Association between prolonged breastfeeding and cariogenic risk in infants. Literature review.
Keywords:
Prolonged breastfeeding, Early childhood caries, Cariogenic risk, dental cariesAbstract
Objective: To assess the association between prolonged breastfeeding (PBF) and cariogenic risk in infants.
Material and Methods: PubMed, Embase, Scopus, and Web of Science (WOS) databases were employed selecting the terms "Breastfeeding", "breast milk", "prolonged", "dental caries", "risk", "prevalence". Without language restriction, the selection criteria were: articles referring to breastfeeding and early childhood caries (ECC), full text, and from the last 5 years.
Results: The search yielded 133 publications (46 Embase, 34 PubMed, 13 WOS, 40 Scopus). After eliminating duplicates, 12 met the proposed selection criteria, while 121 were excluded. Of all articles analyzed, four referred to breastfeeding as a protective factor against caries when prolonged up to 12 months; On the other hand, four attributed a higher risk of ECC to breastfeeding extended for over one year of life, two for over 18 months, and three for over 24 months. Finally, five articles were inconclusive due to confounding variables.
Conclusion: The analyzed publications describe breastfeeding up to one year of life as a protective factor against caries. Over 24 months, it is considered prolonged; The evidence indicates that it is difficult to establish breastfeeding as a protective factor or cariogenic agent due to the multiplicity of factors involved in caries disease, which is why more research is essential.
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