Oral Habits Flashcards
What are some Oral Habits in children?
- Non-nutritive sucking habits
- Bruxism
- Tongue thrusting
Effects on thumb sucking on dentition?
- Open bite
- Increased overjet (Procline upper and retrocline lower)
- Posterior cross bite
- High palatal vault
Magnitude of impact of thumb-sucking is dependent on?
Frequency and duration of thumb-sucking
Warren 2002 Age of cessation of thumb-sucking
- Increase AOB at 48 months
- Increase OJ at 36 months
- Increase posterior crossbite 24 months
Management of NNS
- Counseling and rewards system
- Reminders
- Adjunctive therapy
What are the adjunctive therapy for NNS
- ACE Bandage
- Thumb guard
- Palatal crib
- Bluegrass appliance
What are the effectiveness of adjunctive therapy for NNS?
- ACE Bandage (60%)
- Palatal crib (>90%)
- Bluegrass appliance (>90%)
What is the length of treatment of palatal cribs?
1 year but relapse possible
What is Bruxism?
Non-functional grinding of teeth
What are the problems with Bruxism?
- Esthetic issue
- Pulp necrosis
- Functional issue
- TMD
Prevalence of NNS?
30% of 1 year old
12% of 9 years old
2% by 12 years old
Most stop digit sucking by end of 1st year in school
Prevalence of bruxism?
15%
Severe in cases of neurological disorder: Cerebral palsy or traumatic injuries
Causes of Bruxism
- Allergies
- Occlusal interferences
- Stress
Treatment of Bruxism?
- Counselling
- Mouth guard
- Botox
- Clonazepam
What happens to the tongue during infantile swallowing?
Tongue is usually positioned forward during sucking and its tip protrudes through to achieve anterior lip seal
