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Journal of Human Lactation
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Breastfeeding is Protective Against Dental Fluorosis in a Nonfluoridated Rural Area of Ontario, Canada

D. Brothwell, DMD, BEd, DDPH, MSc

Community Dentistry, Faculty of Dentistry, at the University of Manitoba

H. Limeback, BSc, DDS, PhD

Preventive Dentistry, Faculty of Dentistry, at University of Toronto

To determine the relationship between early infant feeding and dental fluorosis in a non-fluoridated area, 1367 children were examined for fluorosis and given a water sample vial and questionnaire. 752 families responded (55%). Breastfeeding was reported by 69% of respondents, with 53.6% breastfed < 6 months, 35.3% 6-12 months, and 11.1% > 1 year. Formula feeding was reported by 84% of respondents, with 60.3% and 39.7% formula fed for < 1 year and > 1 year, respectively. Fluorosis prevalence was 23.3% and was present in 27.2%, 19.6% and 13.8% of children breastfed for < 6 months, 6-12 months, and > 12 months, respectively (P < .05). About 87% of formula fed children had tap water added to the bottle. Breastfeeding for ≤ 6 months may protect children from developing fluorosis in the permanent incisors. This study suggests that dental professionals should support efforts to increase the rate and duration of breastfeeding. J Hum Lact. 19(4):386-390.

Key Words: fluorosis • fluoride • infant feeding • fluoridation

Journal of Human Lactation, Vol. 19, No. 4, 386-390 (2003)
DOI: 10.1177/0890334403257935
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Home page
 Journal of the American Dental AssociationHome page
P. P. Hujoel, L. G. Zina, S. A.S. Moimaz, and J. Cunha-Cruz
Infant Formula and Enamel Fluorosis: A Systematic Review
J Am Dent Assoc, July 1, 2009; 140(7): 841 - 854.
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