Association of Feeding Methods and Streptococcus mutans Count with Early Childhood Caries: A Cross-sectional Study
Deepa Bullappa, KR Sowmya, T Nagarathnamma
Citation Information :
Bullappa D, Sowmya K, Nagarathnamma T. Association of Feeding Methods and Streptococcus mutans Count with Early Childhood Caries: A Cross-sectional Study. Int J Clin Pediatr Dent 2017; 10 (2):119-125.
Early childhood caries (ECC) is a virulent form of dental caries that can destroy the primary dentition of toddlers and preschool children. The aim was to determine the relationship of feeding methods and oral Streptococcus mutans count in 3- to 5-year-old children with ECC.
Materials and methods
A cross-sectional study was conducted in children aged 3 to 5 years. Participating mothers were interviewed regarding child's demographic profile, educational level and socioeconomic status of parents, past medical and dental history of the mother and child, child's feeding habits, and dietary habits and oral hygiene practices of mother and child. Clinical examination for dental caries was done using the World Health Organization criteria (1997). Salivary samples of mother–child pair were collected to determine the pH, flow rate, and S. mutans count. Statistical tests, such as Student's t-test, analysis of variance, and Pearson's correlation were applied.
Out of 150 mother–child pair, statistically significant difference in the caries experience was found between mothers and children with high and low S. mutans count. Moderate but statistically significant negative correlation was found between mean decayed, missing, and filled teeth of mothers and mean decayed, extracted and filled teeth (deft) of children with high S. mutans count. Regarding deft, there was no statistically significant difference between children who were exclusively breast fed (7.85 ± 2.94), exclusively bottle-fed (8.67 ± 3.98), and both breast and bottle-fed (7.77 ± 2.91).
The mean caries experience of mothers and children was 2.66 ± 2.01 and 7.82 ± 2.94 respectively, with decayed component being maximum. Moderate and significant correlation (r = 0.5) was found between S. mutans of mothers and children in saliva. Significant negative correlation was found between mothers and children with high S. mutans count (r = –0.0284; p = 0.046).
How to cite this article
Bullappa D, Puranik MP, Sowmya KR, Nagarathnamma T. Association of Feeding Methods and Streptococcus mutans Count with Early Childhood Caries: A Cross-sectional Study. Int J Clin Pediatr Dent 2017;10(2):119-125.
Case definition, aetiology and risk assessment of early childhood caries (ECC): a revisited review. Eur Arch Paediatr Dent 2008 Sep;9(3):114-125.
Risk factors for severe early childhood caries in children younger than 4 years old in Beijing, China. Pediatr Dent 2008 Mar-Apr;30(2):122-128.
Environmental, maternal, and child factors which contribute to early childhood caries: a unifying conceptual model. Int J Paediatr Dent 2012 May;22(3):157-168.
Statistics [online]. 2013[cited 2013Apr 30]. Available from http://labourbureau.nic.in/indtab.html.
Modified Kuppuswamy's socioeconomic scale: Social researcher should include updated income criteria, 2012. Indian J Community Med 2013 Jul;38(3):185-186.
Saliva: its role in health and disease. Int Dent J 1992 Aug;42(4 Suppl 2):291-304.
Selective medium for Streptococcus mutans. Archs Oral Biol 1973 Nov;18(11):1357-1364.
Infant feeding practices and risk of dental caries in Japan: the Osaka maternal and child health study. Pediatr Dent 2013 May-Jun;35(3):267-271.
Association of maternal child characteristics as a factor in early childhood caries and salivary bacterial counts. J Dent Child (Chic) 2006 May-Aug;73(2):105-111.
Prevalence of salivary Streptococcus mutans in mothers and in their preschool children. Int J Paediatr Dent 2002 Jan;12(1):2-7.
Weber-Gasparoni K. Factors associated with mutans streptococci among young WIC-enrolled children. J Public Health Dent 2012 Fall;72(4):269-278.
Early childhood caries in children aged 6-19 months. Community Dent Oral Epidemiol 2004 Apr;32(2):133-142.
Early childhood caries and feeding practices in kindergarten children. Quintessence Int 2012 Jun;43(6):503-510.
Feeding habits and severe early childhood caries in Brazilian preschool children. Pediatr Dent 2005 Jan-Feb;27(1):28-33.
Maternal risk indicators for childhood caries in an inner city population. Community Dent Oral Epidemiol 2002 Jun;30(3):176-181.
Severe early childhood caries and behavioural risk indicators among young children in Ajman, United Arab Emirates. Eur Arch Paediatr Dent 2011 Aug;12(4):205-210.
Feeding and oral hygiene habits of preschool children in Hong Kong and their caregivers' dental knowledge and attitudes. Int J Paediatr Dent 2002 Sep;12(5):322-331.
Early childhood caries lesions in preschool children in Kerala, India. Pediatr Dent 2003 Nov-Dec;25(6):594-600.
Association between infant breastfeeding and early childhood caries in the United States. Pediatrics 2007 Oct;120(4):e944-e952.
Caries and its association with infant feeding and oral health-related behaviours in 3–4-year-old Brazilian children. Community Dent Oral Epidemiol 2000;28(4):241-248.
The prevalence of nursing caries in Davangere preschool children and its relationship with feeding practices and socioeconomic status of the family. J Indian Soc Pedod Prev Dent 2008 Dec;26(4):153-157.
Feeding habits and oral hygiene practices as determinants of early childhood caries in 3 to 5 year-old children of Belgaum City, India. Oral Health Prev Dent 2012;10(3):283-290.
Prevalence of early childhood caries and assessment of its associated risk factors in preschool children of urban Gurgaon, Haryana. Indian J Dent Sci 2011 Jun;3(2):12-16.
Risk factors of early childhood caries in a Southeast Asian population. J Dent Res 2006 Jan;85(1):85-88.
Severe early childhood caries and behavioral risk factors among 3-year-old children in Lithuania. Medicina (Kaunas)2010;46(2):135-141.
Association between oral-health related factors and ECC in children between age 36 and 72 months from rural North Karnataka. J Indian Assoc Public Health Dent 2012;10(20):48-55.
Prevalence of early childhood caries (Ecc) among 2-5 years old children visiting paediatric outpatient department of Government Hospitals in Bangalore city India. J Indian Assoc Public Health Dent 2010;8(15):221-226.
Mode of delivery, mutans streptococci colonization, and early childhood caries in three- to five-year-old Thai children. Community Dent Oral Epidemiol 2013 Jun;41(3):212-223.
Association of maternal risk factors with early childhood caries in school children of Moradabad, India. Int J Paediatr Dent 2011 Sep;21(5):382-388.
Prevalence and socio behavioural influence of early childhood caries, ECC, and feeding habits among 6-36 months old children in Uganda and Tanzania. BMC Oral Health 2012 Jul 26;12:24.
Prevalence and determinant of early childhood caries among the children attending the Anganwadis of Wardha district, India. Indian J Dent Res 2013 Mar-Apr;24(2):199-205.
Early childhood caries and feeding habits of preschool children in Guntur city in Andhra Pradesh. J Indian Assoc Public Health Dent 2011 Oct;(18 Suppl 2):784-787.
Feeding habits and early childhood caries among preschool children of Davangere city, Karnataka. J Indian Assoc Public Health Dent 2006;4(7):39-42.
Early childhood caries. Int J Dent 2011;2011:725320.
A study of feeding habits and it's relation to early childhood caries experience in young children of 1-3 years of age in Bangalore city. J Indian Assoc Public Health Dent 2010;8(16):13-19.
An AAPD Policy Document. Reference Manual. Oral Health Policies 2011;33(6):47-49.
Feeding habits as determinants of early childhood caries in a population where prolonged a breastfeeding is the norm. Community Dent Oral Epidemiol 2008 Aug;36(4):363-369.
Mutans streptococci colonization in relation to feeding practices, age and the number of teeth in 6 to 30-month-old children: an in vivo study. Int J Clin Pediatr Dent 2012 May-Aug;5(2):124-131.
Association of feeding patterns and oral hygiene practices with early childhood caries in 3-6 year old children in Moradabad city. J Indian Assoc Public Health Dent 2010;8(15):121-125.
Breast-feeding and early childhood caries: an assessment among Brazilian infants. Int J Paediatr Dent 2004 Nov;14(6):439-445.
Dental caries and prolonged breast-feeding in 18-month-old Swedish children. Int J Paediatr Dent 1995 Sep;5(3):149-155.
The potential role of breastfeeding and other factors in helping to reduce early childhood caries. J Public Health Dent 2008 Fall;68(4):238-241.
Association between prolonged breast-feeding and early childhood caries: a hierarchical approach. Community Dent Oral Epidemiol 2012 Dec;40(6):542-549.
Dietary and feeding habits in a sample of preschool children in Severe Early Childhood Caries (S-ECC). J King Abdulaziz Univ 2009;16(4):13-36.
Mothers as facilitators of oral hygiene in early childhood. Int J Paediatr Dent 2008 Jan;18(1):48-55.
Determinants of early childhood caries in low-income African American young children. Pediatr Dent 2008 Jul-Aug;30(4):289-296.
Early childhood caries screening tools: a comparison of four approaches. J Am Dent Assoc 2012 Jul;143(7):756-763.
Early childhood caries in preschool children of Kosovo– a serious public health problem. BMC Public Health 2010 Dec 24;10:788.
Factors affecting early childhood caries among WIC-enrolled children in Linn County, Iowa. J Dent Child (Chic) 2010 Sep-Dec;77(3):158-165.