Impact of Infant Feeding Practices on Caries Experience of Preschool Children

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 breastfeed 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.

Breastfeeding, night feeding, caries, preschool, Nigeria

1. Hicks MJ, Flaitz CM. Epidemiology of dental caries in the pediatric and adolescent population: a review of past and current trends. J Clin Pediatr Dent, 17: 43–49, 1993:

2. Akpata ES. Dental Caries. Textbook of Operative Dentistry. Sankore Publishers Ltd, 1990, pp 1–14.

3. Jacobsen PH. Pathology of dental caries and pulpal disorders. Textbook of conservative dentistry: an integrated approach. Churchill Livingston Publishers, 1990: 42–51.

4. Reich E, Lussi A, Newburne E. FDI Commission. Caries risk assess-ment. Int Dent J, 49: 15–26, 1999.

5. Grinderfjord M, Dahlof G, Nilsson B, Modeer T. Stepwise prediction of dental caries in children up to 3.5 years of age. Caries Res, 30: 256–266, 1996.

6. al Ghanim NA, Adenubi JO, Wyne AA, Khan NB. Caries prediction model in pre-school children in Riyadh, Saudi Arabia. Int J Paediatr Dent, 8: 115–22, 1998.

7. Ramos-Gomez FJ, Weintraub JA, Gansky SA, Hoover CI, Featherstone JDB. Bacterial, behavioral and environmental factors associated with early childhood caries. J Clin Pediatr Dent, 26: 165–173, 2002.

8. Moss SJ. The relationship between diet, saliva and baby bottle tooth decay. Int Dent J, 46: 399–402, 1996.

9. Serwint JR, Muyo R, Negrete VF, Duggan AK, Korsch BM. Child rear-ing practices and nursing caries. Pediatrics, 92: 233–237, 1993.

10. Vacca-Smith AM, Bowen WH. The effect of milk and kappa casein on streptococcal glucosyltransferase. Caries Res, 29: 498–506, 1995.

11. Seow WK. Biological mechanisms of early childhood caries. Commu-nity Dent Oral Epidemiol, 26: 8–27, 1998.

12. Schwatz SS, Rosivack RG, Michelotti P. A child’s sleeping habit as a cause of nursing caries ASDC J. Dent. Child, 60: 22–25, 1993.

13. Bowen WH. Response to Seow. Biological mechanisms of early childhood caries. Community Dent Oral Epidemiol, 26: 8–27, 1998.

14. Shafer WG, Hine MK, Levy BM. Dental Caries. Oral Pathology 4th Edition, 406–478, 1983.

15. Noah MO. The prevalence and distribution of dental caries and state of oral cleanliness in 5-year old Ibadan Private School children. Nigerian Den J, 5: 44–51, 1984.

16. World Health Organisation. Oral Health Surveys Basic Methods 4th Edition WHO Geneva, 1997.

17. Tinanoff N, O’Sullivan DM. Early childhood caries: overview and recent findings. Paediatr Dent, 19: 12–16, 1997.

18. Tsubouchi J, Higashi T, Shimono T, Domoto PK, Weinstein P. A study of baby bottle tooth decay and risk factors for 18-months old infants in rural Japan. J Dent Child, 4: 293–298, 1994,

19. Campus G, Solinas G, Strohmenger L, Cagetti MG, Senna A, Minelli L, Majori S, Montagna MT, Reali D, Castiglia P, Collaborating Study Group. National pathfinder survey on children’s oral health in Italy: pattern and severity of caries disease in 4-year-olds. Caries Res, 43: 155–162, 2009.

20. Hallonsten AL, Wendt LK, Majare I, Birkhed D, Hakansson C, Lindvall AM, Edwardsson S, Koch G. Dental caries and prolonged breast feed-ing in 18 months old Swedish children. Int J Paediatr Dent, 5: 149–155, 1995.

21. al-Dashti AA, Williams SA, Curzon ME. Breast feeding, bottle feeding and dental caries in Kuwait, a country with low-fluoride levels in the water supply. Community Dent Health,12: 42–47, 1995.

22. Weerheijm KL, Uyttendele-Speybrouk BFM, Euwe HC, Groen HJ. Prolonged demand breast-feeding and nursing caries. Caries Res, 32: 46–50, 1998.

23. Kramer MS, Vanilovich I, Matush L, Bogdanovich N, Zhang X, Shishko G, Muller-Bolla M, Platt RW. The effect of prolonged and exclusive breast-feeding on dental caries in early school-age children. New evidence from a large randomized trial. Caries Res, 41: 484–488, 2007.

24. Mohebbi SZ, Virtanen JI, Vahid-Golpayegani M, Vehkalahti MM. Feeding habits as determinants of early childhood caries in a population where prolonged breastfeeding is the norm. Community Dent Oral Epi-demiol, 36: 363–369, 2008.

25. Amaratunge A. Rampant dental caries in Papua New Guinean children, 12: 14–16, 1989.

26. Ye W, Feng XP, Liu YL. [An epidemiological study of risk factors of rampant caries in Shanghai children]. Shanghai Kou Qiang Yi Xue, 10: 166–169, 2001.

27. Moynihan PJ, Holt RD. The national diet and nutrition survey of 1.5 to 4.5 year old children: summary of the findings of the dental survey. Br Dent J, 181: 328–332, 1996.

28. Nainar SMH, Crall JJ. Caries experience in inner city pre-schoolers at the time of initial dental visit. ASDC J Dent Child, 64: 421–424, 1997.

29. Li R, Scanlon KS, Serdula MK. The validity and reliability of maternal recall of breastfeeding practice. Nutr Rev, 63: 103–110, 2005.