Feeding and oral hygiene habits of preschool children in Hong Kong and their caregivers’ dental knowledge and attitudes

Abstract

Only 7% of the children were exclusively breast-fed. More than 98% (656/666) of infants used a nursing bottle for at least some drinks. Over 62% (411/656) had used a nursing bottle to take fluids other than water and infant formula. At bedtime, 56% (361/656) were given a nursing bottle prior to sleep and 96% (340/361) of these bottles contained formula milk. Of these children, only 37% (131/361) finished the contents of the bottle before falling asleep. Over 73% (139/190) of the children continued to use a feeding bottle after 2 years of age. Non-nutritive sucking habits were practised by 35.6% (237/666) of the children. Visible plaque, on the labial surface of at least two maxillary incisors, was found in 19.5% (120/615) of the children. Oral cleansing habits were practised for 66.2% (441/666) of the children. Toothbrushing habits were reported for 42.3% (260/615) of the dentate children, of whom 19% (49/260) had their teeth brushed twice daily. Toothpaste was used by 49.23% (128/260) of the children and 57.3% (149/260) brushed their own teeth. Caries was seen in 7.6% of the infants (47/615). Of the caregivers, 67.7% said they did not think carious primary teeth needed to be restored. Among the mothers, 12.6% (43/342) did not know the oral condition of their child. Reportedly, 82% (417/510) and 87.5% (446/510) of the mothers had not received any oral health care information during the ante- or postnatal periods. Nearly all, 97%, of the respondents said that they would like to receive more information on oral health care.