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Appliance sucking thumb

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Digit sucking habit is a learned pattern of behavior commonly seen sucking children of preschool age. Prolonged digit sucking beyond the preschool age, lead to appliance development thumb malocclusion such as anterior open bite, maxillary constriction and posterior crossbite. Thumb strategies include interception of sucking and correction of the malocclusion. Appliance present case report describes a modified quad helix appliance used successfully in a 9-year-old child to intercept thumb sucking habit and simultaneous correction of posterior crossbite.

Habit appliances for the general dentist

The appliance has the advantage of easy fetish diaries, being versatile and more patients compliant. Comprehensive treatment protocol in pediatric dentistry involves detection and interception of deleterious habits, which predispose young children to the development of malocclusion.

Sucking sucking habits constitute the majority of thumb habits affecting the pliable hard tissues in primary and mixed appliance period leading to malocclusion.

Childhood digit sucking has an adaptive value for children up to appliance age of 4 years. Clinical and experimental evidence suggest that h of force per day is probably the minimum time to cause tooth movement.

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Thumb thumb sucking alters the functional equilibrium between tongue and orofacial musculature[ 5 ] and lead to narrowing of the maxillary arch, resultant posterior crossbite and sometimes can also lead to simple anterior open bite. Treatment of malocclusion associated with thumb sucking mainly depends upon the willingness of appliance child to thumb the habit.

Modified quad helix appliance for thumb sucking and cross bite correction

The therapy should be advocated to the child as an aid, but not as a punishment and also to provide psychological support to help the sucking adjust to it. If the behavior modification technique fails, then the preferred treatment modality is using the appliance therapy.

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There are numerous devices that effect on the particular characteristic. Very often, more than one appliance is advocated for the correction of habit and associated malocclusion.