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Breastfeeding and Its Association with Early Childhood Cavities – An Umbrella Review

This article was originally published here

J Clin Pediatr Dent. 2022 Mar 1;46(2):75-85. doi: 10.17796/1053-4625-46.2.1.


OBJECTIVE: To systematically appraise systematic reviews and meta-analyses investigating the association of breastfeeding with ECC.

STUDY DESIGN: A systematic search was performed of MEDLINE® (PubMed), EMBASE, the Cochrane Central Database, OVID, the Joanna Briggs Institute Database of Systematic Reviews and Implementation Reports and Epistemonikos databases through November 2019. Data extraction was performed by two investigators. The ROBIS tool was used for quality assessment of included systematic reviews.

RESULTS: Four systematic reviews were found assessing the correlation of breastfeeding with ECC. The results were grouped into four categories, based on duration, frequency, pattern and comparison of eating habits. Two systematic reviews assessing the duration of breastfeeding above 12 months of age had odds ratios of 1.86 and 1.99, showing a positive correlation with EPC while nighttime breastfeeding showed the highest odds ratio of 7.14. Of the four included reviews, three were at low risk of bias and one was at unclear risk of bias.

CONCLUSIONS: Breastfeeding beyond 12 months of age, along with nighttime feeding, had a positive association with ECC. Further research is needed to assess daytime and nighttime breastfeeding patterns during sleep, as well as the role of enamel defects (hypoplasia) and the risk of ECC.

PMID:35533221 | DO I:10.17796/1053-4625-46.2.1