Risk factors for early childhood dental caries and effects of breastfeeding

Authors

  • Eva Carvajal Roca Universidad Católica San Vicente Mártir, Facultad de Medicina. Valencia. Hospital Católico Universitario Casa de Salud de Valencia, Servicio de Pediatría. Valencia https://orcid.org/0000-0003-1338-6072
  • Macarena Chofré Llorente Universidad Católica San Vicente Mártir, Facultad de Medicina. Valencia. https://orcid.org/0000-0003-1231-0500
  • Luis Robledo Díaz Universidad Católica San Vicente Mártir, Facultad de Medicina. Valencia. https://orcid.org/0000-0002-9504-9282
  • Gisela Senent Vicente Hospital Católico Universitario Casa de Salud de Valencia, Departamento de Gestión. Valencia. Universidad de Valencia, Facultad de Ciencias Sociales, Departamento de Sociología y Antropología Social. Valencia https://orcid.org/0000-0003-3635-9739

Keywords:

breastfeeding, early childhood caries, risk factors.

Abstract

Introduction: Several factors are described in the literature as determinant in the genesis of early childhood dental caries. However, the role of breastfeeding as a protective factor continues to be a controversial subject.

Objective: Determine the risk factors involved in the genesis of early childhood dental caries and the effects of breastfeeding.

Methods: A case-control study was conducted of a total 80 patients aged 3-8 years, 35 with dental caries and 45 healthy controls, from the province of Valencia, Spain, selected by nonprobability sampling. The variables analyzed had to do with breastfeeding, sociodemographic characteristics, and eating and hygiene habits. Analysis of quantitative variables was based on arithmetic mean and standard deviation as measures of centrality. Qualitative variables were described in terms of their absolute and relative frequencies. Factors associated to dental caries development were examined with chi-square and odds ratio testing.

Results: No statistically significant relationship was found between the variables analyzed and breastfeeding. A relationship could be established between the emergence of dental caries and the educational level of the mother (OR= 4.17) and the father (OR= 4.87), daily sugar intake (OR= 4), smoking mother (OR= 4.23) and gestational age (a greater incidence in preterm deliveries).

Conclusions: Breastfeeding is a protective factor against childhood dental caries, though the study could not establish that relationship. The most important factors related to the emergence of dental caries in the study sample were gestational age, educational level of parents, smoking mother and daily sugar intake.

Downloads

Download data is not yet available.

Author Biography

Luis Robledo Díaz, Universidad Católica San Vicente Mártir, Facultad de Medicina. Valencia.

Profesor del Departamento de Sociología y Antropología Social Universidad de Valencia

References

Burgueño L. Estudio de la erupción de los dientes temporales en una muestra de niños de la Comunidad de Madrid. 2014. [acceso 08/09/16]. Disponible en: https://eprints.ucm.es/24665/1/T35218.pdf

Boj J, Catalá M, García-Ballester, Mendoza. A. BOJ Odontopediatría. En: Boj Quesada J, Espasa Suárez de Deza E, editors. Boj Odontopediatría. Barcelona: Masson; 2011. p. 380.

Colak H, Dülgergil CT, Dalli M, Hamidi MM. Early childhood caries update: A review of causes, diagnoses, and treatments. J Nat Sci Biol Med [Internet]. 2013 [acceso 08/09/16];4(1):29-38. Disponible en: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3633299&tool=pmcentrez&rendertype=abstract

Jain M, Namdev R, Bodh M, Dutta S, Singhal P, Kumar A. Social and Behavioral Determinants for Early Childhood Caries among Preschool Children in India. J Dent Res Dent Clin Dent Prospects. 2015 [acceso 08/09/16];9(2):115-20. Disponible en: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=4517304&tool=pmcentrez&rendertype=abstract

Slabsinskiene E, Milciuviene S, Narbutaite J, Vasiliauskiene I, Andruskeviciene V, Bendoraitiene EA, et al. Severe early childhood caries and behavioral risk factors among 3-year-old children in Lithuania. Medicina (Kaunas). 2010 [acceso 08/09/16];46(2):135-41. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/20440088nhttp://medicina.kmu.lt/1002/1002-09e.pdf?origin=publication_detail

Nakayama Y, Mori M. Association of environmental tobacco smoke and snacking habits with the risk of early childhood caries among 3-year-old Japanese children. J Public Health Dent. 2015;75(2):157-62.

Nobile CG, Fortunato L, Bianco A, Pileggi C, Pavia M. Pattern and severity of early childhood caries in Southern Italy: a preschool-based cross-sectional study. BMC Public Health. BMC Public Health. 2014 [acceso 08/09/16];14(1):206. Disponible en: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3941481&tool=pmcentrez&rendertype=abstract

Olatosi OO, Inem V, Sofola OO, Prakash P, Sote EO. The prevalence of early childhood caries and its associated risk factors among preschool children referred to a tertiary care institution. Niger J Clin Pract. 2015;18(4):493-501.

Yonezu T, Yotsuya K, Yakushiji M. Characteristics of breast-fed children with nursing caries. Bull Tokyo Dent Coll. 2006;47(4):161-5.

Jain M, Namdev R, Bodh M, Dutta S, Singhal P, Kumar A. Social and Behavioral Determinants for Early Childhood Caries among Preschool Children in India. J Dent Res Dent Clin Dent Prospects [Internet]. 2015;9(2):115-20.

American Academy of Pediatric Dentistry. Policy on early childhood caries (ECC): Classifications, consequences, and preventive strategies. Pediatr Dent. 2011;33(special issue):47‐9

Nunes AMM, Alves CMC, Borba De Araújo F, Ortiz TML, Ribeiro MRC, Silva AAM Da, et al. Association between prolonged breast-feeding and early childhood caries: A hierarchical approach. Community Dent Oral Epidemiol. 2012;40(6):542-9.

Correa-Faria P, Martins-Junior PA, Vieira-Andrade RG, Marques LS, Ramos-Jorge ML. Factors associated with the development of early childhood caries among Brazilian preschoolers. Braz Oral Res. 2013;27(4):356-62.

Chaffee BW, Feldens CA, Vitolo MR. Association of long-duration breastfeeding and dental caries estimated with marginal structural models. Ann Epidemiol (Elsevier). 2014 [acceso 08/09/16];24(6):448-54. Disponible en: http://dx.doi.org/10.1016/j.annepidem

Hallett KB, O’Rourke PK. Social and behavioural determinants of early childhood caries. Aust Dent J. 2003;48(1):27-33.

Llodra J. Encuesta de Salud Oral en España 2010. Rcoe. 2012;17(1):13-46.

Sharma R, Prabhakar AR, Gaur A. Mutans Streptococci Colonization in Relation to Feeding Practices, Age and the Number of Teeth in 6 to 30-Month-Old Children: An in vivo Study. 1984;(1983):124-31.

Johansson I, Lif Holgerson P, Kressin NR, Nunn ME, Tanner AC. Snacking habits and caries in young children. Caries Res. 2010;44(5):421-30.

Hinostroza-Izaguirre MC, Jara-Porroa JJ, Montalvo-Castillo SC, Romero-Gonzáles MA, Ticse-Tovar J. Impacto de la lactancia no materna en el infante. Rev Cient Odontol. 2017;5(2):733-43.

Majorana A, Cagetti MG, Bardellini E, Amadori F, Conti G, Strohmenger L, et al. Feeding and smoking habits as cumulative risk factors for early childhood caries in toddlers, after adjustment for several behavioral determinants: a retrospective study. BMC Pediatrics. 2014 [acceso 08/09/16];14(1):45. Disponible en: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3930287&tool=pmcentrez&rendertype=abstract

Hong CHL, Bagramian RA, Hashim Nainar SM, Straffon LH, Shen L, Hsu CYS. High caries prevalence and risk factors among young preschool children in an urban community with water fluoridation. Int J Paediatr Dent. 2014;24(1):32-42.

Lorente AA, Lillo OC, Sánchez MD, Galera, Pina SG, Jordana MC. Caries dental: Influencia de los hábitos de higiene bucodental y de alimentación en niños en edad escolar. Acta Pediatrica Española. 2016 [acceso 08/09/16];74(10):246-52. Disponible en: https://search.proquest.com/docview/1848074837?accountid=1477

Published

2020-06-18

How to Cite

1.
Carvajal Roca E, Chofré Llorente M, Robledo Díaz L, Senent Vicente G. Risk factors for early childhood dental caries and effects of breastfeeding. Rev Cubana Estomatol [Internet]. 2020 Jun. 18 [cited 2025 Mar. 31];57(2):e1416. Available from: https://revestomatologia.sld.cu/index.php/est/article/view/1416

Issue

Section

Research Article