Oral health practices during first 1000 days of life: Literature review
Practicas de salud bucal durante los primeros 1000 días de vida: Revisión de la literatura
Keywords:Oral health promotion, pediatric dentistry, prenatal care, preventive dentistry
Objective: To review the updated narrative literature on good oral health practices during the first 1000 days of life, that is, from gestation to two years of age. Materials and methods: A literature search was carried out in Pubmed and Scopus databases on february and march 2022. Original articles, and systematic reviews with or without meta-analysis, from 2016 to 2022 were included. For this purpose, search strategies were used with keywords in English taken from MeSH, such as: "prenatal care" AND ("dentistry" OR "oral health") / ("Pregnancy" OR "Infant") AND ("Oral Hygiene" OR "Toothbrushing" OR "Toothpaste") / (“Pregnancy” OR “Infant”) AND (“Prenatal nutrition” OR “Child Nutrition” OR "Breast feeding") / (“Pregnancy” OR “Infant”) AND “sugar intake” / “Infant” AND ("sucking behavior" OR "Nail biting") AND "dental occlusion" / (“Pregnancy” OR “Infant”) AND ("dental care" OR “Pediatric dentistry”). Results: Using the search criteria, 72 articles were selected to describe good oral health practices during the first 1000 days. This was divided into good oral hygiene practices, good dietary practices, parafunctional habits, and visits to the dentist. Conclusion: For good oral health during the first 1000 days of life, brush your baby's teeth with fluoride toothpaste from the first tooth eruption, avoid the consumption of free sugars, encourage breastfeeding instead of bottle-feeding, and visit the dentist since the pregnancy.
Traebert J, Lunardelli SE, Martins LGT, Santos K Dos, Nunes RD, Lunardelli AN, et al. Methodological description and preliminary results of a cohort study on the influence of the first 1,000 days of life on the children’s future health. An Acad Bras Cienc. 2018 Jul 1;90(3):3105–14.
Woo Baidal JA, Locks LM, Cheng ER, Blake-Lamb TL, Perkins ME, Taveras EM. Risk Factors for Childhood Obesity in the First 1,000 Days: A Systematic Review. Am J Prev Med. 2016 Jun 1;50(6):761–79.
Epure AM, Rios-Leyvraz M, Anker D, Di Bernardo S, da Costa BR, Chiolero A, et al. Risk factors during first 1,000 days of life for carotid intima-media thickness in infants, children, and adolescents: A systematic review with meta-analyses. PLoS Med. 2020 Nov 23;17(11).
Praharaj N, Naik D. Management of oral health during pregnancy. Indian J Forensic Med Toxicol. 2020 Oct 1;14(4):8826–30.
Riaz A, Javed MQ, Chaudhary FA, Khan AM. Knowledge, attitude, and practices of pregnant women regarding oral health at railway hospital rawalpindi, pakistan. Pakistan J Med Heal Sci. 2020 Oct 1;14(4):738–43.
Lopes FF, Ribeiro TV, Fernandes DB, Calixto NR de V, Alves CMC, Pereira ALA, et al. Conhecimentos e práticas de saúde bucal de gestantes usuárias dos serviços de saúde em São Luís, Maranhão, 2007-2008. Epidemiol e Serv saude Rev do Sist Unico Saude do Bras. 2016 Oct 1;25(4):819–26.
Ibrahim HMEM, Mudawi AM, Ghandour IA. Oral health status, knowledge and practice among pregnant women attending omdurman maternity hospital, Sudan. East Mediterr Heal J. 2016 Nov 1;22(11):802–9.
Bansal K, Kharbanda O, Sharma J, Sood M, Priya H, Kriplani A. Effectiveness of an integrated perinatal oral health assessment and promotion program on the knowledge in Indian pregnant women. J Indian Soc Pedod Prev Dent. 2019 Oct 1;37(4):383–91.
Marchi KS, Rinki C, Shah M, Dove M, Terpak C, Curtis MP, et al. Medical Provider Promotion of Oral Health and Women’s Receipt of Dental Care During Pregnancy. Matern Child Health J. 2019 Jul 15;23(7):890–902.
Ministerio de Salud. Guía de práctica clínica para la prevención, diagnóstico y tratamiento de la caries dental en niñas y niños. [Internet]. Lima; 2017 Aug [cited 2021 Mar 9]. Available from: http://bvs.minsa.gob.pe/local/MINSA/4195.pdf
Walsh T, Worthington H V., Glenny AM, Marinho VCC, Jeroncic A. Fluoride toothpastes of different concentrations for preventing dental caries. Cochrane Database Syst Rev. 2019;2019(3).
Moynihan P, Tanner LM, Holmes RD, Hillier-Brown F, Mashayekhi A, Kelly SAM, et al. Systematic Review of Evidence Pertaining to Factors That Modify Risk of Early Childhood Caries. JDR Clin Transl Res [Internet]. 2019 Jul 14;4(3):202–16. Available from: http://journals.sagepub.com/doi/10.1177/2380084418824262
Kumar S, Tadakamadla J, Johnson NW. Effect of toothbrushing frequency on incidence and increment of dental caries: A systematic review and meta-analysis. J Dent Res. 2016;95(11):1230–6.
Vieira TI, Mangabeira A, Alexandria AK, Ferreira DMTP, Fidalgo TK da S, Valença AMG, et al. Does flavoured dentifrice increase fluoride intake compared with regular toothpaste in children? A systematic review and meta-analysis. Int J Paediatr Dent. 2018 May 1;28(3):279–90.
Davidovich E, Shafir S, Shay B, Zini A. Plaque Removal by a Powered Toothbrush Versus a Manual Toothbrush in Children: A Systematic Review and Meta-Analysis. Pediatr Dent. 2020 Jul 15;42(4):280–7.
Raiyani CM, Arora R, Bhayya DP, Dogra S, Katageri AA, Singh V. Assessment of microbial contamination on twice a day used toothbrush head after 1-month and 3 months: An in vitro study. J Nat Sci Biol Med [Internet]. 2015 Aug 1 [cited 2022 Apr 16];6(Suppl 1):S44–8. Available from: https://pubmed.ncbi.nlm.nih.gov/26604618/
Jabuk SIA, Hussein RSH, Shwalia DMR. The antimicrobial effect of some disinfectants to reduce the contamination of toothbrushes. Drug Invent Today. 2019;12(9):2125–9.
El Hamdaoui NEA, Knezevic M, Knezevic M, Vicente-Barrero MM. Cross section study and analysis of toothbrushes contamination and disinfection Study of 101 toothbrushes emloyed from the people of different ages. Head Neck Russ J. 2020;8(2):45–51.
Peševska S, Ivanovski K, Mindova S, Kaftandzieva A, Ristoska S, Stefanovska E, et al. Bacterial contamination of the toothbrushes. J Int Dent Med Res. 2016;9(1):6–12.
Medina-Patruno C, Bolaños-Rivero M, Martín-Sánchez AM, Saavedra-Santana P, Vicente-Barrero M. What is the level of toothbrush contamination stored in different sanitary settings? Av Odontoestomatol. 2019 Mar 1;35(2):69–72.
Carvalho Silva C, Mendes R, Manso M da C, Gavinha S, Melo P. Prenatal or Childhood Serum Levels of Vitamin D and Dental Caries in Paediatric Patients: A Systematic Review. Oral Health Prev Dent [Internet]. 2020 Sep 4 [cited 2022 Apr 18];18(1):653–67. Available from: http://www.ncbi.nlm.nih.gov/pubmed/32895648
Mazariegos M. Development of healty food preferences early in life. Arch Latinoam Nutr. 2020 Dec 1;70(4):282–9.
Maier-Nöth A, Schaal B, Leathwood P, Issanchou S. The lasting influences of early food-related variety experience: A longitudinal study of vegetable acceptance from 5 months to 6 years in two populations. PLoS One. 2016 Mar 1;11(3).
Mennella JA, Daniels LM, Reiter AR. Learning to like vegetables during breastfeeding: A randomized clinical trial of lactating mothers and infants. Am J Clin Nutr. 2017 Jul 1;106(1):67–76.
Baker P, Santos T, Neves PA, Machado P, Smith J, Piwoz E, et al. First-food systems transformations and the ultra-processing of infant and young child diets: The determinants, dynamics and consequences of the global rise in commercial milk formula consumption. Matern Child Nutr. 2021 Apr 1;17(2).
Organización Mundial de la Salud, UNICEF. Metas mundiales de nutrición 2025: Documento normativo sobre lactancia materna [Internet]. WHO. World Health Organization; 2017 [cited 2022 Apr 18]. Report No.: WHO/NMH/NHD/14.7. Available from: http://www.who.int/nutrition/publications/globaltargets2025_policybrief_breastfeeding/es/
Cardenas SD, Puello SDCP, Montes LAB. Breastfeeding and related factors in afrodescendant women from Cartagena, Colombia. Pesqui Bras Odontopediatria Clin Integr. 2020;20:1–11.
Bomfim LTM, Novaes TF, Bonanato K, Navarro RS, Tedesco TK, Imparato JCP, et al. Factors related to the practice of exclusive breastfeeding in different cities of the states Minas Gerais and Bahia, Brazil. Pesqui Bras Odontopediatria Clin Integr. 2017 Jan 1;17(1).
Lopes TSP, Lima CCB, Evelin L de S, de Lima M de DM, de Deus Moura L de FA, Moura MS, et al. Factors associated with early weaning according to the report of mothers in a child friendly hospital initiative. Pesqui Bras Odontopediatria Clin Integr. 2017 Oct 3;17(1).
Lopes TSP, Lima CCB, Silva RNC, De Deus Moura L de FA, De Lima M de DM, Lima MCMP. Association between duration of breastfeeding and malocclusion in primary dentition in Brazil. J Dent Child. 2019;86(1):17–23.
Corrêa-Faria P, de Abreu MHNG, Jordão LMR, Freire M do CM, Costa LR. Association of breastfeeding and malocclusion in 5-year-old children: Multilevel approach. Int J Paediatr Dent. 2018 Nov 1;28(6):602–7.
Doğramacı EJ, Rossi-Fedele G, Dreyer CW. Malocclusions in young children: Does breast-feeding really reduce the risk? A systematic review and meta-analysis. J Am Dent Assoc. 2017 Aug 1;148(8):566-574.e6.
Gomes-Filho IS, Pinheiro SMS, Vieira GO, Alves TDB, Cruz SS da, Figueiredo ACMG, et al. Exclusive breast-feeding is associated with reduced pacifier sucking in children: Breast-feeding and pacifier-sucking habit. J Am Dent Assoc. 2019 Nov 1;150(11):940–7.
Carcavalli L, Martins CC, Rocha IA, Parlato EM, Serra-Negra JM. Preterm birth, pacifier use and breastfeeding: Is there a relationship? Braz Dent J. 2018 Jul 1;29(4):388–94.
Van Meijeren-Van Lunteren AW, Voortman T, Elfrink MEC, Wolvius EB, Kragt L. Breastfeeding and Childhood Dental Caries: Results from a Socially Diverse Birth Cohort Study. Caries Res. 2021 Apr 1;55(2):153–61.
Hartwig AD, Romano AR, Azevedo MS. Prolonged breastfeeding and dental caries in children in the third year of life. J Clin Pediatr Dent. 2019;43(2):91–6.
Neves PAM, Ribeiro CCC, Tenuta LMA, Leitão TJ, Monteiro-Neto V, Nunes AMM, et al. Breastfeeding, Dental Biofilm Acidogenicity, and Early Childhood Caries. Caries Res. 2016 Jun 1;50(3):319–24.
Bernabé E, Macritchie H, Longbottom C, Pitts NB, Sabbah W. Birth Weight, Breastfeeding, Maternal Smoking and Caries Trajectories. J Dent Res. 2017 Feb 1;96(2):171–8.
Peng S min, McGrath C. What can we do to prevent small children from suffering from tooth decay? Evid Based Dent. 2020 Sep 1;21(3):90–1.
Nirunsittirat A, Pitiphat W, McKinney CM, Derouen TA, Chansamak N, Angwaravong O, et al. Breastfeeding Duration and Childhood Caries: A Cohort Study. Caries Res. 2016 Sep 1;50(5):498–507.
Pinho JRO, Thomaz EBAF, Ribeiro CCC, Alves CMC, Da Silva AAM. Factors associated with the development of dental defects acquired in the extrauterine environment. Braz Oral Res. 2019;33.
Kobylińska A, Rożniatowski P, Olczak-Kowalczyk D. Karmienie piersią a próchnica wczesnego dzieciństwa – systematyczny przegląd piśmiennictwa. Pediatr Pol. 2017 Jul 1;92(4):417–26.
World Health Organization (WHO), United Nations Children’s Fund (UNICEF). Estrategia Mundial para la Alimentación del Lactante y del Niño Pequeño [Internet]. 2003 [cited 2022 Apr 18]. Available from: https://apps.who.int/iris/handle/10665/42695
World Health Organization. Guideline: Sugars intake for adults and children [Internet]. World Health Organization. Geneva; 2015. Available from: https://www.who.int/publications/i/item/9789241549028
Feldens CA, Vítolo MR, Maciel RR, Baratto PS, Rodrigues PH, Kramer PF. Exploring the risk factors for early-life sugar consumption: A birth cohort study. Int J Paediatr Dent. 2021 Mar 1;31(2):223–30.
Laitala ML, Vehkalahti MM, Virtanen JI. Frequent consumption of sugar-sweetened beverages and sweets starts at early age. Acta Odontol Scand. 2018 Feb 17;76(2):105–10.
Bridge G, Lomazzi M, Bedi R. A cross-country exploratory study to investigate the labelling, energy, carbohydrate and sugar content of formula milk products marketed for infants. Br Dent J. 2020 Feb 1;228(3):198–212.
Bernabé E, Ballantyne H, Longbottom C, Pitts NB. Early Introduction of Sugar-Sweetened Beverages and Caries Trajectories from Age 12 to 48 Months. J Dent Res. 2020 Jul 1;99(8):898–906.
Hancock S, Zinn C, Schofield G. The consumption of processed sugar- and starch-containing foods, and dental caries: a systematic review. Eur J Oral Sci. 2020;128(6):467–75.
Gandeeban K, Ramakrishnan M, Halawany HS, Abraham NB, Jacob V, Anil S. The role of feeding practices as a determinant of the pufa index in children with early childhood caries. J Clin Pediatr Dent. 2016;40(6):464–71.
Schwingshackl L, Hoffmann G, Iqbal K, Schwedhelm C, Boeing H. Food groups and intermediate disease markers: a systematic review and network meta-analysis of randomized trials. Am J Clin Nutr [Internet]. 2018 Sep 1;108(3):576–86. Available from: https://academic.oup.com/ajcn/article/108/3/576/5095501
Auerbach BJ, Dibey S, Vallila-Buchman P, Kratz M, Krieger J. Review of 100% Fruit Juice and Chronic Health Conditions: Implications for Sugar-Sweetened Beverage Policy. Adv Nutr [Internet]. 2018 Mar 1;9(2):78–85. Available from: https://academic.oup.com/advances/article/9/2/78/4969257
Patel AI, Moghadam SD, Freedman M, Hazari A, Fang M-L, Allen IE. The association of flavored milk consumption with milk and energy intake, and obesity: A systematic review. Prev Med (Baltim) [Internet]. 2018 Jun;111:151–62. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0091743518300689
Rippe J, Angelopoulos T. Relationship between Added Sugars Consumption and Chronic Disease Risk Factors: Current Understanding. Nutrients [Internet]. 2016 Nov 4;8(11):697. Available from: http://www.mdpi.com/2072-6643/8/11/697
Parra-Iraola SS, Zambrano-Mendoza AG, Parra-Iraola SS, Zambrano-Mendoza AG. Mouth Deforming Habits Present in Preschoolers and School Children: Systematic Review. Int J Odontostomatol [Internet]. 2018 Jun [cited 2022 Apr 18];12(2):188–93. Available from: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-381X2018000200188&lng=en&nrm=iso&tlng=en
Murrieta Pruneda JF, Ramírez Márquez M, Salgado Valdés LE, Salamanca Torres R. Frecuencia de hábitos bucales parafuncionales y su relación con el grupo etario. Appl Sci Dent [Internet]. 2021 Apr 16 [cited 2022 Apr 18];2(1). Available from: https://revistas.uv.cl/index.php/asid/article/view/2529
Lima AA dos SJ, Alves CMC, Ribeiro CCC, Pereira ALP, da Silva AAM, Silva LFG e., et al. Effects of conventional and orthodontic pacifiers on the dental occlusion of children aged 24–36 months old. Int J Paediatr Dent. 2017 Mar 1;27(2):108–19.
Silvestrini-Biavati A, Salamone S, Silvestrini-Biavati F, Agostino P, Ugolini A. Anterior open-bite and sucking habits in Italian preschool children. Eur Arch Paediatr Dent. 2016;17(1):43–6.
Ling HTB, Sum FHKMH, Zhang L, Yeung CPW, Li KY, Wong HM, et al. The association between nutritive, non-nutritive sucking habits and primary dental occlusion. BMC Oral Health. 2018 Aug 22;18(1).
El Fadl RA, Blair M, Hassounah S. Integrating maternal and children’s oral health promotion into nursing and midwifery practice - A systematic review. PLoS One. 2016 Nov 1;11(11).
Wilson A, Hoang H, Bridgman H, Bettiol S, Crocombe L. Factors Influencing the Provision of Oral Health Care Practices by Antenatal Care Providers: A Systematic Review. J Women’s Heal. 2022 Feb 1;31(2):231–41.
Balan P, Brandt BW, Chong YS, Crielaard W, Wong ML, Lopez V, et al. Subgingival Microbiota during Healthy Pregnancy and Pregnancy Gingivitis. JDR Clin Transl Res. 2021 Jul 1;6(3):343–51.
Sá De Lira ADL, Silva Da NRF, Caetano VDS, Araújo Junior De AG, Portela IJZ. Prevalence and etiological factors of piogenic granuloma in gestants. Brazilian Dent Sci. 2019 Oct 1;22(4):443–9.
Xiao J, Fogarty C, Wu TT, Alkhers N, Zeng Y, Thomas M, et al. Oral health and candida carriage in socioeconomically disadvantaged us pregnant women. BMC Pregnancy Childbirth. 2019 Dec 5;19(1).
Wang L, Ren J, Fiscella KA, Bullock S, Sanders MR, Loomis EL, et al. Interprofessional collaboration and smartphone use as promising strategies to improve prenatal oral health care utilization among US underserved women: results from a qualitative study. BMC Oral Health. 2020 Dec 1;20(1).
Vamos CA, Thompson EL, Avendano M, Daley EM, Quinonez RB, Boggess K. Oral health promotion interventions during pregnancy: A systematic review. Community Dent Oral Epidemiol. 2015;43(5):385–96.
Vamos CA, Griner SB, Kirchharr C, Green SM, Debate R, Daley EM, et al. The development of a theory-based eHealth app prototype to promote oral health during prenatal care visits. Transl Behav Med. 2019 Oct 11;9(6):1100–11.
Rezavand N, Kamravamanesh M, Eyvazi M, Manouchehri J, Hemati M, Feali R, et al. The relationship between periodontal diseases and the risk of preeclampsia in pregnant women. Iran J Obstet Gynecol Infertil. 2021 Jun 1;24(4):16–24.
Márquez-Corona MDL, Tellez-Girón-Valdez A, Pontigo-Loyola AP, Islas-Zarazúa R, Robles-Bermeo NL, Gonzalez-López BS, et al. Preterm birth associated with periodontal and dental indicators: a pilot case-control study in a developing country. J Matern Neonatal Med. 2021;34(5):690–5.
Choi SE, Choudhary A, Ahern JM, Palmer N, Barrow JR. Association between maternal periodontal disease and adverse pregnancy outcomes: an analysis of claims data. Fam Pract. 2021 Nov 24;38(6):718–23.
Valadbeigi T, Reza Tabatabaee H, Etemad K, Keyghobadi N, Mahdavi S, Enayatrad M, et al. The association between low birth weight and mothers diseases in Iran: A case-control study. J Neonatal Perinatal Med. 2020;12(4):449–56.
Daalderop LA, Wieland B V., Tomsin K, Reyes L, Kramer BW, Vanterpool SF, et al. Periodontal disease and pregnancy outcomes: Overview of systematic reviews. JDR Clin Transl Res. 2018 Jan 1;3(1):10–27.
Hand P, Olivi G, Lajolo C, Gioco G, Marigo L, Castagnola R, et al. Short lingual frenum in infants, children and adolescents. Part 1: Breastfeeding and gastroesophageal reflux disease improvement after tethered oral tissues release. Eur J Paediatr Dent. 2020;21(4):309–17.
Kérourédan O, Smirani R, Thébaud NB, Devillard R. Diagnosis and management of natal and neonatal teeth: Case report of three newborns. J Dent Child. 2018 May 1;85(2):79–82.
Ferrés-Amat E, Pastor-Vera T, Rodriguez-Alessi P, Ferrés-Amat E, Mareque-Bueno J, Ferrés-Padró E. The prevalence of ankyloglossia in 302 newborns with breastfeeding problems and sucking difficulties in Barcelona: A descriptive study. Eur J Paediatr Dent. 2017;18(4):319–25.
Gharehghani MAM, Bayani A, Bayat AH, Hemmat M, Karimy M, Ahounbar E, et al. Poor oral health-related quality of life among pregnant women: A systematic review and meta-analysis. Int J Dent Hyg. 2021 Feb 1;19(1):39–49.
How to Cite
Copyright (c) 1970 Revista de la Facultad de Medicina Humana
This work is licensed under a Creative Commons Attribution 4.0 International License.