摘要
objective: to identify and assess the possible consequences of bottle-feeding on the oral facial development of children who were breastfed up to at least six months of age. methods: two hundred and two children (4 years of age) enrolled in an early health attention program participated in the study. the sample was divided into two groups: g1 (children who used only a cup to drink) and g2 (those who used a bottle). results: lip closure was observed in 82% of the children in g1 and in 65% of those in g2 (p = 0.0065). the tongue coming to rest in the maxillary arch was found in 73% of the children in g1 and in 47% of those in g2 (p = 0.0001). nasal breathing was observed in 69% of g1 and in 37% of g2 (p = 0.0001). the maxilla was shown to be normal in 90% of g1 and in 78% of g2 (p = 0.0206). conclusions: use of the bottle, even among breastfed children interferes negatively with oral facial development.