Relationship between Breastfeeding and Malocclusion: A Systematic Review of the Literature
Abstract
:1. Introduction
2. Materials and Methods
2.1. Population, Intervention, Comparison, Outcome (PICO)
2.2. Search Strategy
2.3. Inclusion and Exclusion Criteria
2.4. Data Extraction
2.5. Quality Appraisal
2.6. Limitations of the Review
3. Results
3.1. Description of the Included Studies
3.2. Qualitative Synthesis
4. Discussion
4.1. Breastfeeding as a Prevention Factor for Development of Malocclusions
4.2. Duration of Breastfeeding Related to the Appearance of Parafunctional Habits
4.3. Bottle Feeding as an Etiological Factor and Promoter of Malocclusions and Harmful Oral Habits
5. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
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Author | Publication Date | Design | Journal | Sample Size | Subjects’Age at the Diagnosis of Malocclusion | Orthodontic Diagnosis | Malocclusion Types Considered | Assessment Method | Statistical Analysis |
---|---|---|---|---|---|---|---|---|---|
Campos MPMS et al. [14] | 2018 | Cross-sectional study | Braz Oral Res. | 290 | 6 years | Clinical examination. Anterior open bite was diagnosed based on the criteria given by Foster and Hamilton [43]. | Dental and skeletal malocclusions were evaluated. | The Z-score development index (ratio between height and age) was employed to express nutritional status at birth and at 6 years of age (WHO reference standard). | Multivariate logistic regression; odds ratio (OR), chi-square test. |
Costa CTD. et al. [36] | Cross-sectional study | Braz Oral Res. | 489 | 2–5 years | WHO index | Anterior crossbite, open bite, median line deviation, crowding or spacing | Validated questionnaire. | Bivariate and multivariable logistic regression, odds ratio (OR) | |
Germa et al. [44] | 2016 | Cohort study | Angle Orthod. | 422 | 3 years | Clinical examination. Direct inspection for transverse and vertical relation. | Anterior open bite, posterior crossbite. | Self-administered questionnaires | Multiple logistic regressions. |
Lopes-Freire GM et al. [15] | 2015 | Cross-sectional observational survey | Prog Orthod. | 275 | 3–6 years | Clinical examination. Direct inspection for transverse and vertical relation. Angle class/primary teeth canine relationship for interarch sagittal malocclusion. | Posterior crossbite. anterior open bite, and overbite, sagittal occlusal relationship (angle class, primary canine relationship, overjet) | Validated questionnaire. | Chi-square, Fisher’s exact tests, odds ratio (OR) |
Peres KG. et al. [39] | 2015 | Cohort study | Pediatrics | 1303 | 5 years | Clinical examination in a single home visit. WHO classification | Openbite; crossbite; overjet. | Questionnaire recorded at 3, 12, and 24 months. | Poisson regression analyses |
Chen X et al. [38] | 2015 | Cross- sectional study | BMC Pediatr. | 734 | 3–6 years | Does not specify | Deep bite, open bite, anterior/posterior crossbite, sagittal relationship between primary canines and between second primary molars, presence or absence of crowding or spacing. | Questionnaire repeated every six months for the first three years of life and the non-nutritive sucking habits. | Univariate analysis and multiple logistic regressions |
Sum FH et al. [18] | 2015 | Cross-sectional study | BMC Oral Health | 851 | 2–5 years | Own criteria (Kappa 0.70–1.00) | Incisal relationship; sagittal relationship between primary canines and between second primary molars, overjet; anterior/posterior crossbite; anterior openbite; overbite; intercanine width; intermolar width; posterior crossbite | Self-administered questionnaires on feeding habits and history of non-nutritive sucking habits | Multinomial logistic regression models; Multi-way ANOVA. |
Agarwal SS et al. [45] | 2014 | Cross-sectional retrospective study | Prog Orthod. | 415 | 4–6 years | Self-defined criteria statistically validated (kappa = 0.758) | Anterior open bite, posterior crossbite upper and lower inter-molar distance (IMD) and inter-canine distance (ICD) | One-time administered validated questionnaire | Chi-square test and Odds ratio to assess the strength of correlations in object. Multivariate logistic regression to determine independent predictors of posterior crossbite and upper and lower IMD and ICD |
Limeira et al. [37] | 2014 | Cross-sectional retrospective study | J Dent Child. | 714 | 6 to 9 years old | The clinical examination was performed with the subject seated in a chair under natural light, using disposable tongue blades and gloves. The occlusal relationships were evaluated in centric occlusion. | Posterior cross-bite | A validated questionnaire was completed by guardians concerning the length of time they were exclusively breast-fed and the breast-feeding duration. | Chi-square test. |
Moimaz SA et al. [46] | 2014 | Prospective cohort study | BMC Oral Health | 80 | 30th months of age | Not reported | Overjet, Posterior crossbite | Self-administered questionnaires at one year, one and a half years and two years of age | Chi-squared and Fisher’s exact tests |
Caramez da Silva et al. [35] | 2012 | Cross-sectional study | Breastfeed Med. | 153 | 3 to 5 years old | The sagittal relation between the upper and lower jaw was evaluated through direct clinical examination Distoclusion was diagnosed according to Foster and Hamilton’s criteria [43] (the cusp of the primary upper canine occluded anterior to the distal aspect of the primary lower canine. | Primary teeth sagittal relationship | Trained research assistants gathered data on dietary and not-nutritive sucking habits at 7, 30, 60, 120, and 180 days through a telephonic or in person interview (if the first option was not viable) | Poisson’s regression analysis. |
Thomaz et al. [47] | 2012 | Cross-sectional study | Int J Pediatr otorhinolaryngol. | 2060 | 12–15 years old | Malocclusion and facial characteristics were evaluated as defined by Angle | Dental class as described by Angle | Validated questionnaire. | Odds ratio (OR) in multinomial logistic regression analysis |
Jabbar NS et al. [2] | 2011 | Epidemiological study, cross-sectional study | Braz Oral Res. | 911 | 3–6 years | Self-defined criteria statistically validated (Kappa: 0.9 to 1.0) | Overjet (normally, increased, anterior crossbite). Primary canine relationships (Class 1,2,3) | One-time validated questionnaire. | multiple binary logistic regression (α = 0.05) |
Romero CC et al. [3] | 2011 | Cross-sectional study | J Appl Oral Sci | 1377 | 3–6 years | Clinical examinations were performed by visual inspection. | Overbite alterations: anterior open bite (negative overbite) and anterior deep bite (increased overbite) | Validated questionnaire. | Spearman’s correlation test., chi-square tests with odds ratio (OR), binary logistic regression |
Sanchez Molins et al. [48] | 2010 | Observational, analytical and retrospective study | Eur J Paediatr Dent | 197 | 6–11years | Cephalometric measurements according to Ricketts, Steiner and McNamara. | Dental, skeletal and aesthetics variables based on Ricketts, Steiner and McNamara values. | Validated questionnaire. | t-test and ANOVA test, chi-square test |
Castelo PM et al. [49] | 2010 | Cross-sectional study | J Appl Oral Sci. | 67 | 3.5 to 7 years | Direct clinical examination of allowed to gather the following information: anamneses, height and weight, posterior crossbite, distoclusion was diagnosed according to Foster and Hamilton’s criteria [43] (the cusp of the primary upper canine occluded anterior to the distal aspect of the primary lower canine). | Cross-bite, maximal bite force. | Direct clinical examination and interview of the guardians about history of breastfeeding, presence and duration of sucking habits. | t-test, Pearson’s correlation test multiple logistic regression univariate regression |
Peres KG et al. [33] | 2007 | Cross-sectional study | Rev Saude Publica. | 359 | Not reported | Direct clinical examination | Anterior open bite and posterior cross bite | Repeated interview of the guardians about breastfeeding and non-nutritive sucking habits were performed at birth, after 3, 6 and 12 months, and at six years of age | Chi-square test, Poisson regression test |
Viggiano D et al. [10] | 2004 | Retrospective study | Arch Dis. Child. | 1130 | 3–5 years | Direct clinical examination by a pediatric dentist | Altered sagittal relationship; anterior open bite; posterior cross-bite | Structured ques-tionnaire | Logistic regression, odds ratio |
Author (Year) | Selection (****) | Comparability (**) | Outcome (***) | Total Score | ||||||
---|---|---|---|---|---|---|---|---|---|---|
1 | 2 | 3 | 4 | 5a | 5b | 6 | 7 | 8 | ||
Campos et al.(2018) [14] | * | * | * | * | 4 | |||||
Costa et al. (2018) [36] | * | * | * | 3 | ||||||
Germa et al.(2016) [44] | * | * | * | * | * | 5 | ||||
Lopes-Freire et al. (2015) [15] | * | * | * | * | * | 5 | ||||
Peres et al. (2015) [39] | * | * | * | * | * | * | 6 | |||
Chen et al. (2015) [38] | * | * | * | * | 4 | |||||
Sum et al. (2015) [18] | * | * | * | * | 4 | |||||
Agarwal et al. (2014) [45] | * | * | * | * | 4 | |||||
Limeira et al. (2014) [37] | * | * | * | * | * | * | 6 | |||
Moimaz et al. (2014) [46] | * | * | * | * | * | * | 6 | |||
Caramez da Silva et al. (2012) [35] | * | * | * | * | * | 5 | ||||
Thomaz et al. (2012) [47] | * | * | * | * | * | 5 | ||||
Jabbar et al. (2011) [2] | * | * | * | * | * | 5 | ||||
Romero et al.(2011) [3] | * | * | * | * | 4 | |||||
Sanchez-Molins et al. (2010) [48] | * | * | * | * | 4 | |||||
Castelo et al. (2010) [49] | * | * | * | * | * | 5 | ||||
Peres et al. (2007) [33] | * | * | * | * | * | * | 6 | |||
Viggiano et al. (2004) [10] | * | * | * | * | * | 5 |
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Abate, A.; Cavagnetto, D.; Fama, A.; Maspero, C.; Farronato, G. Relationship between Breastfeeding and Malocclusion: A Systematic Review of the Literature. Nutrients 2020, 12, 3688. https://doi.org/10.3390/nu12123688
Abate A, Cavagnetto D, Fama A, Maspero C, Farronato G. Relationship between Breastfeeding and Malocclusion: A Systematic Review of the Literature. Nutrients. 2020; 12(12):3688. https://doi.org/10.3390/nu12123688
Chicago/Turabian StyleAbate, Andrea, Davide Cavagnetto, Andrea Fama, Cinzia Maspero, and Giampietro Farronato. 2020. "Relationship between Breastfeeding and Malocclusion: A Systematic Review of the Literature" Nutrients 12, no. 12: 3688. https://doi.org/10.3390/nu12123688
APA StyleAbate, A., Cavagnetto, D., Fama, A., Maspero, C., & Farronato, G. (2020). Relationship between Breastfeeding and Malocclusion: A Systematic Review of the Literature. Nutrients, 12(12), 3688. https://doi.org/10.3390/nu12123688