeeding, bottle feeding, night feeding, and child demographics with caries experience.
- To determine the specific impact of breastfeeding duration and exclusivity on dental caries.
- To assess the relationship between feeding habits and rampant caries in preschool children.
Main Methods:
- A study involving mothers of preschool children in Nigeria.
- Data collection included child's age and sex, breastfeeding details (form, duration), night feeding habits, and bottle feeding information.
- Intraoral examinations were conducted to assess decayed, missing, and filled teeth (dmft) and rampant caries.
Main Results:
- Breastfeeding duration and form were significant predictors of dmft.
- Children breastfed exclusively or for over 18 months exhibited the highest dmft.
- A strong association was found between rampant caries and breastfeeding duration, with a 10% increased risk per month of breastfeeding.
Conclusions:
- The duration of breastfeeding is a significant risk factor for rampant caries in Nigerian preschool children.
- Extended breastfeeding periods are linked to a higher prevalence of dental caries.
- These findings highlight the need for targeted oral health interventions considering breastfeeding practices.
Aim:
This study investigated the association between breastfeeding, bottle feeding, night feeding, age, and sex of the child on the caries experience.
Method:
Information was collected from the mothers of preschool children. Information included the age of the child, sex of the child, form of breastfeeding (whether exclusive, almost exclusive or mixed), duration of breastfeeding, night feeding habits of the child, and duration and content of bottle feeding. Intraoral examination was done to assess the dmft. The impact of the variables on the caries experience (rampant caries, no caries and the dmft) was then assessed.
Results:
The duration of breast feeding (p = 0.002), and form of breast feeding (p = 0.03) were significant predictors of the dmft. The dmft was highest in children who were breastfed for longer than 18 months and highest for children who were exclusively breastfed. There is a strong association between rampant caries and duration of breast feeding only (p < 0.001). The risk of having rampant caries increases by 10% (p = 0.012) with every month increase in the duration of breastfeeding.
Conclusion:
The duration of breastfeeding increased the risk for rampant caries in preschool children in Nigeria. The longer the duration, the higher the risk for caries.
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