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Authors
Abstract(s)
Introdução:
A fase de amamentação após o nascimento de um bebé é de extrema
importância tanto para a mãe quanto para o bebé. Porém, alguns estudos têm
correlacionado a amamentação como fator de risco para o surgimento da cárie
precoce de infância (CPI). Em contrapartida existem outros estudos que
afirmam que a amamentação não apresenta risco e que inclusive, exerce um
papel protetor contra a CPI.
Objetivos:
Analisar, com base na literatura científica, através de uma revisão sistemática,
se o aleitamento materno prolongado possui um papel de proteção é um fator
de risco para a CPI.
Materiais e métodos:
O protocolo de revisão sistemática seguiu as recomendações PRISMA.
A questão de investigação foi formulada com base no modelo PICO.
A pesquisa foi realizada nas bases de dados PubMed, MEDLINE Complete,
CINAHL, Scielo e Scopus com as palavras-chave - “Criança”, “Cárie dentária”,
“Leite materno” e seus sinónimos em português e inglês.
Foi realizada a extração dos dados relevantes das publicações que estiveram
de acordo com os critérios de inclusão.
Resultados
Foram obtidos 413 artigos: 93 na PubMed, 151 na MEDLINE, 74 na CINAHL,
65 na Scopus e 30 na Scielo. Após a eliminação dos duplicados e a aplicação
dos critérios de inclusão e exclusão incluímos 13 artigos. A idade da
população varia entre os 6 meses de idade e os 71 meses, todos em dentição
decídua. Na maioria dos estudos a dieta, a higiene dentária e a amamentação
prolongada foram variáveis avaliadas e as mães, na sua grande maioria,
responderam a questionários sobre dados sócio económicos e amamentação
noturna.
Conclusão:
Apesar de alguns estudos associarem a amamentação à CPI, é importante
realçar que a cárie é uma doença multifatorial. A maioria dos estudos sugere
que o risco aumentado está associado ao aleitamento noturno, a hábitos de
higiene deficitários e intercalados com alimentos ricos em açúcares.
Introduction: The breastfeeding phase after the birth of a baby is extremely important for both mother and baby. However, some studies have correlated breastfeeding as a risk factor for the emergence of early childhood caries (ECC). In contrast there are other studies that state that breastfeeding does not present a risk and that it even plays a protective role against CPI. Objectives: To analyse, based on the scientific literature, through a systematic review, if prolonged breastfeeding has a protective role is a risk factor for CPI. Materials and methods: The systematic review protocol followed the PRISMA recommendations. The research question was formulated based on the PICO model. The search was performed in PubMed, MEDLINE Complete, CINAHL, databases, Scielo and Scopus with the key words - "Child", "Dental caries", "Breast milk" and their synonyms in portuguese and english.. The relevant data were extracted from the publications that met the inclusion criteria. Results A total of 413 articles were obtained: 93 in PubMed, 151 in MEDLINE, 74 in CINAHL, 65 in Scopus and 28 in Scielo. After eliminating the duplicates and applying the inclusion and exclusion criteria we included 13 articles. The age of the population ranges from 6 months to 71 months, all in deciduous dentition. In most studies diet, dental hygiene and prolonged breastfeeding were variables assessed and mothers mostly answered questionnaires on socioeconomic data and night-time breastfeeding. Conclusion: Although some studies associate breastfeeding with CPI, it is important to emphasize that caries is a multifactorial disease. Most studies suggest that the increased risk is associated with night-time breastfeeding, poor hygiene habits and interspersed with sugar-rich food.
Introduction: The breastfeeding phase after the birth of a baby is extremely important for both mother and baby. However, some studies have correlated breastfeeding as a risk factor for the emergence of early childhood caries (ECC). In contrast there are other studies that state that breastfeeding does not present a risk and that it even plays a protective role against CPI. Objectives: To analyse, based on the scientific literature, through a systematic review, if prolonged breastfeeding has a protective role is a risk factor for CPI. Materials and methods: The systematic review protocol followed the PRISMA recommendations. The research question was formulated based on the PICO model. The search was performed in PubMed, MEDLINE Complete, CINAHL, databases, Scielo and Scopus with the key words - "Child", "Dental caries", "Breast milk" and their synonyms in portuguese and english.. The relevant data were extracted from the publications that met the inclusion criteria. Results A total of 413 articles were obtained: 93 in PubMed, 151 in MEDLINE, 74 in CINAHL, 65 in Scopus and 28 in Scielo. After eliminating the duplicates and applying the inclusion and exclusion criteria we included 13 articles. The age of the population ranges from 6 months to 71 months, all in deciduous dentition. In most studies diet, dental hygiene and prolonged breastfeeding were variables assessed and mothers mostly answered questionnaires on socioeconomic data and night-time breastfeeding. Conclusion: Although some studies associate breastfeeding with CPI, it is important to emphasize that caries is a multifactorial disease. Most studies suggest that the increased risk is associated with night-time breastfeeding, poor hygiene habits and interspersed with sugar-rich food.
Description
Keywords
Criança Cárie dentária Leite materno Child Dental caries Breast milk