Wang Xiao-tong, Ge Li-hong
Department of Pediatric Dentistry, Peking University School of Stomatology, Beijing 100081, China.
Beijing Da Xue Xue Bao Yi Xue Ban. 2015 Feb 18;47(1):191-5.
Breastfeeding has been recognized as the most natural and nutritious way of feeding babies. Besides the nutritional, immunological and emotional benefits, breastfeeding promotes a healthy stomatognathic system. First of all, the nutrients and minerals in maternal milk are easy to be absorbed by the infants, which contributes to the mineralization of the teeth, and suppress the propagation of bacteria on the teeth. Though the jury is still out on whether breastfeeding can prevent Early Childhood Caries (ECC), it is definite that we should pay attention to feeding at night and the oral hygiene of the babies. Secondly, the method of feeding is closely bound up with the development of dentition and jaw. Breast- and bottle-feeding involve different orofacial muscles, which possibly have different effects on the harmonic growth of maxilla and dental arches. Meanwhile, breathing, swallowing and mastication should be developing in harmony, and differences exist in the learning of the coordinated movement between breast feeding and bottle feeding children. Bottle feeding had been proved to be closely related with the non-nutritive sucking habits which can cause malocclusion. At last, it should be pointed out that breast feeding should be the only feeding source in the first 6 months of life, then supplementary foods should be added. And prolonged bottle feeding should be avoided. We can see that breast feeding is definitely good for the infants, but the reality is not optimistic in our country.
母乳喂养已被公认为是喂养婴儿最自然、最具营养的方式。除了具有营养、免疫和情感方面的益处外,母乳喂养还能促进口腔颌面部系统的健康。首先,母乳中的营养物质和矿物质易于婴儿吸收,这有助于牙齿矿化,并抑制牙齿上细菌的繁殖。尽管母乳喂养是否能预防幼儿龋齿尚无定论,但夜间喂养和婴儿口腔卫生问题确实值得我们关注。其次,喂养方式与牙列和颌骨的发育密切相关。母乳喂养和奶瓶喂养涉及不同的口面部肌肉,这可能对上颌骨和牙弓的协调生长产生不同影响。同时,呼吸、吞咽和咀嚼应协调发展,母乳喂养和奶瓶喂养的儿童在学习协调运动方面存在差异。事实证明,奶瓶喂养与可能导致错牙合畸形的非营养性吸吮习惯密切相关。最后,需要指出的是,母乳喂养应是婴儿出生后前6个月的唯一喂养方式,之后应添加辅食。并且应避免长期使用奶瓶喂养。我们可以看出,母乳喂养对婴儿肯定有益,但在我国,实际情况并不乐观。