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dc.contributor.authorPeres, K.-
dc.contributor.authorCascaes, A.-
dc.contributor.authorPeres, M.-
dc.contributor.authorDemarco, F.-
dc.contributor.authorSantos, I.-
dc.contributor.authorMatijasevich, A.-
dc.contributor.authorBarros, A.-
dc.identifier.citationPediatrics, 2015; 136(1):e60-e67-
dc.description.abstractOBJECTIVES: 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.-
dc.description.statementofresponsibilityKaren Glazer Peres, Andreia Morales Cascaes, Marco Aurelio Peres, Flavio Fernando Demarco, Iná Silva Santos, Alicia Matijasevich and Aluisio J.D. Barros-
dc.publisherAmerican Academy of Pediatrics-
dc.rights© 2015 by the American Academy of Pediatrics-
dc.subjectRetrospective Studies-
dc.subjectFollow-Up Studies-
dc.subjectSucking Behavior-
dc.subjectBreast Feeding-
dc.subjectChild, Preschool-
dc.titleExclusive breastfeeding and risk of dental malocclusion-
dc.typeJournal article-
dc.identifier.orcidPeres, K. [0000-0002-1730-2123]-
dc.identifier.orcidPeres, M. [0000-0002-8329-2808]-
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Dentistry publications

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