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Oral Health Prev Dent. 2012;10(3):283-90.

Feeding habits and oral hygiene practices as determinants of early childhood caries in 3- to 5-year-old children of Belgaum City, India.

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Department of Public Health Dentistry, KLE VK Insitute of Dental Sciences, Belgaum, India.



To investigate whether feeding and oral hygiene practices of preschool children are associated with the risk and prevalence of Early Childhood Caries (EC).


A cross-sectional study comprising 1250 children aged 3 to 5 years from Belgaum was designed. On the first day, validated questionnaires along with parental informed consent forms were distributed to the children and were collected after a week. Validated questionnaires consisted of 20 close-ended questions pertaining to feeding and oral hygiene practices. Consent was obtained from parents of the 1116 children who were examined for EC. Data analysis included correlation coefficients and logistic regressions.


Among the children studied, 97.3% were breastfed, of which 41.25% were breastfed until 2 years of age. Seventy- five percent of children who were breastfed beyond 2 years were affected by EC. Exclusive bottle feeding was practiced in 46.15%; 64.85% of them suffered from EC. Burping was not practiced in 25.18%, and 68.68% of these were affected by EC. EC was more prevalent in 89% of children who were weaned later than 12 months of age. Parental assistance for oral hygiene was not seen in 37.27% and 67.22% of these suffered from EC. Overall, 63.17% of the children were affected by EC.


Prolonged breastfeeding, absence of burping the child, delay in starting oral hygiene practices and lack of parental assistance with the same were shown to be significant determining factors for EC. Health education and proper guidelines on feeding and oral hygiene practices can substantially reduce the risk and prevalence of EC.

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