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[Role of prolonged sucking in the development of dento-skeletal changes in the face. Review of the literature].

Thumbsucking is the earliest and most common habit in children, affecting almost the 45% of young population in the world, from birth through adolescence. Infantile digital sucking and other non-nutritive sucking habits have been significantly correlated with malocclusion in both primary and permanent dentitions. The severity of malocclusions correlated with such habits depends on the frequency, the duration, the intensity and the position of the thumb in the mouth. Prolonged fingersucking may cause an anterior open bite, diastema, proclination and protrusion of maxillary incisors, increased overjet and overbite, retrusive position of mandible, posterior cross-bite. Self correction of malocclusions may occur if the habit is discontinued before 4 y.o.

Age Factors↗

[Dummy- and finger-sucking habits among 5-year old children. An investigation of frequency and effect on the dentition and occlusion].

Dummy- and finger-sucking habits were investigated among 60 5 year olds, born in 1982. The children were living in Raufoss, a small rural community in eastern part of Norway. Information about the sucking habits was obtained from their parents by means of questionnaires. The position of the teeth and the occlusion were registered by an orthodontist. Total prevalence of sucking habits was 63%. Thirty-seven percent, had used a dummy and 30% had been or were still finger-suckers. Two children had both used a dummy and sucked their fingers. This is a significant lower total prevalence of sucking habits than recorded in recent Swedish and Danish studies (1-8), but comparable with a Swedish study from 1971 (9). Most dummy-suckers had broken their habits at 3-4 years of age, while the finger-suckers were still active at 5 years of age. Finger-sucking had the largest impact on the position of the front teeth. The finger-suckers had significantly larger overjet and smaller overbite, more proclined upper incisors and retroclined lower incisors than dummy-suckers and those without any sucking habit. The only measurable effect of previous dummy-sucking of 5 years of age was a more open position of the lips and a smaller overbite. Otherwise, no significant effect on the occlusion was observed in any of the dummy- or fingersuckers.

Child↗

[Effects of sucking habits on the dentofacial development].

This review gives a description of the significance of the dentofacial development of both thumb- and fingersucking habits and dummy-sucking. Of all children about 60% has had a nonnutrive sucking habit during their youth. Sucking habits can have an influence on both the dental arches separately as well as on the intermaxillary relationship. Prolonged finger- and thumbsucking results in a disturbance of the dentofacial development in the anteroposterior, vertical and transverse directions. Dummy sucking has consequences for the development especially in vertical and transverse directions. With regard to dental complications it is advised to stop finger- and thumbsucking prior to the eruption of the permanent incisors and to stop dummy sucking before three years of age.

Child↗

[Occlusal status and disordered functions. Epidemiologic study of children aged 3 to 6 years in West Flanders].

This study is a part of larger epidemiologic survey done on 504 children, aged 3 to 6 years. The results of the occlusal parameters, and more specially, the relationship between occlusion and parafunction, as there are fingersucking and dummysucking, were analysed and discussed. The examined occlusal parameters were crossbite, open bite, attrition and incisor/molar and lateral movements.

Belgium↗

Changes in the dentition secondary to palatal crib therapy in digit-suckers: a preliminary study.

This study investigated the effect of the palatal crib appliance used in the correction of open bite malocclusions secondary to fingersucking. Twelve experimental and 12 control subjects were studied for an average of 3.9 months. The sample consisted of patients who were both growing and not growing. Study models taken before and after the study period were analyzed for changes in the following dimensions: overbite, overjet, arch perimeter, arch length, and incisor angulation. Data were analyzed with student t-tests to determine statistical significance. Partial or complete closure of the open bite was achieved averaging 3.7 mm +/- 1.9 mm during the observation period in the experimental group treated with palatal crib therapy. In contrast, the control group displayed a mean bite opening of 0.4 mm +/- 0.8. These values were statistically significant at the P < 0.001 level. Open bite decreased as incisor angulation (P < 0.02), arch length (P < 0.05), and arch perimeter (P < 0.01) decreased. Overjet changes were minimal and statistically insignificant.

Adolescent↗

[Early orthodontic treatment].

Several preventive procedures are recommended for the interception of early malocclusion. Therefore some important characteristics of normal dental development are mentioned. This preventive approach is focused around selected topics as forced bite, midline diastema and retarded eruption. This influence of functional disturbances on dentofacial morphology is discussed. An overview of possible therapy by the general dentist is presented for problems, aroused by thumb- and fingersucking, agenesis of upper lateral and mandibular second premolars as well as early loss of deciduous molars. Finally, the possible indications for serial extractions are examined.

Child↗

Orthodontic aspects on feeding of young children. 1. A comparison between Swedish and Norwegian-Sami children.

1-18 months old Norwegian-Sami girls from Karasjok/Katokeino were compared with girls from Falköping in Sweden. All Karasjok/Kautokeino children were breastfed, usually until 1 year of age. Only a few developed a dummy- or fingersucking habit. They started eating porridge at 4-5 months of age. At about half a year of age they were fed dark, hard chewing bread to gnaw at. Cut and pulped adult food was introduced during the end of the first year of life. In almost all cases the children had dried reindeer meat to gnaw at. They were mostly fed by spoon and drank from a cup. The Falköping girls, on the other hand, were not so often breastfed and for a shorter time. They usually became dummysuckers. The Falköping girls got almost all their nutrition during the first one or two years by sucking or eating food with little chewing resistance. The differences in sucking and chewing behavior could influence on the transversal development of the jaws.

Bottle Feeding↗

THUMBSUCKING.

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Fingersucking↗

THUMB-SUCKING.

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Dentition↗