2003, Number 5
Rev Med Inst Mex Seguro Soc 2003; 41 (5)
Juárez REP, Arizona NA, Delgado MR, López CA, Gil OC, Gallardo JM
PDF size: 110.47 Kb.
ABSTRACTObjective: The aim of this study was to determine the relationship between feeding with alternative milk in nursing bottles and caries in children of 1 to 4 years of age. Material and method: The study was carried out at an medical clinic in Puebla City, Mexico. From June-August 1999 cases with nursing bottle caries (ages 1 to 4 years) were compared to healthy controls of the same age. Children's dental health was evaluated by clinical examination and a questionnaire. Results: Sixty two patients with nursing bottle caries and 118 caries-free subjects were recruited. The average age was 2.9 ± 1 and 2.1 ± 1 years for each group. Forty seven of 62 patients with nursing bottle caries were fed with alternative milk in nursing bottle and 15 were breast-fed. Fifty nine of 118 healthy controls were fed with alternative milk and 59 with breast feeding. The odds ratio was 3.1 (95 % CI = 1.5 to 6.5), and Fisher test was p = 0.0006. Two hundred sixty eight decayed teeth were found, of which 28 % were maxillary central incisors. Conclusions: Alternative milk in nursing bottles increases by 3 times the risk to develop nursing bottle caries. The results were significant in children with caries and bottle-fed milk substitutes.