Impact of Prolonged Breastfeeding on Dental Caries: A Population-Based Birth Cohort Study

Peres, Karen Glazer; Nascimento, Gustavo G.; Peres, Marco Aurélio; Mittinty, Murthy; Demarco, Flávio Fernando; Santos, Iná S.; Matijasevich, Alícia; Barros, Aluísio J D

doi:10.1542/peds.2016-2943

Cited by 114 publications

(140 citation statements)

References 37 publications

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“…The results of this study were in accordance with several previous studies [Schroth et al, 2013a;Li et al, 2017;Peres et al, 2017]. In Japan, "no residence tax" means low household income.…”

Section: Discussionsupporting

confidence: 92%

“…Some previous studies in developing countries reported that risk factors associated with S-ECC were frequent or prolonged breastfeeding [Özen et al, 2016;Feldens et al, 2018], socioeconomic status [Schroth et al, 2013a;Li et al, 2017;Peres et al, 2017], not having help with brushing [Turton et al, 2016;Mangla et al, 2017], and snacking habits [Evans et al, 2013;Mangla et al, 2017;Peres et al, 2017;Sun et al, 2017]. However, it is unclear whether these risk factors for S-ECC are similarly associated with S-ECC in developed countries.…”

Section: Introductionmentioning

confidence: 99%

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Association of Environmental Tobacco Smoke with the Risk of Severe Early Childhood Caries among 3-Year-Old Japanese Children

2018

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Severe early childhood caries (S-ECC) has serious consequences for primary dentition, affecting the overall health, well-being, and quality of life of the child. The aim of this study was to investigate the association of risk factors, including environmental tobacco smoke (ETS), with S-ECC in 3-year-old Japanese children by a cross-sectional study. Study subjects were 2,825 children aged 3 years old. Of these individuals, after excluding the study subjects with missing values, a total of 2,277 children were included in the present analysis. The self-administered questionnaire included such items as sex, whether a smoker resides in the home, the number of smokers in the home, snack time, drinking or eating sweets after dinner, frequency of parents brushing their child’s teeth, the use of fluoride toothpaste, and socioeconomic status. We obtained the number of decayed, missing, or filled teeth per person (dmft) from dental examinations. Logistic regression analysis was performed to estimate the odds ratio for S-ECC. The average number of decayed, missing, and filled teeth (dmft index) was 0.77. The prevalence of dental caries was 20.6%. There was at least 1 smoker in the homes of 1,370 subjects (60.2%). After excluding items of multicollinearity, the results of multivariate analysis were as follows: drinking or eating sweets after dinner, irregular snack times, parents brushing their child’s teeth less frequently, existence of smokers in the home, and no residence tax were significantly associated with S-ECC. This study suggests that there is a significant association between ETS from family members and S-ECC.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Association of Environmental Tobacco Smoke with the Risk of Severe Early Childhood Caries among 3-Year-Old Japanese Children

2018

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“…Finally, the novelty of the statistical approach (MSMs) used to assess the CDE, as well as the multiple imputation technique adopted to handle missing data, should be acknowledged. An advantage of MSM over conventional methods is that by dealing with potential confounding through a weighting process rather than using conventional conditional regressions, MSMs reduce the bias of conventional approaches …”

Section: Discussionmentioning

confidence: 99%

Direct effect of common mental disorders on xerostomia in adults estimated by marginal structural models: A population‐based study

Ianunzio

Peres

Haag

et al. 2019

Comm Dent Oral Epid

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Objective To investigate the controlled direct effect (CDE) of common mental disorders (CMD) on xerostomia which is not mediated by psychoactive medication intake. Methods A population‐based cross‐sectional study was conducted with 1720 individuals aged 20‐59 years from Florianópolis, Brazil, in 2009. A two‐stage cluster sample design was adopted, with a systematic selection of census tracts, followed by a random selection of households. All inhabitants of the selected households belonging to the age group of interest were considered eligible to participate. CMD were assessed using the Self‐Reporting Questionnaire (SRQ > 7). Xerostomia was the outcome assessed by asking: “How often do you feel dry mouth?” with responses “often” and “always” taken as indicating xerostomia. Psychoactive medication intake was set as the mediator. Confounding factors included sex, age, per capita family income, educational attainment and smoking status. Marginal structural models were performed to quantify the CDE of CMD on xerostomia. Missing data were handled by multiple imputation by chained equations, and sensitivity analysis for unmeasured confounding was carried out. Results The overall prevalence of xerostomia was 8.8% and 15.3% of the individuals presented with CMD. After adjustment, the prevalence of xerostomia among individuals with CMD was 3.2 times higher than that among individuals without CMD (PR = 3.2 [95% CI: 2.3; 4.5]). The CDE of CMD on xerostomia which is not mediated by the medication intake resulted in a three times greater prevalence of xerostomia (PR = 3.0 95% CI: 2.0; 4.5) among those individuals with CMD. Conclusions Common mental disorders is directly and negatively associated with xerostomia. Clinicians should bear in mind the emotional state when investigating the underlying factors and managing patients with xerostomia.

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“…The association between feeding method and ECC is pretty intricated and involves in a variety of factors including the frequency, duration, numbers, time and formula of the feeding. Previous studies ever reported that the breastfeeding and its duration is not associated with the ascended risk of ECC [13], yet studies also found that both prolonged breastfeeding and high-frequency feeding in late infancy augments the risk of having dental caries [26,27]. Van Palenstein et al [28], interestingly, reported that breastfeeding during the daylight beyond the age of 12-month was not associated with ECC for 25-to 30-month old infants, the relevant factor is breastfeeding at night > 2 times, and exposing > 15 minutes per nocturnal feeding.…”

Section: Logistic Regression Analysesmentioning

confidence: 99%

“…Limitations include the issues in the OHC knowledge and attitude designed for the questionnaire 15 are relatively basic and traditional. Several major risk factors are incorporated in current study, but unlike those monographic researches which excavated and explored sufficient detailed information about one certain targeting factor associated with ECC [27,31,50]. We have to say that some data on detailed information is limited, such as frequency of bedtime feeding, brushing efficiency, floss assist status, cariogenic microbial flora, each of which is reported to be associated with ECC.…”

Section: Logistic Regression Analysesmentioning

confidence: 99%

Assessment of risk factors for early childhood caries at different ages in Shandong, China and reflections on oral health education: a cross-sectional study

Wang

Zhang

et al. 2019

Preprint

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Background: The high prevalence of early childhood caries (ECC) is widespread around the world, and oral health education (OHE) plays a vital role in preventing ECC. Numerous studies on ECC risk factor assessment have assisted us enrich the content of OHE. The objective of this study, while, was to further assess independent risk factors for ECC at different ages and provide evidence and insight for OHE.Methods : Data about oral health status, and oral health knowledge, attitude, practice (KAP) from the questionnaire completed by caregivers among children 3 to 5 years of age (N=1301) in Shandong province were extracted from the 4 th National Oral Health Survey in China. The association between ECC prevalence and various KAP variables was tested in Chi-square test, bivariate analysis and by multivariable logistic regression analyses.Results: The ECC prevalence in Shandong province was 64.6%, the dmft mean was 3.15. Independent associations with increased risk for ECC were age, feeding method within 6 months of birth, bedtime sugar frequency, the experience of toothache over past one year and dental visit. And feeding methods primarily contribute to the high risk of 3-year-old group, while sugar habits mainly contribute to 5-year-old group. The association between brushing and ECC was not confirmed in this study, and correct cognition was unexpectedly positively correlated with the high risk of ECC.Conclusion: These data provide evidence to suggest that the ECC-related risk factors at different ages are inconsistent, which give some insights for OHE, that is in addition to promoting preventive dental visit, we should also highlight the effect of feeding methods in the early of deciduous dentition and sugar habits in the late stage of deciduous dentition on ECC and the supplement of practice training.

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Impact of Prolonged Breastfeeding on Dental Caries: A Population-Based Birth Cohort Study

Abstract: Prolonged breastfeeding increases the risk of having dental caries. Preventive interventions for dental caries should be established as early as possible because breastfeeding is beneficial for children's health. Mechanisms underlying this process should be investigated more deeply.

Cited by 114 publications

References 37 publications

Association of Environmental Tobacco Smoke with the Risk of Severe Early Childhood Caries among 3-Year-Old Japanese Children

Association of Environmental Tobacco Smoke with the Risk of Severe Early Childhood Caries among 3-Year-Old Japanese Children

Direct effect of common mental disorders on xerostomia in adults estimated by marginal structural models: A population‐based study

Assessment of risk factors for early childhood caries at different ages in Shandong, China and reflections on oral health education: a cross-sectional study

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