Pacifier use modifies the association between breastfeeding and malocclusion: a cross-sectional study
This study aimed to evaluate the influence of breastfeeding and pacifier use on the occlusal status of preschool children. A cross-sectional study was conducted with children (n = 489) aged 2-5 years in private and public schools in Pelotas, South Brazil. Mothers answered a questionnaire on demograp...
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| Published in | Brazilian oral research Vol. 32; p. e101 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
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Brazil
Sociedade Brasileira de Pesquisa Odontológica - SBPqO
11.10.2018
Sociedade Brasileira de Pesquisa Odontológica |
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| Abstract | This study aimed to evaluate the influence of breastfeeding and pacifier use on the occlusal status of preschool children. A cross-sectional study was conducted with children (n = 489) aged 2-5 years in private and public schools in Pelotas, South Brazil. Mothers answered a questionnaire on demographic, socioeconomic and behavioral variables, including breastfeeding and non-nutritive sucking habits. Malocclusion was classified as normal/mild and moderate/severe, according to WHO criteria. The association between breastfeeding and pacifier use with malocclusion was tested using multivariate logistic regression. The prevalence of malocclusion was 37.83% (95%CI 33.52-42.14), and 57.87% of the children used a pacifier. A total of 46.01% of the sample was exclusively breastfed for 6 months, and 24.74% were never breastfed. Malocclusion was associated with pacifier use, and with both non-exclusively breastfed and never breastfed. After adjustments for demographic and socioeconomic variables, the children who used a pacifier and were never breastfed (OR = 19.08; 95%CI 8.54-42.63), or who used a pacifier and were not exclusively breastfed (OR = 13.74; 95%CI 6.11-30.92), showed worse occlusal conditions, compared with the children who were exclusively breastfed and never used a pacifier. Pacifier use modifies the relationship between breastfeeding and occlusal status. |
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| AbstractList | Abstract This study aimed to evaluate the influence of breastfeeding and pacifier use on the occlusal status of preschool children. A cross-sectional study was conducted with children (n = 489) aged 2–5 years in private and public schools in Pelotas, South Brazil. Mothers answered a questionnaire on demographic, socioeconomic and behavioral variables, including breastfeeding and non-nutritive sucking habits. Malocclusion was classified as normal/mild and moderate/severe, according to WHO criteria. The association between breastfeeding and pacifier use with malocclusion was tested using multivariate logistic regression. The prevalence of malocclusion was 37.83% (95%CI 33.52–42.14), and 57.87% of the children used a pacifier. A total of 46.01% of the sample was exclusively breastfed for 6 months, and 24.74% were never breastfed. Malocclusion was associated with pacifier use, and with both non-exclusively breastfed and never breastfed. After adjustments for demographic and socioeconomic variables, the children who used a pacifier and were never breastfed (OR = 19.08; 95%CI 8.54–42.63), or who used a pacifier and were not exclusively breastfed (OR = 13.74; 95%CI 6.11–30.92), showed worse occlusal conditions, compared with the children who were exclusively breastfed and never used a pacifier. Pacifier use modifies the relationship between breastfeeding and occlusal status. This study aimed to evaluate the influence of breastfeeding and pacifier use on the occlusal status of preschool children. A cross-sectional study was conducted with children (n = 489) aged 2-5 years in private and public schools in Pelotas, South Brazil. Mothers answered a questionnaire on demographic, socioeconomic and behavioral variables, including breastfeeding and non-nutritive sucking habits. Malocclusion was classified as normal/mild and moderate/severe, according to WHO criteria. The association between breastfeeding and pacifier use with malocclusion was tested using multivariate logistic regression. The prevalence of malocclusion was 37.83% (95%CI 33.52-42.14), and 57.87% of the children used a pacifier. A total of 46.01% of the sample was exclusively breastfed for 6 months, and 24.74% were never breastfed. Malocclusion was associated with pacifier use, and with both non-exclusively breastfed and never breastfed. After adjustments for demographic and socioeconomic variables, the children who used a pacifier and were never breastfed (OR = 19.08; 95%CI 8.54-42.63), or who used a pacifier and were not exclusively breastfed (OR = 13.74; 95%CI 6.11-30.92), showed worse occlusal conditions, compared with the children who were exclusively breastfed and never used a pacifier. Pacifier use modifies the relationship between breastfeeding and occlusal status. |
| Author | Costa, Catiara Terra da Goettems, Marília Leão Bonow, Maria Laura Menezes Azevedo, Marina Sousa Romano, Ana Regina Shqair, Ayah Qassem |
| AuthorAffiliation | Universidade Federal de Pelotas |
| AuthorAffiliation_xml | – name: Universidade Federal de Pelotas |
| Author_xml | – sequence: 1 givenname: Catiara Terra da surname: Costa fullname: Costa, Catiara Terra da organization: Universidade Federal de Pelotas - UFPel, School of Dentistry , Post-Graduate Program in Dentistry, Pelotas , RS , Brazil – sequence: 2 givenname: Ayah Qassem surname: Shqair fullname: Shqair, Ayah Qassem organization: Universidade Federal de Pelotas - UFPel, School of Dentistry , Post-Graduate Program in Dentistry, Pelotas , RS , Brazil – sequence: 3 givenname: Marina Sousa surname: Azevedo fullname: Azevedo, Marina Sousa organization: Universidade Federal de Pelotas - UFPel, School of Dentistry , Post-Graduate Program in Dentistry, Pelotas , RS , Brazil – sequence: 4 givenname: Marília Leão surname: Goettems fullname: Goettems, Marília Leão organization: Universidade Federal de Pelotas - UFPel, School of Dentistry , Post-Graduate Program in Dentistry, Pelotas , RS , Brazil – sequence: 5 givenname: Maria Laura Menezes surname: Bonow fullname: Bonow, Maria Laura Menezes organization: Universidade Federal de Pelotas - UFPel, School of Dentistry , Post-Graduate Program in Dentistry, Pelotas , RS , Brazil – sequence: 6 givenname: Ana Regina surname: Romano fullname: Romano, Ana Regina organization: Universidade Federal de Pelotas - UFPel, School of Dentistry , Post-Graduate Program in Dentistry, Pelotas , RS , Brazil |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/30328893$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1016/j.ajodo.2008.09.029 10.1016/j.ajodo.2014.12.019 10.1186/s40510-014-0059-4 10.3390/children5010008 10.17796/1053-4628-40.1.88 10.1590/S0034-8910.2015049005971 10.1177/0890334415609611 10.5005/jp-journals-10005-1477 10.1111/apa.13124 10.1590/S1678-77572011000200013 10.1186/1472-6831-14-96 10.1186/s12887-015-0364-1 10.14219/jada.archive.2013.0093 10.1542/peds.111.3.511 10.1542/peds.2014-3276 10.1111/apa.13103 10.1590/0103-6440201701278 |
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| Keywords | Malocclusion Tooth, Deciduous Breast Feeding |
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– year: 2003 publication-title: Global strategy for infant and young child feeding – volume: 104 start-page: 54 issue: 467 year: 2015 end-page: 61 article-title: Effect of breastfeeding on malocclusions: A systematic review and meta-analysis publication-title: Acta Paediatrica contributor: fullname: Peres, KG; Cascaes, AM; Nascimento, GG; Victora, CG – volume: 28 start-page: 105 issue: 1 year: 2017 end-page: 112 article-title: Impact of malocclusion on oral health-related quality of life of 8-12 years old schoolchildren in Southern Brazil publication-title: Braz Dent J contributor: fullname: Simões, RC; Goettems, ML; Schuch, HS; Torriani, DD; Demarco, FF; Goettems, ML; Schuch, HS; Torriani, DD; Demarco, FF – volume: 11 start-page: 18 issue: 1 year: 2018 end-page: 22 article-title: Association of breastfeeding duration, nonnutritive sucking habits, and malocclusion publication-title: Int J Clin Pediatr Dent contributor: fullname: Roscoe, MG; Bonifacio, SVS; Silva, TB; Pingueiro, JM; Lemos, MM; Feres, MF – volume: 111 start-page: 511 issue: 3 year: 2003 end-page: 518 article-title: Randomized clinical trial of pacifier use and bottle-feeding or cupfeeding and their effect on breastfeeding publication-title: Pediatrics contributor: fullname: Howard, CR; Howard, FM; Lanphear, B; Eberly, S; Blieck, EA; Oakes, D – volume: 138 start-page: 32 issue: 1 year: 2010 end-page: 40 article-title: Posterior crossbite in the deciduous dentition period, its relation with sucking habits, irregular orofacial functions, and otolaryngological findings publication-title: Am J Orthod Dentofacial Orthop contributor: fullname: Melink, S; Vagner, MV; Hocevar-Boltezar, I; Ovsenik, M – volume: 40 start-page: 88 issue: 1 year: 2016 end-page: 93 article-title: Factors associated with the occurrence of distoclusion in the primary dentition: a hierarchical analysis publication-title: J Clin Pediatr Dent contributor: fullname: Feldens, CA; Martins, RP; Maciel, RR; Vargas-Ferreira, F; Kramer, PF – volume: 136 start-page: e60 issue: 1 year: 2015 end-page: e67 article-title: Exclusive breastfeeding and risk of dental malocclusion publication-title: Pediatrics contributor: fullname: Peres, KG; Cascaes, AM; Peres, MA; Demarco, FF; Santos, IS; Matijasevich, A – volume: 49 issue: 0 year: 2015 article-title: Factors associated with exclusive breastfeeding in the first six months of life in Brazil: a systematic review publication-title: Rev Saude Publica contributor: fullname: Boccolini, CS; Carvalho, ML; Oliveira, MI – volume: 105 start-page: 31 issue: 1 year: 2016 end-page: 38 article-title: Breastfeeding and dummy use have a protective effect on sudden infant death syndrome publication-title: Acta Paediatrica contributor: fullname: Alm, B; Wennergren, G; M?llborg, P; Lagercrantz, H – volume: 5 issue: 1 year: 2018 article-title: Factors associated with not breastfeeding and delaying the early initiation of breastfeeding in Mecca Region, Saudi Arabia publication-title: Children contributor: fullname: Azzeh, FS; Alazzeh, AY; Hijazi, HH; Wazzan, HY; Jawharji, MT; Jazar, AS – volume: 147 start-page: 492 issue: 4 year: 2015 end-page: 498 article-title: Deciduous-dentition malocclusion predicts orthodontic treatment needs later: findings from a population-based birth cohort study publication-title: Am J Orthod Dentofacial Orthop contributor: fullname: Peres, KG; Peres, MA; Thomson, WM; Broadbent, J; Hallal, PC; Menezes, AB – volume: 14 issue: 1 year: 2014 article-title: Longitudinal study of habits leading to malocclusion development in childhood publication-title: BMC Oral Health contributor: fullname: Moimaz, SA; Garbin, AJ; Lima, AM; Lolli, LF; Saliba, O; Garbin, CA – volume: 32 start-page: NP52 issue: 3 year: 2016 end-page: NP60 article-title: Pacifier use and exclusive breastfeeding in Brazil publication-title: J Hum Lact contributor: fullname: Buccini, GD; Pérez-Escamilla, R; Venancio, SI; Pérez-Escamilla, R; Venancio, SI – volume: 2012 year: 2012 article-title: Feeding bottles usage and the prevalence of childhood allergy and asthma publication-title: Clin Dev Immunol contributor: fullname: Hsu, NY; Wu, PC; Bornehag, CG; Sundell, J; Su, HJ – volume: 15 issue: 1 year: 2015 article-title: Effects of breast-feeding duration, bottle-feeding duration and non-nutritive sucking habits on the occlusal characteristics of primary dentition publication-title: BMC Pediatr contributor: fullname: Chen, X; Xia, B; Ge, L – volume: 14 start-page: 506 issue: 3 year: 2012 end-page: 515 article-title: Prevalence of nonnutritive sucking habits and their relationship to age, gender and type of feeding in preschool children from Araraquara-Brazil publication-title: Rev CEFAC contributor: fullname: Pizzol, KE; Montanha, SD; Fazan, ET; Boeck, EM; Rastelli, AN – volume: 144 start-page: 143 issue: 2 year: 2013 end-page: 151 article-title: Breastfeeding: An overview of oral and general health benefits publication-title: J Am Dent Assoc. contributor: fullname: Salone, LR; Vann, WF; Dee, DL – year: 2018 article-title: Breastfeeding versus bottle feeding on malocclusion in children: a meta-analysis study publication-title: J Hum Lact contributor: fullname: Thomaz, EB; Alves, CM; Gomes, E; Silva, LF; Almeida, CCCR; Britto, ES – volume: 15 issue: 1 year: 2014 article-title: Association between breastfeeding duration, non-nutritive sucking habits and dental arch dimensions in deciduous dentition: a cross-sectional study publication-title: Prog Orthod contributor: fullname: Agarwal, SS; Nehra, K; Sharma, M; Jayan, B; Poonia, A; Bhattal, H – volume: 19 start-page: 161 issue: 2 year: 2011 end-page: 168 article-title: Breastfeeding and non-nutritive sucking patterns related to the prevalence of anterior open bite in primary dentition publication-title: J Appl Oral Sci contributor: fullname: Romero, CC; Scavone Junior, H; Garib, DG; Cotrim-Ferreira, FA; Ferreira, RI – volume: 15 start-page: 71 issue: 2 year: 2010 end-page: 81 article-title: Breastfeeding, deleterious oral habits and malocclusion in 5-year-old children in São Pedro, SP, Brazil publication-title: Dental Press J Orthod contributor: fullname: Rochelle, IM; Tagliaferro, EP; Pereira, AC; Meneghim, MD; Nóbilo, KA; Ambrosano, GMB |
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| SubjectTerms | Breast Feeding Dentistry DENTISTRY, ORAL SURGERY & MEDICINE Malocclusion Tooth, Deciduous |
| Title | Pacifier use modifies the association between breastfeeding and malocclusion: a cross-sectional study |
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