Caries Prevalence and Eating Habits in Infants in Southeastern Brazil


  • Josy dos Santos de Oliveira School of Dentistry, Federal University of Alfenas (UNIFAL-MG). Alfenas, Minas Gerais, Brazil
  • Kellen Cristina da Silva Gasque Regional Board, Oswaldo Cruz Fundation (FIOCRUZ-DF). Brasilia, Distrito Federal, Brazil
  • Denismar Alves Nogueira Department of Exact Sciences, Federal University of Alfenas (UNIFAL-MG) Alfenas, Minas Gerais, Brazil
  • Lucas Bruzadelli Paulino da Costa School of Dentistry, Federal University of Alfenas (UNIFAL-MG). Alfenas, Minas Gerais, Brazil
  • Daniela Coelho de Lima School of Dentistry, Federal University of Alfenas (UNIFAL-MG). Alfenas, Minas Gerais, Brazil
  • François Isnaldo Dias Caldeira School of Dentistry, Federal University of Alfenas (UNIFAL-MG). Alfenas, Minas Gerais, Brazil/ Department of Morphology, Genetics, Orthodontics and Pediatric Dentistry. School of Dentistry at Araraquara. São Paulo State University (UNESP). Araraquara, São Paulo, Brazil
  • Daniela Silva Barroso de Oliveira School of Dentistry, Federal University of Alfenas (UNIFAL-MG). Alfenas, Minas Gerais, Brazil



Odontopediatria, Cárie Dentária, Comportamento Alimentar, Aleitamento Materno


Introduction: In the last decades, great emphasis has been given to early dental care. Dentistry for Babies has been gaining more and more space within current dentistry, to promote reduction of caries incidence and improvement of collective consciousness, especially of parents or guardians, regarding to oral care, hygiene habits and diet. Objective: To evaluate the prevalence of caries in infants aged 13 to 36 months attending a university pediatric dental clinic in Southeastern Brazil and correlate these data with their eating habits. Methods: Parents or guardians responded to a semi-structured questionnaire approaching eating habits of these infants and their exposure to foods with cariogenic potential. In addition, the dmf-t index and the risk of caries were evaluated considering alpha of 0.05. Results: Mean dmf-t index was 1.25.  Most babies presented a high 50% risk for the development of caries disease. The intake of foods with protective potential for dental caries was present in the diet of 93.3% of infants. Despite of that, 73.3% of the infants ate foods with hidden sugar and 53.3% took syrup or suspension medications.Results were statistically different (p = 0.017) between infants who received breastfeeding and their dmf-t indexes. Conclusion: Majority of infants had inadequate dietary patterns, exaggerated exposure to liquids or foods with cariogenic potential, evidenced by the elevated dmf-t index. Also, breastfeeding was correlated to higher risks to develop dental caries.


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Djokic J, Bowen A, Dooa JS, Kahatab R, Kumagai T, McKee K et al. Knowledge, attitudes and behaviour regarding the infant oral health visit: are dentists in Ireland aware of the recommendation for a first visit to the dentist by age 1 year?. Eur Arch Paediatr Dent. 2019;20(2):65-72.

Mangla Rg, Kapur R, Dhindsa A, Madan M. Prevalence and associated Risk Factors of Severe Early Childhood Caries in 12- to 36-month-old Children of Sirmaur District, Himachal Pradesh, India. Int J Clin Pediatr Dent. 2017;10(2):183-87

Xiao J, Alkhers N, Kopycka-Kedzierawski DT, Billings RJ, Wu TT, Castillo DA et al. Prenatal Oral Health Care and Early Childhood Caries Prevention: A Systematic Review and Meta-Analysis. Caries Res. 2019;53(4):411-21.

Herval AM, Oliveira FPSL, Machado KM, Vasconcelos M, Ferreira RC, Ferreira EFE et al. 2019 Mothers’ perception about health education in brazilian primary health care: A qualitative study. Int J Paediatr Dent. 2019;29(5):669-76..

Pal A, Gupta S, Rao A, Kathal S, Roy S, Pandey S. Family-Related Factors Associated with Caries Prevalence in the Primary Dentition of 5-6-year-old Children in Urban and Rural Areas of Jabalpur City. Contemp Clin Dent. 2017;8(2):305-9.

Breda J, Jewell J, Keller A. The Importance of the World Health Organization Sugar Guidelines for Dental Health and Obesity Prevention. Caries Res. 2019;53(2):149-52.

Palacios C, Rivas-Tumanyan S, Morou-Bermúdez E, Colon AM, Torres RY, Elías-Boneta AR. Association between Type, Amount, and Pattern of Carbohydrate Consumption with Dental Caries in 12-Year-Olds in Puerto Rico. Caries Res. 2016; 50(6):560-70.

von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP; STROBE Initiative. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement: guidelines for reporting observational studies. Int J Surg. 2014;12(12):1495-99.

IBGE [Internet]. Instituto Brasileiro de Geografia e Estatística - Censo de 2010. acao/censo2010/. Accessed March 27, 2019

Tagliaferro EP, Ambrosano GM, Meneghim Mde C, Pereira AC. Risk indicators and risk predictors of dental caries in schoolchildren. J Appl Oral Sci. 2008;16(6):408-13.

Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Secretaria de Vigilância em Saúde. SB Brasil 2010: Pesquisa Nacional de Saúde Bucal: resultados principais / Ministério da Saúde. Secretaria de Atenção à Saúde. Secretaria de Vigilância em Saúde. – Brasília: Ministério da Saúde, 2012. 116 p.

WHO. Infant and Young Child Feeding: Model Chapter for Textbooks for Medical Students and Allied Health Professionals. Geneva: World Health Organization; 2009. SESSION 3, Complementary feeding. Available from:

Peres KG, Nascimento GG, Peres MA, Mittinty MN, Demarco FF, Santos IS et al. Impact of Prolonged Breastfeeding on Dental Caries: A Population-Based Birth Cohort Study. Pediatrics. 2017;140(1):e20162943.

Santos BZ; Dotto PP, Guedes RS. Breastfeeding and risk of dental caries. Epidemiol Serv Saúde. 2016; 25(3):633-35.

Li F, Fu D, Tao D, Feng X, Wong MCM, Xu W et al. Dynamic Observation of the Effect of Maternal Caries on the Oral Microbiota of Infants Aged 12-24 Months. Front Cell Infect Microbiol. 2021;11:637394.

Edem AP. Early Childhood Caries Update, Dental Caries - Diagnosis, Prevention and Management, Zühre Akarslan, IntechOpen.

Feldens CA, Rodrigues PH, de Anastácio G, Vítolo MR, Chaffee BW. Feeding frequency in infancy and dental caries in childhood: a prospective cohort study. Int Dent J. 2018;68(2):113-21.

Zhang M, Zhang X, Zhang Y, Li Y, Shao C, Xiong S et al. Assessment of risk factors for early childhood caries at different ages in Shandong, China and reflections on oral health education: a cross-sectional study. BMC Oral Health. 2020;20(1):139.

Huang Y, Thompson T, Wang Y, Yu Q, Zhu L, Xu X et al. Analysis of cariogenic potential of alternative milk beverages by in vitro Streptococcus mutans biofilm model and ex vivo caries model. Arch Oral Biol. 2019;105:52-58.

Roscoe MG, da Silva Bonifacio SV, da Silva TB, Pingueiro JM, Lemos MM, Feres MF. Association of Breastfeeding Duration, Nonnutritive Sucking Habits, and Malocclusion. Int J Clin Pediatr Dent. 2018;11(1):18-22.

American Dental Association. Statement on early childhood caries. Chicago: American Dental Association; 2016. Available from:

Williams L. British Society of Paediatric Dentistry Position Statement on Infant Feeding. 2016. Available from:

Humaid AJ. Sweetener content and cariogenic potential of pediatric oral medications: A literature. Int J Health Sci (Qassim). 2018;12(3):75-82.

Newton JT, Awojobi O, Nasseripour M, et al. A systematic review and meta-analysis of the role of sugar-free chewing gum in dental caries. JDR Clin Trans Res. 2020;5(3):214-23.

Balhaddad AA, Anmar A. Kansara, Denise Hidan, Michael D. Weir, Hockin H.K. Xu, Mary Anne S. Melo. Toward dental caries: Exploring nanoparticle-based platforms and calcium phosphate compounds for dental restorative materials. Bioactive Materials. 2019;4:43-55.

Longo-Silva G, Toloni MH, de Menezes RC, Asakura L, Oliveira MA, Taddei JA. Introdução de refrigerantes e sucos industrializados na dieta de lactentes que frequentam creches públicas [Introduction of soft drinks and processed juice in the diet of infants attending public day care centers]. Rev Paul Pediatr. 2015;33(1):34-41.

Nirmala SV, Popuri VD, Chilamakuri S, Nuvvula S, Veluru S, Minor Babu MS. Oral health concerns with sweetened medicaments: Pediatricians' acuity. J Int Soc Prev Community Dent. 2015; 5(1):35–39.

Almeida TF, Couto MC, Oliveira MS, Ribeiro MB, Vianna MIP. Ocorrência de cárie dentária e fatores associados em crianças de 24 a 60 meses residentes em áreas cobertas pelo Programa Saúde da Família, em Salvador – BA, 2008. Rev. Odontol. UNESP. 2010; 39(6):655-62.

Tiano AV, Moimaz SA, Saliba O, Garbin CA. Prevalence of enamel white spots and risk factors in children up to 36 months old. Braz Oral Res. 2009; 23(2):215-22.



Como Citar

Oliveira, J. dos S. de, Gasque, K. C. da S., Nogueira, D. A., Costa, L. B. P. da, Lima, D. C. de, Dias Caldeira, F. I., & Oliveira, D. S. B. de. (2021). Caries Prevalence and Eating Habits in Infants in Southeastern Brazil. ARCHIVES OF HEALTH INVESTIGATION, 11(2), 286–291.



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