This document discusses various oral habits in children including thumb sucking, tongue thrusting, lip habits, and bruxism. For each habit, it provides information on prevalence, potential impacts, and management approaches. Thumb sucking management can include counseling, reminders, rewards systems, and intraoral appliances. Tongue thrusting management involves training correct swallowing and tongue posture, as well as speech therapy and appliances. Lip habits may require correction of malocclusion or use of appliances. Bruxism management uses approaches like psychotherapy, occlusal adjustments, and bite guards. The document concludes with a list of references.

1.  
Presented By: Rahaf Najjar

2.  Introduction.
 Prevalence of oral habits.
 Thumb sucking habit & its management.
 Tongue Thrusting habit & its management.
 Lip habit & its management.
 Bruxism & its management.
 References.

3.  Introduction.
 Prevalence of oral habits.
 Thumb sucking habit & its management.
 Tongue Thrusting habit & its management.
 Lip habit & its management.
 Bruxism & its management.
 References.

4. 1957
Dorland
•Habit can be defined as a fixed or constant
practice established by frequent repetition
1982
Mathewson
•Oral habits are learned patterns of muscular
contractions

6.  Introduction.
 Prevalence of oral habits.
 Thumb sucking habit & its management.
 Tongue Thrusting habit & its management.
 Lip habit & its management.
 Bruxism & its management.
 References.

8.  Introduction.
 Prevalence of oral habits.
 Thumb sucking habit & its management.
 Tongue Thrusting habit & its management.
 Lip habit & its management.
 Bruxism & its management.
 References.

9. Gellin (1978)
It is placement of thumb or one or more fingers in
varying depths into the mouth.

10.  Common in infants .
 23% to46% of children aged 1 to 4years.
 Develops ‐Between birth and 3 months of age.
 Intensity increases ‐till 7 months and then declines.
 Discontinue the habit by 3‐4 years of age.
 Parents should discourage the habit after age 4 years if not
stopped .
 Severity depending on frequency, duration, Intensity .

13.  Starts 4 to 6 years
4 different approaches
1) Counselling
2) Reminder therapy
3) Reward system
4) Adjunctive therapy
5) Appliance therapy

14. Intra Oral Appliances:
1) Quad Helix
 Patient with posterior cross bite
 As a reminder

15. 2) Bluegrass Appliance
 This is the least intrusive appliance and easiest for the
patient to wear and tolerate.
 Ideal for patients that want to quit, but need a reminder to
help them.

17. 3) Palatal crib
 Patient without cross bite
 Retainer 6‐12 months
More aggressive than the Blue Grass. It blocks the thumb, so
the patient can’t suck them.

18.  The cribs are long vertical cribs, made in the anterior palatal
aspect, resting lingual to upper anterior.
 They are long enough , but not interfere with mandible.
 It is made up of .020” ss wire, lies 3-4 mm from the incisors
with length of 6 – 12 mm.
The cribs act as:
 break the suction and force of
the digit on the anterior segment.
 To remained the pt of his habit.
 To make the habit
non- pleasurable

19. .04” SS wire

21. 4) Hayrake
 This is the most aggressive appliance to prevent Thumb
sucking.
 Prongs are added to this appliance to make it as
uncomfortable as possible when the patient tries to suck their
thumb.

22. 5) Removable Habit Appliance
 Habit Loops can be added to any removable appliance.
 This appliance acts as a reminder to help break the habit with
cooperative patients.
 It is a great option for patients to wear while they sleep to
break a Tongue or Thumb Habit

23.  Introduction.
 Prevalence of oral habits.
 Thumb sucking habit & its management.
 Tongue Thrusting habit & its management.
 Lip habit & its management.
 Bruxism & its management.
 References.

24.  (also called reverse swallow or immature swallow)
 It is a common name of orofacial muscular imbalance, a
human behavioral pattern in which the tongue protrudes
through the anterior incisors during swallowing, speech, and
while the tongue is at rest.

25.  Short flaccid upper lip
 Mandibular movements‐no correlation between tongue tip and
mandible
 Speech: s, n, t, d, l, z, v, th.
 Increase anterior facial height.

26.  Tongue movements–irregular
 Malocclusion
 Maxilla–Proclination, increase in overjet
 Mandible proclination
 Anterior open bite

27. Treatment Consideration:
Self correcting by age 8 – 9 Y old
Treatment Modalities:
1. Training of correct swallow and posture of tongue
2. Speech therapy
3. Mechanotherapy
4. Correction of malocclusion

28. 1. Ask the pt to put tongue tip in the rugae area for 5 minutes ,
thin ask him to swallow.
2. Tongue tip hold against the palate using orthodontic elastics
or sugarless fruit drops.
3. 4S exercise.
4. Whistling
5. Count from 60 -69

29. Using appliances as a guide in the correct positioning of tongue
Preorthodontic Trainer:
 It aids in correct positioning of the tongue with the help on
tongue tags.
 The tongue guards prevent tongue thrusting when in place.
Nance palatal Arch Appliance

30.  Not before 8 years
 To trine the correct position of the tongue.

31. Fixed Appliances
Palatal crib MYOFUNCTIONAL BEAD Tongue-Thrusting Device

32. Removable Appliances
Hawley Appliance Oral Screen
1. Restriction of tongue thrusting habit
2. Alignment of maxillary anterior teeth
3. Correction of open bite
4. Lip muscle exercises performed with ring
attached in anterior part of appliance

33.  Introduction.
 Prevalence of oral habits.
 Thumb sucking habit & its management.
 Tongue Thrusting habit & its management.
 Lip habit & its management.
 Bruxism & its management.
 References.

34. Habits that involve manipulation of the lips and perioral
structures are termed as lip habits .

35.  Protrusion of maxillary incisors and retrusion of mandibular
incisors
 Lip
 The mentolabial sulcus becomes accentuated

36. 1. Correction of malocclusion
2. Treating the primary habit
3. Appliance therapy : Lip bumper / Oral screen

37.  Introduction.
 Prevalence of oral habits.
 Thumb sucking habit & its management.
 Tongue Thrusting habit & its management.
 Lip habit & its management.
 Bruxism & its management.
 References.

38. Bruxism is the habitual grinding of teeth when the
individual is not chewing or swallowing.
Prevalence:
 Commence in infancy with the eruption of the
first primary tooth.
 Common occurrence is during sleep.
 Incidence of bruxism in children varies widely
from 7% to 88%.

39.  Occlusal Trauma
 Tooth structure loss
 Muscular tenderness
 T.M.J. disorders
 Headache

40. 1) Adjunctive Therapy:
 Psychotherapy: Aimed at lowering emotional or psychic
tension
 Auto suggestion and Hypnosis: Where the patient becomes
conscious of his habit and understands the possible
consequence
2) Elimination of oral pain and discomfort:
Pain associated with periodontal disease, lip and cheek should
be eliminated

41. 3) Occlusal therapy:
 Occlusal adjustments: Bite raising crowns, splints and
elimination of occlusal interference
 Occlusal reconstruction and prosthesis
 Bite guard : Prevents continual abrasion of teeth

42.  Dentistry for the child and adolescent, McDonald, 8thedition
 Pediatricdentistry : Scientific foundations and Clinical practice
–Stewart barber
 Text book of pediatricdentistry, S.G. Damle, 3rd edition
 Principles and practice of pediatricdentistry, ArathiRao
pg:147‐162
 Pediatricdentistry –infancy through adolescence, 4thedition
pinkhampg:431‐439
 Text book of pedodontics–shobhatandon2ndedition
pg:492‐526
 Prevalence of pacifier sucking habits and successful methods
to eliminate them –a preliminary study. Viviane, Regina.
Journal of dentistry for children –71:2, 2004. Pg 148‐151.
 http://www.jdtunbound.com/files/pdf-
files/havingtheblues0304.pdf

43.  Feeding, artificial sucking habits and malocclusions in 3 year
old girls in different regions of the world. Esberet al. JDC –
72:1, 2005. Pg 25‐30
 Bluegrass appliance (AAPD vol13 no 2, Haskell et al)
 Sucking habits: clinical management in dentistry, Gabriel etal.
JCPD, vol15, no 3/1991, pg 137‐155
 Thumb sucking (journal of applied behaviour analysis 2000,
33, 41‐52, Elingsonet al)
 Association between early weaning, non nutritive sucking
habits and occlusal anomalies in 3 year old Finnish children.
Karjalainen, Ronning, Lapinleimu, Simell. IJPD 1999;9. Pg
169‐173
 http://www.orthodonticproductsonline.com/2007/02/on-
the-market-2007-02-11/
 http://ohlendorfappliancelab.com/habit-correction-
appliances/