Effects of breastfeeding and sucking habits on malocclusion in a birth cohort study

Revista de Saúde Pública

Karen Glazer Peres²  Aluísio J D Barros¹  Marco Aurélio Peres²  César Gomes Victora¹ 

[1],Universidade Federal de Santa Catarina Programa de Pós-graduação em Saúde Pública Florianópolis Santa Catarina ,Brazil

关键词: Child;    Open bite;    Cross bite;    Malocclusion;    Breast feeding;    Sucking behavior;    Fingersucking;    Cross-sectional studies;    Criança;    Mordida aberta;    Mordida cruzada;    Maloclusão;    Aleitamento materno;    Comportamento de sucção;    Sucção de dedo;    Estudos transversais;   

DOI  :  10.1590/S0034-89102007000300004

来源: SciELO

【 摘 要 】

OBJECTIVE: To estimate the prevalence of malocclusion and to examine the effects of breastfeeding and non-nutritive sucking habits on dentition in six-year-old children. METHODS: A cross-sectional study was carried out nested into a birth cohort conducted in Pelotas, Southern Brazil, in 1999. A sample of 359 children was dentally examined and their mothers interviewed. Anterior open bite and posterior cross bite were recorded using the Foster & Hamilton criteria. Information regarding breastfeeding and non-nutritive sucking habits was collected at birth, in the first, third, sixth and 12th months of life, and at six years of age. Control variables included maternal schooling and child's birthweight, cephalic perimeter, and sex. Data were analyzed by Poisson regression. RESULTS: Prevalence of anterior open bite was 46.2%, and that of posterior cross bite was 18.2%. Non-nutritive sucking habits between 12 months and four years of age and digital sucking at age six years were the main risk factors for anterior open bite. Breastfeeding for less than nine months and regular use of pacifier between age 12 months and four years were risk factors for posterior cross bite. Interaction between duration of breastfeeding and the use of pacifier was identified for posterior cross bite. CONCLUSIONS: Given that breastfeeding is a protective factor for other diseases of infancy, our findings indicate that the common risks approach is the most appropriate for the prevention of posterior cross bite in primary or initial mixed dentition.

【 授权许可】

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