oral habits in children Flashcards
effects of non nutritive sucking habits on dentition
1) AOB
2) increased OJ
3) posterior cross bite (because cheeks push in on upper molars)
4) high palatal vault
what is the mx of non nutritive sucking
first of all, oral habits pathway of care states that the less intervention you do the better
- child can only be stopped from thumb sucking when they want to stop
methods:
1) counseling and rewards system
- about 7 days
- for mature kids
2) reminders
- bandaids as a reminder
- nail polish
- put chilli padi on finger…
3) adjunctive therapy
- efficacy of this is quite high but nobody likes to use it
- possibility of relapse
e/o:
- ACE bandage (straightens the arm forcefully so that the kid cant reach the thumb when toh)
- thumb guard (but child can remove by themselves, so only helps if child wants to stop)
i/o:
- palatal crib (effectiveness >90% based on Haryett 1970, but length of tx is 1 year)
- bluegrass appliance (one of the highest rated appliances, ffectivness >90% based on Greenleaf 2002)
- removable appliance
causes of bruxism in children and what tx options?
causes:
1) allergies bc the back of throat is itchy so child moves the lower jaw to scratch but HSJ says its not very true
2) occlusal interferences
3) stress
tx:
1) counseling
2) mouth guard
- bi layered suck down version is the most popular (hard on outside, soft on inside), dont use soft splints because they stimulate more grinding
3) botox (in severe cases like in cerebral palsy)
- to masseters, lasts 11 weeks
4) clonazepam (also for severe CP cases)
- anti seizure drug to reduce grinding
what is infantile vs adult swallowing
infantile swallowing:
- tongue is positioned forward during sucking and its tip protrudes through to achieve an anterior seal
adult swallwoign:
- as incisors erupt, position of tongue retracts
tx for tongue thrusting
- cant really do anything but can try orthodontics
- tongue exercises (but questionable, dk if it works)
