Thumb Sucking

Question 1

What is tongue thrust related to?

Answer 1

Tongue thrust is related to prolonged: 🦷sucking habits
🦷airway issues

Question 2

What are the cons of pacifier use?

Answer 2

🦷may interfere with breast feeding
🦷nipple confusion
🦷pacifier dependency
🦷increased risk of middle ear infection 🦷occlusion issues
🦷development of over jet, cross bite, open bite and class 2 malocclusion

Question 3

What are the types of tongue sucking?

Answer 3

🦷tongue visible, lips parted, may hear sucking noise
🦷tongue between teeth, lips together tongue not visible, lip movement

Question 4

Why thumb sucking?

Answer 4

🦷reward
🦷gratification
🦷instinct
🦷tactile stimulation for CNS
🦷exploration and discovery
🦷okay up to 2yo

Question 5

What changes occur with prolonged thumb sucking?

Answer 5

🦷structural (cross bite, over jet, open bite, V arch, nasal cavity, sinus, low forward tongue posture, increased freeway space, open mouth rest posture, airway issues)
🦷functional (nasal to oral respiration, speech T, D, N, L, S, abnormal swallow, thumb damage, tongue thrust, self esteem, difficulty focusing )
🦷chemical (CNS, neurotransmitters, endorphins)

Question 6

What triggers can be a call to thumb sucking?

Answer 6

🦷Physical (pillow, blanket, stuffed animal, clothing, hair)
🦷Emotional (tired, bored, sad, upset, needs comfort, relieves stress and pain, calms and soothers, built in pacifier)

Question 7

How is chewing and swallowing affected by thumbsucking?

Answer 7

🦷Open mouth,
🦷chewing, noisy eater, big bites, shovels food,
🦷in mauls food,
🦷leaves food on self table or floor,
🦷reaches with tongue to intake, food and liquid
🦷difficulty gathering,
🦷food, scatters
🦷tongue thrust swallow

Question 8

What do to when thumb sucking?

Answer 8

🦷praise when not sucking
🦷 children often suck when insecure or need comfort
🦷 correct anxiety, and provide comfort 🦷 include older children in choosing the method of stopping
🦷 explain what may happen if thumbsucking continues
🦷 peer pressure

Question 9

What is the position of ION on oral habit appliances?

Answer 9

🦷 they open dental freeway space
🦷 encourages differential irruption of teeth in a mixed and Tatian
🦷 accelerates, posterior dental, irruption, and vertical drift
🦷 impede on normal irruption of anterior teeth
🦷 exacerbates lip, incompetence
🦷 speaking problems
🦷 lateral tongue thrust
🦷 lateral open bite 

Question 10

How to help a patient with thumbsucking?

Answer 10

🦷 see patient once a week
🦷 ask Patient to call you whenever he she has the urgency to suck the thumb 🦷 if they did suck their thumb to call
🦷 call or text to tell me how well they are doing