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Effect of feeding practices on dental caries among preschool children: a hospital based analytical cross sectional
Priyantha Julian Perera1, Meranthi Preethika Fernando, Tania Dayanthi Warnakulasooriya
1Department of Paediatrics, Faculty of Medicine, University of Kelaniya, No 1 'Lakpriya', Wedikanda Road, Ratmalana, Sri Lanka. priyanthaprr@gmail.com.
Insights
Overnight feeding with milk beyond two years significantly increases early childhood caries (ECC). Discouraging this practice can help reduce the incidence and severity of dental caries in young children.
Area of Science:
- Pediatric Dentistry
- Public Health Nutrition
- Child Development
Background:
- Early childhood caries (ECC) is a significant public health concern.
- Feeding practices are implicated in ECC etiology, but their precise role is debated.
Purpose of the Study:
- To assess the etiological role of specific feeding practices on early childhood caries (ECC).
Main Methods:
- A descriptive cross-sectional study was conducted in Sri Lanka.
- Two hundred eighty-five children (36-60 months) were recruited.
- Data on feeding practices and socio-demographics were collected via questionnaires; dental examinations assessed caries.
Main Results:
- 47.7% of children had dental caries (mean deft score 1.81).
- Overnight milk feeding beyond two years was significantly associated with increased ECC incidence and severity.
- Exclusive breastfeeding up to six months or beyond two years showed a non-significant trend towards higher caries prevalence.
Conclusions:
- Overnight milk feeding beyond two years is a significant risk factor for early childhood caries (ECC).
- This practice should be discouraged to mitigate dental caries development in young children.
Abstract:
Feeding practices during early childhood play an important aetiological role in early childhood caries (ECC). The role of feeding practices in causation of ECC is debated. The objective of this study was to assess the aetiological role of feeding practices on ECC. A descriptive cross sectional study was conducted at a paediatric unit in Sri Lanka. Two hundred and eighty-five children between 36 to 60 months, admitted to the unit were randomly selected for the study. An interviewer administered questionnaire asked about socio-demographic characteristics and feeding practices. The mouths of children were examined for dental caries. Out of 285 children, 61% had exclusive breast feeding up to six months, 69% continued breast feeding beyond two years and 82% had overnight feeding after two years of age. One hundred and thirty-six children (47.7%) had dental caries with a mean deft score of 1.81. Overnight feeding with any type of milk beyond two years significantly increased dental caries incidence and severity. Children exclusively breast fed for six months or had breast feeding beyond two years had a higher prevalence of caries than children not exclusively breast fed or who were not breast feed beyond two years, but the difference was not significant. Overnight feeding with any type of milk beyond two years should be discouraged.
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