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|Scopus||Web of Science®||Altmetric|
|Title:||Exclusive breastfeeding and risk of dental malocclusion|
|Citation:||Pediatrics, 2015; 136(1):e60-e67|
|Publisher:||American Academy of Pediatrics|
|Karen Glazer Peres, Andreia Morales Cascaes, Marco Aurelio Peres, Flavio Fernando Demarco, Iná Silva Santos, Alicia Matijasevich and Aluisio J.D. Barros|
|Abstract:||OBJECTIVES: The distinct effect of exclusive and predominant breastfeeding on primary dentition malocclusions is still unclear. We hypothesized that exclusive breastfeeding presents a higher protective effect against malocclusions than predominant breastfeeding and that the use of a pacifier modifies the association between breastfeeding and primary dentition malocclusions. METHODS: An oral health study nested in a birth cohort study was conducted at age 5 years (N = 1303). The type of breastfeeding was recorded at birth and at 3, 12, and 24 months of age. Open bite (OB), crossbite, overjet (OJ), and moderate/severe malocclusion (MSM) were assessed. Poisson regression analyses were conducted by controlling for sociodemographic and anthropometric characteristics, sucking habits along the life course, dental caries, and dental treatment. RESULTS: Predominant breastfeeding was associated with a lower prevalence of OB, OJ, and MSM, but pacifier use modified these associations. The same findings were noted between exclusive breastfeeding and OJ and between exclusive breastfeeding and crossbite. A lower prevalence of OB was found among children exposed to exclusive breastfeeding from 3 to 5.9 months (33%) and up to 6 months (44%) of age. Those who were exclusively breastfed from 3 to 5.9 months and up to 6 months of age exhibited 41% and 72% lower prevalence of MSM, respectively, than those who were never breastfed. CONCLUSIONS: A common risk approach, promoting exclusive breastfeeding up to 6 months of age to prevent childhood diseases and disorders, should be an effective population strategy to prevent malocclusion.|
|Keywords:||Humans; Malocclusion; Prevalence; Retrospective Studies; Follow-Up Studies; Sucking Behavior; Breast Feeding; Child, Preschool; Infant; Brazil; Female; Male|
|Rights:||© 2015 by the American Academy of Pediatrics|
|Appears in Collections:||Dentistry publications|
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