Impact of Maternal Education on the Duration of Breastfeeding and its Association with Various Oral Parameters
Sagar Dahiya, Rajat Mitra, Sanjay M Londhe, Karan Nehra, Tarannum Ghavri, Balakrishna Jayan
Crossbite, Index of treatment need, Mallampati scoring, Maternal education,Breastfeeding
Citation Information :
Dahiya S, Mitra R, Londhe SM, Nehra K, Ghavri T, Jayan B. Impact of Maternal Education on the Duration of Breastfeeding and its Association with Various Oral Parameters. J Oral Health Comm Dent 2020; 14 (1):14-21.
Aim: Oral diseases have a multifactorial etiology of which environmental factors play a pragmatic role, thereby directly influencing the quality of life. The present study was conducted to find the association between the level of maternal education and the duration of breastfeeding with its effects on the orofacial development of a child.
Materials and methods: This is a cross-sectional retrospective study conducted to find the association between the duration of breastfeeding and various developmental parameters. A total of 650 children were included in this retrospective study conducted at the Army Dental Centre (R&R). Questionnaires were distributed to the participants (mothers) who were accompanying their child for a routine dental examination. The parameters that were examined are the index of orthodontic treatment need (IOTN), the oral hygiene status, the modified Mallampati index, and posterior crossbites.
Results: Mean duration of breastfeeding in our sample size stood at 44%. The principle mode of oral health awareness is by interactions between family and friends, whereas dental camps at schools or societies influence only 16% of the respondents. In 41% of the subjects, there was no need of any treatment according to IOTN, and in 3.1% of subjects there was great need for treatment. Around 80% of the subjects maintained reasonably good oral hygiene and 60% of the subjects were categorized into Mallampati grade I scoring. The level of maternal education follows a reverse trend to the timing of child\'s first dental visit. About 55% of the postgraduate mothers got their child for a dental checkup before the age of 5. About 60% of the children who were breastfed more than 24 months were having an IOTN of 1 as compared to only 16% of children who were fed less than 6 months. Posterior crossbites were present in 37% of children who were fed more than 6 months. About 74% of the children who were breastfed more than 24 months had Mallampati scoring of 1, whereas only 19% of the children who were breastfed less than 6 months had the scoring of 1.
Conclusion: A direct association between the level of maternal education and decreased duration of breastfeeding is present, thereby increasing the incidence of moderate-to-severe malocclusion. There is a need to reiterate oral health outreach programs at the community level for basic dental education and healthy practices. The oral hygiene status was directly associated with the higher education group. Formulating and practising a proper breastfeeding schedule can prevent development of various malocclusions especially in lower-income-group countries that still are devoid of specialized care.
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