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https://hdl.handle.net/2440/92777
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Type: | Journal article |
Title: | Exclusive breastfeeding and risk of dental malocclusion |
Author: | Peres, K. Cascaes, A. Peres, M. Demarco, F. Santos, I. Matijasevich, A. Barros, A. |
Citation: | Pediatrics, 2015; 136(1):e60-e67 |
Publisher: | American Academy of Pediatrics |
Issue Date: | 2015 |
ISSN: | 0031-4005 1098-4275 |
Statement of Responsibility: | Karen Glazer Peres, Andreia Morales Cascaes, Marco Aurelio Peres, Flavio Fernando Demarco, Iná Silva Santos, Alicia Matijasevich and Aluisio J.D. Barros |
Abstract: | OBJECTIVES: The distinct effect of exclusive and predominant breastfeeding on primary dentition malocclusions is still unclear. We hypothesized that exclusive breastfeeding presents a higher protective effect against malocclusions than predominant breastfeeding and that the use of a pacifier modifies the association between breastfeeding and primary dentition malocclusions. METHODS: An oral health study nested in a birth cohort study was conducted at age 5 years (N = 1303). The type of breastfeeding was recorded at birth and at 3, 12, and 24 months of age. Open bite (OB), crossbite, overjet (OJ), and moderate/severe malocclusion (MSM) were assessed. Poisson regression analyses were conducted by controlling for sociodemographic and anthropometric characteristics, sucking habits along the life course, dental caries, and dental treatment. RESULTS: Predominant breastfeeding was associated with a lower prevalence of OB, OJ, and MSM, but pacifier use modified these associations. The same findings were noted between exclusive breastfeeding and OJ and between exclusive breastfeeding and crossbite. A lower prevalence of OB was found among children exposed to exclusive breastfeeding from 3 to 5.9 months (33%) and up to 6 months (44%) of age. Those who were exclusively breastfed from 3 to 5.9 months and up to 6 months of age exhibited 41% and 72% lower prevalence of MSM, respectively, than those who were never breastfed. CONCLUSIONS: A common risk approach, promoting exclusive breastfeeding up to 6 months of age to prevent childhood diseases and disorders, should be an effective population strategy to prevent malocclusion. |
Keywords: | Humans Malocclusion Prevalence Retrospective Studies Follow-Up Studies Sucking Behavior Breast Feeding Child, Preschool Infant Brazil Female Male |
Rights: | © 2015 by the American Academy of Pediatrics |
DOI: | 10.1542/peds.2014-3276 |
Published version: | http://dx.doi.org/10.1542/peds.2014-3276 |
Appears in Collections: | Aurora harvest 7 Dentistry publications |
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