Finger Sucking Habit Research Articles

Assessment of Changes in the Upper Airway in Children with Finger Sucking Habit Using Cephalometric Radiographs.

The persistence of the sucking beyond a certain age has been attributed to many deleterious effects on the orofacial structures. Hence, the present study evaluates the alterations in the upper airway among the children with and without the finger-sucking habits. We piloted an observational study among 58 children with malocclusion who required orthodontic treatment, in which between 7 and 12 years were selected. They were subjected to lateral cephalometric radiographs, and cephalometric analysis of craniofacial morphology, tongue posture, hyoid bone position, upper airway, and head posture was performed and analyzed using independent t-test. In the children with finger-sucking habit group, not only the maxilla was placed anteriorly in relation to the cranial base, but also increased Abstract xi in the length of the palate and the tongue posture. No significant alterations were seen in other parameters. Changes were evident among the children with finger-sucking habits for the craniofacial morphology, tongue posture, upper airway, and head posture with no alteration in the hyoid bone position.

Disfunción de la articulación temporomandibular en pacientes de 9 a 14 años pretratamiento de ortodoncia

El presente estudio se realizó en el Hospital Infantil de México, Federico Gómez, con la finalidad de conocer y evaluar la relación entre características oclusales y funcionales con la disfunción de articulación temporo- mandibular (DTM), tales como, antecedentes traumáticos, discrepancia entre oclusión y relación céntrica (OC/RC), tipo de dentición mixta o permanente; onicofagia, succión digital, oligofagia, y proyección lingual antes de iniciar el tratamiento de ortodoncia.Se recolectaron los datos de 150 pacientes del Servicio de Ortodoncia de Hospital Infantil de México Federico Gómez. Encontrándose que el 54.3% comprendió al sexo femenino, y el 41.6% al sexo masculino, con una media de edad de 12.2 años; el 78.8% presentó desviación de líneas medias, 25.2% presentó mordida cruzada anterior y el 27.8 mordida cruzada posterior. El 59.6% presentó dentición permanente, 40.4% dentición mixta, 86.8% recibió tratamiento dental previo, un 41.1% presentó clase molar I, 33.3% C II y 25.8% C III. El 18% tuvieron antecedentes de algún traumatismo facial. El 7% presentó una discrepancia entre OC y RC mayor de 2 mm; el 27.2% y 11.3% presentaron ruidos articulares y dolor en la articulación temporomandibular (ATM) respectivamente, el hábito de succión digital se presentó en 7.9 % de la población, y finalmente 2% presentó bruxismo. En el modelo de regresión logística las variables que resultaron estadísticamente más significativasFueron el hábito de succión digital y la mordida cruzada posterior.

The effects of thumb sucking habit on the development of malocclusions in preschool age children in Hilla city

Background: habit is any purposeless action repeated unconsciously. It is a sign of lack of harmony between the subject and the surrounding environment. Deleterious oral habits such as finger sucking could be one of the etiological factors for altered oro-facial growth development. This study conducted to explore the association between finger sucking habit and malocclusion in deciduous dentition. Materials and method: Totally 40 chronic thumb sucker and 40 controls matching in age and gender were enrolled in the study. A study conducted by verifying different occlusal trait through the intra-oral examination. Thumb sucking habit diagnosed using data gathered from parents. Results: The statistical analysis showed a highly significant difference (p>0.01) in the occurrence of anterior open bite, increased over jet between study and controls, in addition to that thumb sucking habit increased the likelihood of development of anterior open bite, increased overjet and posterior cross bite by 39 folds, 40 folds and 3 folds respectively. Conclusions: Thumb sucking habit found to be a risk factor for the development of anterior open bite and increased overjet.

Cessation of Thumb/ Finger Sucking Habit

Cessation of Thumb/ Finger Sucking Habit

Presence of oral habits and their association with the trait of anxiety in pediatric patients with possible sleep bruxism.

Bruxism is a repetitive masticatory muscle activity with a multifactorial etiology , that can be associated to emotional factors. The aim of the study is to identify the presence of oral habits (OHs) and their association with the trait of anxiety (State-Trait Anxiety Inventory for Children [STAI-C]) in pediatric patients with possible sleep bruxism (PSB). Children between 3 and 12 years of age with PSB reported by their parents with complete deciduous or mixed dentition were included in the present study. Sociodemographic data (SD) as well as those on OHs such as only natural (ON), artificial breastfeeding (OA) or both (NA), finger sucking (FS), pacifier use (PC), and biting nails (BN) or objects (OB) were obtained through an interview with the parents/guardians answered the Brazilian version of the STAI-C questionnaire. SD and OH as well as STAI-C findings were descriptively evaluated, while the associations between OH and STAI-C with PSB were evaluated using the Chi-square test (P < 0.05). The final sample was 52 children (6.62 ± 1.8 years). Of these, 51.9% were males, 82.7% reported not living in social risk areas, and 21.2% were only children. Considering the OH, patients participated in ON (26.9%), OA (9.6%), and both (63.5%); 13.5% had an FS habit and 46.2% had related PC use; and 80.8% were reported to have OB biting behaviors, while 53.8% participated in BN. The STAI-C was present in 25 (48.1%) patients with PSB and was not associated with the presence of OH. There is no association between STAI-C and OH in pediatric patients with PSB.

Relación entre tipos de maloclusión en plano horizontal y hábitos orales en niños de 8 a 14 años de Montemorelos

La importancia de los hábitos orales en odontología es que estos pueden modificar la posición y la relación de los dientes, debido a la alteración en el desarrollo normal y el funcionamiento de los músculos de la ATM. Las consecuencias pueden ser observadas en la dentición de los niños como una alteración de esta. Por ello, es muy importante realizar un diagnóstico de los hábitos para eliminarlos y corregir las futuras alteraciones que estas puedan provocar realizando un correcto tratamiento. El objetivo del presente estudio es evaluar los efectos que produce la presencia de hábitos orales como succión digital y labial, succión de chupete, interposición lingual y respiración bucal en tipos de maloclusión en plano horizontal. Se realizó un estudio transversal sobre un análisis descriptivo de una base de datos obtenién- dose una muestra de 526 niños de 8 a 14 años de Montemorelos, Nuevo León. Se aplicó una encuesta y se les midió la distancia horizontal entre los incisivos centrales superiores e infe- riores a cada niño que nos pueda indicar la presencia de los tipos de maloclusión en plano horizontal. La recolección de datos se obtuvo mediante una encuesta que se realizó a los niños para el registro de los malos hábitos orales, y una exploración clínica para el registro de la medición de los tipos de maloclusión en plano horizontal. Los datos recopilados se analizaron mediante procesamiento y análisis estadístico de la información a través del programa estadís- tico SPSS (Statistical Package for Social Sciences). Se utilizó el análisis descriptivo, la prueba no paramétrica de independencia de chi-cuadrado para probar la asociación entre las variables. Este estudio encontró una relación relevante con la presencia de over jet con la edad y tipo de dentición, al igual que tipo de dentición con bis a bis, además se encontró significancia en el hábito de succión digital con over jet, los demás hábitos orales no tuvieron una asociación significativa. En este estudio se observó que existe una asociación significativa entre succión digital y over jet, con eso concluimos que de los hábitos orales estudiados en nuestra población el hábito de succión digital es un factor importante para el desarrollo de over jet específicamente. Debemos tomar importancia en la detección de los hábitos orales al momento de valorar pacientes pediá- tricos y al mismo tiempo educar a los pacientes y a los padres para eliminar el factor de riesgo para el desarrollo de maloclusión tipo over jet.

Common Malocclusion Problems and their Management: A Hospital based study

Aims: Orthodontics is the branch of dentistry concerned with the prevention, interception and correction of malocclusion. The present study aimed at the common malocclusion problems and their management in Bangladeshi population. It was also aimed to align for aesthetics reason, functional efficiency and structural balance. Methods: A cross-sectional study was carried out among 120 respondents having malocclusions. Students, especially young women and urban residents were selected as the main respondents of our series which reflected its aesthetic value against malocclusion Results: Mean age of the respondents was 22.22±9.07 years with a male and female ratio of 1:3.1. Among the respondents, 37.5% were within the 11 to 20 years age group with a past (21.0%) and present (7.5%) history of finger sucking habit and abnormal over jet (71.7%) and over bite (55.8%). Mean over jet and overbite were 4.4 ±3.47 (range, -2 to 12) mm and 3.47±1.98 (range, 0 to 7) mm, respectively. Angle’s classification revealed type 1, type 2 (division 1), type 2 (division 2) and type 3 were 55.0%, 28.3%, 3.3% and 13.3%, respectively, and based on skeletal relationships, type 1, type 2 and type 3 were 64.2%, 25.0% and 10.8%, respectively. Of all patients, 66.7% had convex, 22.5% straight and 10.8% had concave face profiles. They also had 44.2% competent, 36.7% incompetent and 19.2% habitual competent anterior lip seals. Conclusions: Smile is a global language though many of our patients are deprived of both socially and economically, especially young women from this language. With growing importance imposed on preventive orthodontic treatment and proper oral health education, incidence of malocclusion can be reduced. DOI: http://dx.doi.org/10.3329/cdcj.v10i1.13827 City Dent. Coll. J Volume-10, Number-1, January-2013

Anterior open bite and deleterious habits in preschool children from public schools

Objetivo: este estudo tem como objetivo avaliar a prevalência de mordida aberta anterior e sua associação com hábitos orais deletérios, como uso de chupeta, hábito de sucção de dedo e mamadeira em pré-escolares. Material e Métodos: foi realizado um estudo transversal com 142 crianças de três a cinco anos de nove escolas da cidade de Nova Venécia, ES. Um examinador devidamente calibrado realizou o exame de oclusão sob luz natural e com auxílio de exame médico. Além disso, um formulário semiestruturado com perguntas fechadas sobre hábitos orais deletérios em crianças foi enviado aos pais / responsáveis. Os dados sociodemográficos, econômicos e mordida aberta anterior foram verificados por meio do teste exato de Fisher e os valores de probabilidade foram calculados com intervalo de confiança de 95%. Resultados: foi encontrada uma prevalência de 31,69% (45) de mordida aberta anterior. Além disso, 45,8% (65) das crianças tinham hábito de sucção de chupeta, 14,8% (21) hábitos de sucção de dedo e 73,9% (105) usavam mamadeira. Crianças com hábito de chupar chupeta apresentaram 5,58 (2,54-12,24) mais chances de ter mordida aberta anterior do que crianças sem o hábito. Crianças pré-escolares com hábito de sucção de dedo mostraram 3,55 (1,37-9,21) mais chances de apresentar má oclusão. Crianças que usaram mamadeira apresentaram 2,29 (1,06-4,97) mais chances de ter mordida aberta anterior. Conclusão: alta prevalência de mordida aberta anterior é observada na população estudada e está associada ao hábito de sucção de chupeta, hábito de sucção de dedo e uso de mamadeira.

Factors Associated with Early Weaning According to the Report of Mothers in a Child Friendly Hospital Initiative

Objective: To determine the prevalence and factors associated with early weaning according to the report of mothers in a Child Friendly Hospital Initiative. Material and Methods: This is an observational, cross-sectional study with a sample of 252 mother/child binomials, participants in a maternal and childcare program, in a Child Friendly Hospital Initiative in Teresina, Brazil. A semi-structured questionnaire was used as the data collection instrument, administered to the mothers in individual interviews, with questions about socioeconomic conditions, breastfeeding, period, reason and way of weaning; and non-nutritive sucking habits. Early weaning was considered when the supply of breast milk was interrupted before the six months of life. For data analysis, descriptive and bivariate analyses were performed (Pearson's Chi-Square Test and Fisher's Exact Test), with a level of significance of 5%. Results: The prevalence of early weaning was 11.9%. The reasons given for interrupting breastfeeding by the mothers were: 23,% attributions of the mother; 46.% attributions of the infant; 23.3 % organic deficiency of the mother; 6.7% influence of others; and 4.8% of the mothers were still breastfeeding. The finger and/or pacifier sucking habits (p=0.002), and the use of a bottle (p=0.003) were associated with early weaning. A significant association between the total weaning period and the socioeconomic variables was not observed (p>0.05). Conclusion: The prevalence of early weaning was low. The main factors were related to “infant attributions”, associated to children with non-nutritive sucking habits, bottle use, first tooth erupted with less than 6 months and whose mothers had formal employment.

Finger sucking callus as useful indicator for malocclusion in young children

PurposeFinger sucking is the most commonly observed habit in children. However, a prolonged sucking habit may have negative effects on dentition and occlusal development, including maxillary protrusion, anterior open bite, and posterior cross-bite. For treatment of malocclusion, early detection is important, especially in children, though it is difficult to exam oral habits using typical dental examination methods. In this study, we report the relationship between a callus on the sucking finger and malocclusion. MethodsWhile performing dental examinations, we checked the fingers of 719 children (0–6 years old) who were attending 10 different kindergartens in Sendai City, Japan, in 2009 to determine the presence of a sucking callus formed by a finger sucking habit. ResultsThe peak ratios of children with a sucking callus and malocclusion was at the age of 2 years (13.6% and 11.0%, respectively), and then decreased with age. Maxillary protrusion was detected in 42.9%, 56.2%, 42.9%, and 37.5% of the children with a sucking callus at the age of 1, 2, 3, and 4 years old, respectively. In those with maxillary protrusion, a sucking callus was detected in 42.9%, 75%, 75%, and 60%, respectively. ConclusionWe concluded that the presence of a sucking callus is a useful indicator for malocclusion caused by an oral habit.

Candidal Onychomycosis in a Toddler

Onychomycosis is uncommon in children, especially in early childhood. Candida species may rarely involve the nails in predisposed individuals such as children with finger-sucking habits, but an immunodeficiency should also be considered. We report an unusual case of onychomycosis caused by Candida albicans in a 24-month-old healthy girl without risk factors. We speculate that candidal onychomycosis may have been a secondary infection acquired during wound care by nurse hand cross-transmission.

Children using Day Nurseries’ Facilities can be Associated with more Risk to Nonnutritive Sucking Habits

This study evaluated the expression of nonnutritive sucking habits and the presence of malocclusion in children using day nurseries' facilities. The 195 children (7-40 months) attending 18 public day nurseries were evaluated clinically in Ponta Grossa, Brazil. Statistical package software was used for descriptive, univariate, bivariate, and multiple logistic regressions of the data about the socioeconomic condition, educational family status, malocclusions, and prevalence of nonnutritive sucking habits among the children. The pacifier users had a statistically significant, explanatory association with open bite [odds ratio (OR) = 10.97; 95% confidence interval (CI): 4.95, 24.31; p < 0.0001]. The children older than 25 months had more open bite than younger children (OR = 6.07; 95% CI: 2.81, 13.11; p < 0.0001). Of the children examined, 35.4% had an anterior open bite, 0.51% had posterior cross-bite, and 1.03% showed finger-sucking habits. A high frequency of pacifier-sucking habits was found (52%), with a significant association between this habit and anterior open bite (p < 0.0001, OR = 7.49; 95% CI: 3.71, 15.15). The 126 children without open bite (36.5%) were pacifier users. There was suggestive, though nonsignificant, evidence of a difference in pacifier use by gender (males, 34%; females, 46%; p = 0.07). The 69 children with open bite (81.16%) were pacifier users and (18.84%) nonusers. The boys showed a slightly greater association with open bite (OR = 21.33; 95% CI: 6.12, 74.40; p < 0.0001) than girls (OR = 5.03; 95% CI: 1.26, 20.00; p = 0.02) in the age group of 25 to 40 months; however, it was not observed in younger children. Pacifier use is a predictor for open bite in children from the lower socioeconomic classes using day nurseries' facilities. The parents, guardians, and caregivers working in public day nurseries should be advised to monitor nonnutritive sucking habits in order to avoid or minimize the occurrence of malocclusion. It demonstrates that the permanence of the children in day nurseries may be linked with deleterious oral habits, and it discusses strategies to minimize the occurrence of alterations in the normal occlusion.

Traumatic Habit causing Gingival Recession in a child: 3-Year Follow Up

Introduction: The purpose of this report was to present a successful treatment approach in an unusual gingival recession as a result of finger sucking traumatic habit associated with high labial frenum. Case Report: A 10-year-old girl presented moderate pain, recession in the mandibular right incisor and finger sucking habit. The performed treatment was: oral hygiene instruction, use of palatal appliance, psychological support and frenectomy. After three years follow up, significant increases in the width of keratinized gingival, root coverage and profits in clinical attachment levels were observed. Conclusion: This case report showed great results in recovery of the periodontal health in a child.

Influence of nail biting and finger sucking habits on the oral carriage of Enterobacteriaceae.

Background:Oral habits like thumb sucking and nail biting are pernicious habits that act as an adaptive function in obtaining pleasure and subduing anxiety. These habits may also act as carriers of numerous microorganisms into the oral cavity, of which, Enterobacteriaceae members are transient pathogens, which might result in debilitating systemic conditions.Aim:To study the oral carriage of Enterobacteriaceae in children having habit of nail biting and thumb sucking. And to study the association of the organism with the individual's respective plaque indices.Subjects and Methods:Totally, 40 chronic nail biters, 40 chronic thumb suckers, and 20 controls (no habit) (8-15 years old) were enrolled in the study. Appropriate history and their plaque indices recorded. Sterile containers were used to collect the salivary samples and later cultured on Agar plates. Biochemical tests categorized the organisms into subspecies.Statistical Analysis Used:ANNOVA, Student's t-test.Results:Presence of a nail biting habit indicated a higher plaque index, which in turn showed a higher carriage of Enterobacteria spps, predominantly Escherichia coli.Conclusions:Oral surgical intervention in individuals with pernicious oral habits need to be counseled and educated on the possible complications, which might otherwise provide an environment that disseminates these microorganisms resulting in a broad range of local and systemic infections.

Associations among Finger-Sucking Habit and Prevalence Rates of Dental Caries and Malocclusion

Associations among Finger-Sucking Habit and Prevalence Rates of Dental Caries and Malocclusion

Longitudinal study of habits leading to malocclusion development in childhood.

BackgroundThe increased prevalence of malocclusions represents a secular trend attributed to the interaction of genetic and environmental factors. The analysis of factors related to the causes of these changes is essential for planning public health policies aimed at preventing and clinically intercepting malocclusion. This study investigated the sucking habits, nocturnal mouth breathing, as well as the relation of these factors with malocclusion.MethodsThis is a longitudinal study in which 80 mother-child pairs were monitored from the beginning of pregnancy to the 30th month after childbirth. Home visits for interviews with the mothers were made on the 12th, 18th and 30th months of age. Finger sucking, pacifier sucking, bottle feeding, breastfeeding and nocturnal mouth breathing, were the variables studies. On the 30th month, clinical examinations were performed for overjet, overbite and posterior crossbite. A previously calibrated single examiner (Kappa coefficient = 0.92) was responsible for all examinations. Data were analyzed using the chi-squared or Fisher’s exact tests, at a significance level of 5%.ResultsBottle feeding was the most prevalent habit at 12, 18 and 30 months (87.5%; 90% and 96.25%, respectively). Breastfeeding was 40%, 25% and 12.50% at 12, 18 and 30 months, respectively. Nearly 70% of the children in this study had some sort of malocclusion. Pacifier sucking habit at 12, 18 and 30 months of age was associated with overjet and open bite; and at 30 months, an association with overbite was also observed. Finger sucking habit and breastfeeding at 12, 18 and 30 months were also associated with overjet and open bite. The posterior crossbite was associated with bottle feeding at 12 and 30 months, and nocturnal mouth breathers at 12 and 18 months.ConclusionsSucking habits, low rates of breastfeeding, and nocturnal mouth breathing were risk factors for malocclusion.

Prevalência de mordida aberta anterior associada a hábitos orais deletérios em crianças de 3 a 5 anos de Vitória, ES

Objetivo avaliar a prevalência de mordida aberta anterior e a possível associação com hábitos deletérios em crianças de três a cinco anos de escolas públicas de Vitória, ES. Métodos estudo longitudinal retrospectivo realizado no período de julho a novembro de 2010. A oclusopatia do tipo mordida aberta anterior foi diagnosticada no momento da pesquisa e a introdução e duração dos hábitos orais foi recuperada por meio de questionário aplicado aos responsáveis. O cálculo amostral resultou em um número de 920 crianças, já acrescido de 20% para compensar possíveis perdas. A seleção das escolas foi feita de forma aleatória. A coleta de dados utilizou um questionário semiestruturado e um exame clínico, com examinadores treinados (Kappa 0,86). A associação entre as variáveis foi verificada pelos testes Qui-quadrado e Exato de Fisher. Para avaliar a força da associação foi utilizado o OddsRatio. Resultados a prevalência de mordida aberta foi de 20%. Crianças que possuem o hábito de sucção digitaltiveram uma chance 3 vezes maior de apresentar mordida aberta, enquanto que para aqueles que usavam chupeta, o risco foi 5 vezes maior Conclusão a prevalência de mordida aberta anterior foi expressiva; hábitos de sucção não-nutritiva foram associados significantemente a presença de oclusopatias. Ressalta-se a importância de ações preventivas que possam conscientizar quanto ao uso correto dos hábitos orais.

Parasitic Infections in Finger-sucking School Age Children

Prevalence of parasites, acquired by the fecal-oral route, was recorded in 80% of primary school children with a finger-sucking habit, which was higher than that in nonfinger-sucking children. About 85% of the children did not wash their hands after defecation. The toilet facility available to the children also affected the infection pattern in finger-sucking children who used pit latrines recording higher prevalence of parasites.

Adult Finger Sucking

‘Habits die hard’ is a common phrase. Many oral habits, continue to adulthood when not intercepted at appropriate age. These patients suffer from severe psychological trauma which affecting their normal development mentally and socially. This case report highlights a case where psychological counseling is combined with orthodontic mechanotherapy which helped to achieve favorable results in an adult patient with finger sucking habit, developing him into a new person.

O lúdico na remoção de hábitos de sucção de dedo e chupeta

To verify the efficacy of recreational strategies of awareness for spontaneous removal of finger sucking or pacifier habits in children. Fifteen children (nine female and six male), with ages ranging from 4 to 8 years (mean age of 5.6 years) participated in the study. Recreational strategies were developed for the removal of oral habits. The program consisted of ten one-hour weekly sessions. At the end of each session, parents were oriented, solved questions, and reported their child's behaviors during the past week. Twelve children (80%) totally eliminated the suction habit after the program. No difference was found for the removal when data regarding finger and pacifier sucking were compared (p=0.34). The awareness strategies using recreational activities was effective to eliminate finger and pacifier habits in children.