Early Feeding Practices and Severe Early Childhood Caries in Four-Year-Old Children from Southern Brazil: A Birth Cohort Study

Feldens, Carlos Alberto; Giugliani, Elsa Regina Justo; Vigo, Álvaro; Vítolo, Márcia Regina

doi:10.1159/000319898

Cited by 145 publications

(202 citation statements)

References 52 publications

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“…We observed an association between the intake of sugar more than 4 times a day and the development of ECC (Tables 2 and 3), a result that is consistent with data presented by Feldens et al [19]. Diet is a factor difficult to control given that the intake of fermentable carbohydrates is directly related to economic and cultural conditions, leaving dentists to emphasise the importance of controlling dental plaque by brushing with fluoridated toothpaste.…”

Section: Discussionsupporting

confidence: 90%

“…This fact can be attributed to a fatalistic culture so entrenched in certain social classes that having decayed teeth is a normal condition (Table 3). The results corroborate the views of several authors [19,20]. When parents have high counts of S. mutans in their saliva and/or carious lesions, the risk of transmission of cariogenic bacteria to their children is increased [21].…”

Section: Discussionsupporting

confidence: 90%

“…Thus, after the eruption of the first teeth, mothers should be advised to suspend night-time feedings [1]. Feldens et al [19] found that breastfeeding does not represent a risk factor if it occurs only once or twice a day. White et al [20] stated that the lack of clarity and standardization of breastfeeding in the form of studies makes it difficult to compare results.…”

Section: Discussionmentioning

confidence: 99%

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Risk factors associated with early childhood caries – a case control study

Lima

Brito-Neto

Amaral

et al. 2016

Rev. Odonto Ciênc. (Online)

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Objective: The aim of this study was to determine the risk factors associated with early childhood caries (ECC). Methods: It was an observational retrospective case-control study. The case group consisted of all patients diagnosed with ECC in the records of an active program of maternal and child care. The control group was composed of an equal number of children, matched for gender and age, who attended the program and did not have ECC. The process of data collection consisted of completing a pre-established schedule to analyse variables related to the mother/caregiver and child. Statistical analysis was performed using the chi-squared and odds ratio (OR), with alpha (α) = 0.05. Results: History of caries in the mother (OR=2.61; CI 95%=1.45-4.67) and father (OR=1.72; CI 95%=1.02-2.89) were key determinants in the child being diagnosed with ECC. Conclusions: The risk factors associated with ECC were the following: no oral hygiene acceptance, nocturnal feeding duration of more than 16 months, a daily intake of sugar greater than 4 times a day, a Baume type II maxillary arch, fewer than 3 consultations with the program, and a history of decay in the parents.Key words: Dental caries; Child; Risk factors Fatores de risco associados à cárie precoce da infância -estudo caso-controle REsUMO Objetivo: O objetivo deste estudo foi determinar os fatores de risco associados à carie precoce da infância (CPI). Metodologia: Foi um estudo observacional retrospectivo caso-controle. O grupo caso consistiu de todos os pacientes diagnosticados com CPI nos registros ativos de um programa odontológico de atenção maternoinfantil. O grupo controle foi composto por um número igual de crianças, pareadas por sexo e idade, que participaram do programa e não tinham CPI. O processo de coleta de dados consistiu no preenchimento de uma ficha pré-estabelecida para analisar as variáveis relacionadas à mãe/cuidador e a criança. A análise estatística foi realizada utilizando o teste do qui-quadrado e razão de chances (OR), com alfa (α)=0,05. Resultados: A CPI foi associada à história de cárie na mãe (OR=2.61; IC 95%=1.45-4.67) e no pai (OR=1.72; IC 95%=1.02-2.89). Conclusões: Os fatores de risco associados à CPI foram: não aceitação higiene oral, duração da alimentação noturna de mais de 16 meses, ingestão diária de açúcar superior a 4 vezes ao dia, arco superior tipo II de Baume, menos de 3 consultas ao programa, e história de cárie nos pais.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

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Risk factors associated with early childhood caries – a case control study

Lima

Brito-Neto

Amaral

et al. 2016

Rev. Odonto Ciênc. (Online)

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“…1 Although caries prevalence and severity has declined substantially over the years, dental caries remains the most prevalent public oral health problem, and the most prevalent chronic infectious disease in the world. 2,3 Dental caries still presents a high prevalence in preschoolers and schoolchildren in several countries 4 and is the main cause of dental pain in children, 5 causing fear and anxiety, 6 and negatively contributing for oral health habits. Consequently, presence of dental caries increases the number of dental appointments, which can lead to tooth loss in latter ages, affecting aesthetics, nutritional intake, and decreasing the individuals' quality of life.…”

Section: Introductionmentioning

confidence: 99%

Is obesity associated to dental caries in Brazilian schoolchildren?

et al. 2017

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Is obesity associated to dental caries in Brazilian schoolchildren?Abstract: This cross-sectional study aimed to determine the association between dental caries and weight status, and between dental caries and physical activity in Brazilian schoolchildren aged 8 to 12 years. A multi-stage sample of children enrolled in 20 private and public schools in 2010 in Pelotas, Southern Brazil, were invited to participate in the study. Socioeconomic data were collected from parents, and data regarding children characteristics were collected from children using a questionnaire and anthropometric measures. The Body Mass Index was obtained, and children were classified as overweight/obese considering age and sex. Dental examinations were performed to assess the presence of gingival inflammation, dental caries prevalence (DMFT≥1) and dental caries experience (mean DMFT). Multivariate Poisson Regression was used to assess factors associated with dental caries prevalence and experience. A total of 1,210 children were included in the study. Dental caries prevalence was 32.4% (95% CI 29.7-35.2), while the mean DMFT was 0.64 (± SD 1.00). Children who practiced less than 300 minutes per week of physical activity and overweigh/obese children had lower prevalence of dental caries, while children with obesity or overweight presented lower dental caries experience. Obesity/overweight and physical activity level presented an inverse relationship with dental caries. Longitudinal studies investigating the complexity of this relationship are required.

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“…O consumo alimentar inadequado nos primeiros anos de vida está relacionado à ocorrência de morbimortalidade em crianças, representada por doenças infecciosas, afecções respiratórias, cárie dental, desnutrição, excesso de peso e carências específicas de micronutrientes como ferro, zinco e vitamina A, entre outros 1,2,3,4,5,6,7,8 . De acordo com o último inquérito nacional, 7,4% das crianças brasileiras menores de cinco anos apresentavam excesso de peso, 1,6% baixo peso e 6,8% baixa estatura.…”

Section: Introductionunclassified