Paglia · European journal of paediatric dentistry 2026 · narrative review · n=?

Breastfeeding and craniofacial development: orthodontic prevention beginning at birth.

Cited 0 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review synthesizing biological mechanisms and previous studies without systematic methodology.

PubMed 41777226 · doi:10.23804/ejpd.2026.27.01.01 · record verified 2026-08-26

What was done

This narrative review synthesized biological mechanisms (the functional matrix principle and perioral neuromuscular patterns) and existing epidemiological evidence evaluating the impact of breastfeeding on infant craniofacial growth and malocclusion risk.

What was found

The abstract reports no numerical data. It qualitatively reports that breastfeeding is associated with a reduced risk of malocclusion (specifically anterior open bite and posterior crossbite) compared to formula feeding, with a dose-response relationship showing greater protection with longer breastfeeding duration.

Why it matters

The paper frames breastfeeding not only as nutritional support but as an early functional orthodontic intervention influencing jaw and palate development during a critical period of infant plasticity.

Limits

The paper is a narrative review with no original data or systematic search methodology. It also highlights methodological weaknesses in the existing literature, including diagnostic heterogeneity, variable definitions of breastfeeding duration, and confounding from pacifier use, non-nutritive sucking, and genetics.

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