Does breastfeeding increase the risk of early childhood caries (ECC)? A systematic review

Abanto J, Maruyama JM, Pinheiro E, Matijasevich A, Antunes JLF, Bönecker M, Cardoso MA, Lourenço BH, Malta MB, Ferreira MU, Neves PAR, Damasceno AA, da Silva BP, de Souza RM, Andrade SL, de Castro MC. Prolonged breastfeeding, sugar consumption and dental caries at 2 years of age: A birth cohort study. Commun Dent Oral Epidemiol. 2023;51(3):575–82. https://doi.org/10.1111/cdoe.12813.

Article  Google Scholar 

American Academy of Pediatric Dentistry (AAPD). Definition of Early Childhood Caries (ECC). 2008. https://www.aapd.org/assets/1/7/d_ecc.pdf. Accessed 18 Oct 2024.

American Academy of Pediatric Dentistry. Policy on early childhood caries (ECC): onsequences and preventive strategies. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry; 2023:88–91.

Al Agili DE. A systematic review of population-based dental caries studies among children in Saudi Arabia. The Saudi Dental Journal. 2013;25(1):3–11. https://doi.org/10.1016/j.sdentj.2012.10.002.

Article  PubMed  Google Scholar 

Birungi N, Fadnes LT, Kasangaki A, Nankabirwa V, Okullo I, Lie SA, Tumwine JK, Åstrøm AN, group, P.-E. study. Assessing causal effects of early life-course factors on early childhood caries in 5-year-old Ugandan children using directed acyclic graphs (DAGs): A prospective cohort study. Commun Dent Oral Epidemiol. 2017;45(6):512–21. https://doi.org/10.1111/cdoe.12314.

Article  Google Scholar 

Bowen WH, Lawrence RA. Comparison of the cariogenicity of cola, honey, cow milk, human milk, and sucrose. Pediatrics. 2005;116(4):921–6. https://doi.org/10.1542/peds.2004-2462.

Article  PubMed  Google Scholar 

Branger B, Camelot F, Droz D, et al. Breastfeeding and early childhood caries. Review of the literature, recommendations, and prevention [published correction appears in Arch Pediatr. 2020 Apr;27(3):172. https://doi.org/10.1016/j.arcped.2020.01.001.]. Arch Pediatr. 2019;26(8):497–503 https://doi.org/10.1016/j.arcped.2019.10.004

BSPD A practical guide to children's teeth, 2016. https://www.bspd.co.uk/Portals/0/A%20practical%20guide%20to%20children's%20teeth%20Nov%202016.pdf. Accessed 11–10–2024

Chaffee BW, Feldens CA, Vítolo MR. Association of long-duration breastfeeding and dental caries estimated with marginal structural models. Ann Epidemiol. 2014;24(6):448–54. https://doi.org/10.1016/j.annepidem.2014.01.013.

Article  PubMed  PubMed Central  Google Scholar 

Cui L, Li X, Tian Y, et al. Breastfeeding and early childhood caries: a meta-analysis of observational studies. Asia Pac J Clin Nutr. 2017;26(5):867–80. https://doi.org/10.6133/apjcn.082016.09.

Article  PubMed  Google Scholar 

Danielsson Niemi L, Hernell O, Johansson I. Human milk compounds inhibiting adhesion of Mutans Streptococci to host ligand-coated hydroxyapatite in vitro. Caries Res. 2009;43(3):171–8. https://doi.org/10.1159/000213888.

Article  CAS  PubMed  Google Scholar 

Devenish G, Mukhtar A, Begley A, Spencer AJ, Thomson WM, Ha D, Do L, Scott JA. Early childhood feeding practices and dental caries among Australian preschoolers. Am J Clin Nutr. 2020;111(4):821–8. https://doi.org/10.1093/ajcn/nqaa012.

Article  PubMed  Google Scholar 

European Academy of Paediatrics (EAP) Advocating for breastfeeding training amongst paediatricians and paediatric trainees. 2022. https://www.eapaediatrics.eu/young-eap-blog-july-2022-advocating-for-breastfeeding-training-amongst-paediatricians-and-paediatric-trainees. Accessed 17 Feb 2025.

Feldens CA, Giugliani ERJ, Duncan BB, de Drachler M, L., & Vítolo, M. R. Long-term effectiveness of a nutritional program in reducing early childhood caries: a randomized trial. Commun Dent Oral Epidemiol. 2010;38(4):324–32. https://doi.org/10.1111/j.16000528.2010.00540.x.

Article  Google Scholar 

Greer FR, Tsang RC, Levin RS, Searcy JE, Wu R, Steichen JJ. Increasing serum calcium and magnesium concentrations in breast-fed infants: Longitudinal studies of minerals in human milk and in sera of nursing mothers and their infants. J Pediatr. 1982;100(1):59–64. https://doi.org/10.1016/S0022-3476(82)80235-7.

Article  CAS  PubMed  Google Scholar 

Higgins, J. P. T., Morgan, R. L., Rooney, A. A., Taylor, K. W., Thayer, K. A., Silva, R. A., Lemeris, C., Akl, E. A., Bateson, T. F., Berkman, N. D., Glenn, B. S., Hróbjartsson, A., LaKind, J. S., McAleenan, A., Meerpohl, J. J., Nachman, R. M., Obbagy, J. E., O’Connor, A., Radke, E. G., … Sterne, J. A. C. (2024). A tool to assess risk of bias in non-randomized follow-up studies of exposure effects (ROBINS-E). Environment International, 186, 108602. https://doi.org/10.1016/j.envint.2024.108602

Holgerson PL, Vestman NR, Claesson R, Öhman C, Domellöf M, Tanner ACR, Hernell O, Johansson I. Oral microbial profile discriminates breast-fed from formula-fed infants. J Pediatr Gastroenterol Nutr. 2013;56(2):127–36. https://doi.org/10.1097/MPG.0b013e31826f2bc6.

Article  PubMed  PubMed Central  Google Scholar 

Hong, L., Levy, S., Warren, J., & Broffitt, B. (2014). Infant Breast-feeding and Childhood Caries: A Nine-year Study. Pediatric Dentistry, 36.

Iida H, Auinger P, Billings RJ, Weitzman M. Association between infant breastfeeding and early childhood caries in the United States. Pediatrics. 2007;120(4):e944–52. https://doi.org/10.1542/peds.2006-0124.

Article  PubMed  Google Scholar 

Kumar, J. V, Tavares, V., Kandhari, P., Moss, M., & Jolaoso, I. A. (2015). Changes in Caries Experience, Untreated Caries, Sealant Prevalence, and Preventive Behavior among Third-Graders in New York State, 2002–2004 and 2009–2012. Public Health Reports®. https://doi.org/10.1177/003335491513000414

Kumarihamy SLM, Subasinghe LD, Jayasekara P, Kularatna SM, Palipana PD. The prevalence of Early Childhood Caries in 1–2 yrs olds in a semiurban area of Sri Lanka. BMC Res Notes. 2011;4(1):336. https://doi.org/10.1186/1756-0500-4-336.

Article  PubMed  PubMed Central  Google Scholar 

Manohar N, Hayen A, Scott JA, Do LG, Bhole S, Arora A. Impact of dietary trajectories on obesity and dental caries in preschool children: findings from the healthy smiles healthy kids study. Nutrients. 2021;13(7):2240. https://doi.org/10.3390/nu13072240.

Article  PubMed  PubMed Central  Google Scholar 

Meek JY, Noble L. Section on Breastfeeding. Policy statement: breastfeeding and the use of human milk. Pediatrics. 2022;150(1):e2022057988. https://doi.org/10.1542/peds.2022-057988.

Article  PubMed  Google Scholar 

Mohebbi SZ, Virtanen JI, Vahid-Golpayegani M, Vehkalahti MM. Feeding habits as determinants of early childhood caries in a population where prolonged breastfeeding is the norm. Commun Dent Oral Epidemiol. 2008;36(4):363–9. https://doi.org/10.1111/j.16000528.2007.00408.x.

Article  CAS  Google Scholar 

Moynihan PJ, Kelly SA. Effect on caries of restricting sugars intake: systematic review to inform WHO guidelines. J Dent Res. 2014;93(1):8–18. https://doi.org/10.1177/0022034513508954.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Moynihan P, Tanner LM, Holmes RD, et al. Systematic review of evidence pertaining to factors that modify risk of early childhood caries. JDR Clin Trans Res. 2019;4(3):202–16. https://doi.org/10.1177/2380084418824262.

Article  CAS  PubMed  Google Scholar 

Murray JJ, Vernazza CR, Holmes RD. Forty years of national surveys: An overview of children’s dental health from 1973–2013. Br Dent J. 2015;219(6):281–5. https://doi.org/10.1038/sj.bdj.2015.723.

Article  CAS  PubMed  Google Scholar 

Nakayama Y, Mori M. Association between nocturnal breastfeeding and snacking habits and the risk of early childhood caries in 18- to 23-month-old japanese children. J Epidemiol. 2015;25(2):142–7. https://doi.org/10.2188/jea.JE20140097.

Article  PubMed  Google Scholar 

Neves PAM, Ribeiro CCC, Tenuta LMA, Leitão TJ, Monteiro-Neto V, Nunes AMM, Cury JA. Breastfeeding, dental biofilm acidogenicity, and early childhood caries. Caries Res. 2016;50(3):319–24. https://doi.org/10.1159/000445910.

Article  CAS  PubMed  Google Scholar 

Nirunsittirat A, Pitiphat W, McKinney CM, DeRouen TA, Chansamak N, Angwaravong O, Patcharanuchat P, Pimpak T. Breastfeeding duration and childhood caries: a cohort study. Caries Res. 2016;50(5):498–507. https://doi.org/10.1159/000448145.

Article  PubMed  Google Scholar 

Nunes AMM, Alves CMC, Borba de Araújo F, Ortiz TML, Ribeiro MRC, da Silva AAM, Ribeiro CCC. Association between prolonged breast-feeding and early childhood caries: a hierarchical approach. Commun Dent Oral Epidemiol. 2012. https://doi.org/10.1111/j.1600-0528.2012.00703.x.

Article  Google Scholar 

Ollila P, Larmas M. A seven-year survival analysis of caries onset in primary second molars and permanent first molars in different caries risk groups determined at age two years. Acta Odontol Scand. 2007;65(1):29–35. https://doi.org/10.1080/00016350600963590.

Article  PubMed  Google Scholar 

Peres RCR, Coppi LC, Volpato MC, Groppo FC, Cury JA, Rosalen PL. Cariogenic potential of cows’, human and infant formula milks and effect of fluoride supplementation. Br J Nutr. 2008;101(3):376–82. https://doi.org/10.1017/S0007114508020734.

Article  CAS  PubMed  Google Scholar 

Peres KG, Nascimento GG, Peres MA, Mittinty MN, Demarco FF, Santos IS, Matijasevich A, Barros AJD. Impact of prolonged breastfeeding on dental caries: a population-based birth cohort study. Pediatrics. 2017;140(1): e20162943. https://doi.org/10.1542/peds.2016-2943.

Article  PubMed  Google Scholar 

Petersen, P. E., Bourgeois, D., Ogawa, H., Estupinan-Day, S., & Ndiaye, C. (2005). Policy and Practice The global burden of oral diseases and risks to oral health. In Bulletin of the World Health Organization (Vol. 83, Issue 9).

Pitts N, Baez R, DiazGuallory C, et al. Early childhood caries: IAPD bangkok declaration. Int J Paediatr Dent. 2019;29:384–6.

Article  Google Scholar 

Poskitt EME, Stewart L. Infancy, 17. Human Nutrition. 2017;17:311.

Google Scholar 

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