Fatores de risco para a cárie dental em crianças na primeira infância, Salvador - BA

Abstract

Objectives: to identify factors associated with the incidence of caries in early childhood.Methods

Feeding Practices of Potential Risk to Dental Caries in Early Childhood and its Relationship with Sociodemographic Variables and Prematurity

“…The feeding practices that may constitute a risk for dental caries and that could be evaluated in this study considering data filled in the medical records of children aged 1-45 months were: breastfeeding, bottle feeding, feeding during sleep, sugar introduction and frequency. It is noteworthy that one or more of these practices have been related in literature with the development of caries in children [1,[4][5][6][7][8][9][10]12,[14][15][16][17]. In a study with children aged 6-60 months with high prevalence of dental caries, the main factors associated with caries development were: age, frequency of consumption and time of bottle use and unsatisfactory oral hygiene [9].…”

“…In another study with high prevalence of severe early childhood caries in preschool children, the risk factors identified were: environmental factors such as public water supply fluoridation below recommended levels, low maternal schooling, male gender, and behavioral factors such as bottle feeding at 30 months of age [14]. Social and economic vulnerability has also been cited in literature as a strong risk factor for caries in children younger than two years [16].…”

“…To analyze the potential risk of these feeding practices in the development of caries in childhood, it was observed that there are divergences in literature regarding breastfeeding as a risk factor for caries: for some authors, there is a positive association with increased risk of caries when breastfeeding is very prolonged and frequent [5][6][7][8]16,21]; while for others, breastfeeding has no relationship with caries [22] and consider it a protective factor due to the delay in the introduction of high-sugar foods [23]. Compared with children who used feeding bottle, a meta-analysis of crosssectional studies showed that children who were breastfed were less affected by dental caries [24].…”

“…The potential risk of caries associated with the prolongation of this feeding practice was evidenced in studies where a significant increase in the prevalence of dental caries was reported in children who were bottle fed at night under free demand [6][7][8][9]. Feeding before or during sleep was associated with the incidence of caries in children enrolled in public, private and philanthropic daycare centers [16].…”

Cárie dentária e fatores associados em crianças de 5 anos de idade do município de Patos-PB

“…Afirmação comprovada neste trabalho, uma vez que se pôde constatar uma correlação entre presença de cárie e uso da mamadeira, sendo também ressaltada pelos resultados observados na associação entre as durações do uso da mamadeira e do aleitamento materno por mais de 2 anos de idade com o desenvolvimento da cárie. Na mesma linha de resultado, diversos estudos verificaram associação entre a amamentação por períodos mais longos que 12 meses e um aumento de 2 a 3 vezes na ocorrência de cárie dentária em dentes decíduos 14,15,18 .…”