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Infant Dietary Pattern and its Association with Early Childhood Caries in Preschool Children: A Cross-sectional Study
Shreya Khodke1, Shilpa Naik1, Nupur Agarwal1
1Department of Pediatric and Preventive Dentistry, DY Patil University School of Dentistry, Navi Mumbai, Maharashtra, India.
Insights
Infant feeding and oral hygiene impact early childhood caries. Poor practices like bottle-feeding at sleep and infrequent teeth cleaning are linked to higher caries prevalence in preschoolers.
Area of Science:
- Pediatric Dentistry
- Public Health
- Oral Health Research
Background:
- Early childhood caries (ECC) is a significant public health concern.
- Understanding the influence of early life feeding and hygiene is crucial for prevention.
Purpose of the Study:
- To investigate the association between infant feeding and oral hygiene practices in the first year of life and caries prevalence in preschool children.
Main Methods:
- A cross-sectional study involving 420 preschool children aged 3-5 years in Navi Mumbai, India.
- Dental caries assessed using WHO criteria; feeding and hygiene data collected via a 34-question validated questionnaire.
- Data analyzed using Mann-Whitney U, Kruskal-Wallis, and Chi-square tests.
Main Results:
- High caries prevalence was observed.
- Significant associations found between caries and breastfeeding, falling asleep with a bottle, sugar-added milk, frequent sweet intake, and delayed infant teeth cleaning post-eruption.
Conclusions:
- Feeding practices significantly influence early childhood caries.
- Early intervention and education on dental hygiene are vital for establishing lifelong healthy habits.
Aim:
This study aimed to investigate the associations between feeding and oral hygiene practices during the first year of life and caries prevalence in preschool children.
Materials And Method:
A cross-sectional study was conducted on 420 children between the age-group of 3-5 years in Navi Mumbai, India. Dental caries experience was recorded using WHO criteria. A validated questionnaire with 34 questions was used for collecting information regarding feeding and oral hygiene practices. The data collected were analyzed using the Mann-Whitney U test, Kruskal-Wallis test, and Chi-square test.
Results:
Caries prevalence was high and statistically significant (p < 0.05) among those who were breastfed, fell asleep with a bottle in the mouth, fed with additional sugar in bottled milk, those who had a frequent sweet intake, and where infant's teeth were not cleaned soon after eruption.
Conclusion:
Determining the role of feeding practices on early childhood caries and intervention during early childhood seems to be the most appropriate action to ensure healthy dental habits throughout life.
Clinical Significance:
A future direction for dentists to target preventive interventions in early childhood and incorporate cariogenicity of frequent infant feeding into sound recommendations for parents and caregivers.
How To Cite This Article:
Khodke S, Naik S, Agarwal N. Infant Dietary Pattern and its Association with Early Childhood Caries in Preschool Children: A Cross-sectional Study. Int J Clin Pediatr Dent 2023;16(3):421-425.
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