Thumb Sucking Research Articles

Use of hyperboloid as an adjunct in functional jaw orthopedics – case report

Anterior open bite can be defined as a malocclusion with a negative vertical discrepancy between the incisal edges of the upper and lower anterior teeth, which do not have occlusal contacts with the antagonists and sometimes extends to the canines and, less frequently, to the premolars is one of the malocclusions with the greatest aesthetic and/or functional impairment. Anterior open bite can have several etiologies: finger sucking and/or pacifier, oral breathing, onychophagia, lip interposition, atypical swallowing, tongue interposition when uttering phonemes and anterior posture of the tongue at rest. Orofacial myofunctional disorders are present in cases of anterior open bite, generally associated with etiologies and adapt to this altered morphological condition. Regarding the anterior opening amplitude, the anterior open bite is classified as: minimum up to 1 mm, moderate between 1 and 5 mm and severe +5 mm [1]. Open bite can be classified into: maxillary, mandibular and hybrid open bite [2]. Myofunctional therapy is considered a treatment method that can increase muscle strength, cause changes in functional patterns and thus prevent deviations in craniofacial development, as it promotes new posture of structures at rest and during the performance of the functions of the stomatognathic system [3]. The hyperboloid is an instrument for increasing muscle tone and when used in chewing, it is efficient in inducing growth and remodeling. The hyperboloid fills a gap in the modern diet, with the consistency of hard, raw and dry foods [4]. Exercises with a size M hyperboloid with wire were prescribed as an initial approach. After 2 months of treatment, there was an improvement in the interincisor distance. The exercise was maintained for another 5 months. He stopped attending appointments for 2 years and 2 months. Upon his return, the results of the functional examination of swallowing, chewing, protrusion and laterality were observed, and we opted for the installation of the SN3. the hyperboloid, in this case, showed its efficiency in balancing the stomatognathic system.

A Comparative Study to Appraise the Level of Behavioural Problems of Preschool Children with Employed and Unemployed Progenitor in the Selected Rural Area of Salem

Background: Preschool children exhibit deviated behavior from the normal behavior as expressed by mothers was assessed by using Modified Lenore Behar Preschool Behavioural rating scale, which will be categorized in to Temper tantrum, Speech disorder, Sleep disorder, eating habits, Pollex sucking, Onychophagia, Bed-wetting, Encopresis, Emotional stability, School refusal, Self-care activities and Social behavior.  Method: The study was applied descriptive research design. The researcher decided on 60 samples through convenience sampling technique, in which 30 were work in female parent and 30 samples were workless in female parent of nursery kid. Modified Lenore Behar Preschool Behavioural rating scale were used to gather the data. The appliances consist of two portion, division I: demographic variables of mother, division II: Modified Lenore Behar Prekindergarten Behavioural rating scale which include speech problem, sleep problem, eating habit, temper tantrum, thumb sucking, nail biting, self- help, encopresis, encopresis, school refusal, and social factor. Inferential statistics and descriptive statistics were utilized to assemble data.  Result: The findings stated that, the level of behavioural among 30 samples of employed mothers, 3(10%) had preschool children with Mild behavioural problems, 23(77%) had nipper with Moderate behavioural problems and 4(13%) of the samples had nipper with Severe behavioural problems and among. The 30 samples of unemployed mothers, 22(73%) had preschool children with Mild behavioural problems, 6(20%) had nursery school with Moderate habitual problems and 2(7%) of the samples had crèche with Severe habitual problems.  Conclusion: This study examined the prevalence of behavioral issues in nipper of work in female parent versus workless in female parent. The results indicated that preschoolers with employed mothers exhibited more behavioural problem compared to those with unemployed mothers. The research topic is important issue in the society for identifying the behavioral problem, the preschool children are the future wellbeing of the world So, it is necessary to aware the parent to prevent the behavioural problem of preschool children by treatment, psychological counseling and health education.

Quo vadis DSM-6? An expert survey on the classification, diagnosis, and differential diagnosis of body-focused repetitive behaviors

BackgroundMany conditions we now call body-focused repetitive behaviors (BFRBs) have been subject to research for several decades, most notably trichotillomania and skin picking. However, the American Psychiatric Association did not combine these conditions into a single category, body-focused repetitive behavior disorder (BFRBD), until the fifth edition of the DSM (2013). Several aspects of the disorder remain uncertain and debatable. For example, ongoing debate surrounds which specific conditions fall under this diagnostic category and how to best differentiate BFRBs from conditions such as nonsuicidal self-injury (NSSI). The current article presents results from a study of experts' opinions on diagnostic criteria and descriptions, with the goal of refining the diagnostic criteria. MethodWe contacted experts on BFRB via various sources and invited them to an online survey on the phenomenology, classification, and differential diagnosis of BFRB. We also asked about possible alternative syndrome labels (e.g., body-focused habit). ResultsData from the final sample of 50 experts demonstrates that most experts agree with the present classification of BFRB as an obsessive-compulsive and related disorder and recommend retaining the labels BFRB or BFRBD. The experts considered the following conditions BFRB, with an agreement of over 60 %: trichotillomania, skin picking, dermatophagia, nail biting, and lip-cheek biting. Mixed results emerged for awake bruxism and thumb sucking in adults. In contrast, only a minority regarded night bruxism and knuckle cracking as BFRB. To differentiate BFRB from NSSI, the experts noted that the motive behind the urge (self-harm/injury versus release of tension) should be considered. Analyses of a sub-sample of experts with at least six years of clinical and/or research experience yielded results compatible with those of the entire sample. DiscussionThe survey supports the usefulness of the BFRB or BFRBD diagnostic entity. However, some criteria require further refinement. Future editions of the DSM should more explicitly delineate which conditions qualify as BFRB. Furthermore, it is important to give more attention to the primary motivation behind BFRB to distinguish it from NSSI and potentially from stereotypic movement behavior.

Knowledge, Attitude and Practice of Patients Visiting Dental Department of Hetauda Hospital Towards Orthodontic Treatment

Background There are insufficient studies to assess knowledge, attitude, and practice (KAP) towards orthodontic treatment in general patients visiting dental treatment in government hospitals, although the studies have been done in high school students and orthodontic patients. The objective of this study was to assess the KAP of patients towards orthodontic treatment.MethodsIn this cross-sectional study, data from 400 patients visiting dental department of Hetauda Hospital were collected. The data was collected through the structured questionnaire. A 3-point Likert scale was used to assess the degree of KAP of patients towards orthodontic treatment. Descriptive statistics including frequency, percentage, and mean for Likert scale were calculated. ResultsAll the patients had a good degree of knowledge except heredity and habits such as thumb sucking, tongue thrusting, and mouth breathing influence the occurrence of malalignment of teeth (moderate degree of knowledge). Also, all the patients had a good degree of attitude and practice towards orthodontic treatment. Conclusions The data was encouraging as the patients had a good degree of KAP towards orthodontic treatment.

An aid to help stop thumb sucking

An aid to help stop thumb sucking

Investigation of Malocclusion and Associated Factors in Preschoolers: A Cross-Sectional Questionnaire Study.

This study aims to describe the prevalence of malocclusion and identify associated factors in preschool children. Completed in 2022-2023, this cross-sectional study included 523 children aged 26 to 80 months in municipal schools in Salvador. An oral examination was carried out on the children, and a questionnaire was self-administered by the parents. Descriptive analyses and multivariate logistic regression (the backward method, p-value ≤ 0.05, 95% CI) were conducted. The majority of children were female (51.82%), over 54 months old (52.2%), Black or mixed race (90.63%), and not affected by COVID-19 (92.35%). The prevalence of malocclusion was 43.21%, with open bite as the most common condition. There was a significant association between malocclusion and screen time (OR: 1.34; p: 0.116; CI: 1.0-1.94), physical/psychological aggression (OR: 2.55; p: 0.031; CI: 1.0-5.98), consumption of ultra-processed foods (OR: 1.77; p: 0.003; CI: 1.22-2.57), digital suction (OR: 3.1; p: 0.001; CI: 1.56-6.16), and the habit of biting objects (OR: 1.56; p: 0.121; CI: 1.0-2.73). The promotion of comprehensive health in early childhood and psychosocial interventions are recommended, aiming to reduce screen time, aggression, consumption of ultra-processed foods, thumb sucking, and the habit of biting objects to prevent malocclusion.

Prevalence of Malocclusions among Schoolchildren from Southwestern Romania.

Malocclusions have a continuously increasing prevalence from one generation to another as a result of climate change, soil, atmosphere, and water pollution. All of these aspects have unfavorable consequences for the nutritional scheme. Thus, nutrition, together with other etiopathogenic factors, contributes to complex alterations in the somatic development of the entire organism and, implicitly, of the cephalic extremity. The study group included 4147 children from randomly selected schools from Vâlcea County, Romania. The aim of this study is to determine the prevalence of malocclusions in schoolchildren in Vâlcea County, Romania, according to the three main classes of malocclusions (according to Angle's classification), age groups (from 6 to 10 years old and from 11 to 14 years old), gender (male and female), and place of origin (rural and urban). For Angle class I malocclusions, we recorded the highest prevalence (48.78% of the total number of schoolchildren with malocclusions), followed by Angle class II malocclusions (45.85% of the total number of schoolchildren with malocclusions), and for Angle class III malocclusions we found the lowest prevalence (5.37% of the total number of schoolchildren with malocclusions). According to gender, we found the highest prevalence in the female gender (29.90% of the total number of female subjects), while in the male gender, we recorded a prevalence of 27.70% of the total number of male subjects. Regarding the place of origin, there is a higher prevalence of malocclusions in urban areas (29.16%). The study subgroup included 140 children randomly selected from the total number of subjects in the study group. They were included in a more advanced study. The aim is to find potential associations between the presence of malocclusions and various oral variables. Categorical variables were expressed as numerical values and percentages, and their association was evaluated with either the Chi-square test of association or homogeneity, or the Fisher Exact test. The acquired data were incorporated into a binomial logistic regression model to assess the likelihood of developing malocclusions in relation to the following variables: defective phonation, bruxism, frequency of teeth brushing, onychophagia, oral respiration, infantile deglutition, placing objects between the maxillaries, thumb sucking, and salivary aspects. It is also aimed at comparing the results obtained with similar ones from the specialized literature.

Bonded lingual spur to intercept thumb sucking habit: A clinical pearl

Thumb sucking is usually treated with fixed and removable palatal cribs and lingual spurs. Bonded lingual spurs were envisioned and designed based on the principles of conventional Orthodontic spurs. Bonded lingual spur has some apparent advantages over banded lingual spur such as no need of molar banding, small size, low cost, superior esthetics, less laboratory preparation, easy insertion and reduced clinical time. This case pearl describes an innovative method of fabrication of bonded lingual spur.

DESCRIPTION OF CHILDREN'S THUMB SUCKING HABIT IN KINDERGARTEN CIMAHI TENGAH INDONESIA

Thumb sucking is one of the most common oral habits in children. Thumb sucking could cause interference with thecclusion and jaw malformations which could lead to permanent teeth eruption if the problem persists. Thumb sucking habit causes contractions on the buccal and lips. Thumb sucking habit is a habit that is done more frequently compared to other oral habits, especially in the first year after birth. Based on that, research was done to find a thumb-sucking habits scheme for children aged 4-5 years in kindergarten in Central Cimahi District. This research is a descriptive study with a cluster random sampling method. The data were analyzed descriptively in a total sample of 236 parents of children aged 4-5 years in kindergarten in Central Cimahi District. The results showed 14 children (5.93%) had a thumb-sucking habit, eight children (57.14%) 4-year-old, six children (42.86%) were aged five years, seven boys (50%) and seven girls (50%), 2 mm overjet was found in ten children (71.43%), duration of sucking <1 hour/day by seven children (50%), and the sucking condition while playing as many as six children (42.86%). The conclusion of the study is the incidence of the thumb-sucking habit in Cimahi District kindergarten is low; the majority of 4-year-old end the same, duration thumb-sucking habit <1 hour/day, with a distance of 2 mm and overjet is done during when they are playing around.

Effect of Finger Sucking, Nail Biting, and Salivary Level of Growth Hormone on Type of Malocclusion among Primary School Students: An Analytical Cross-Sectional Study

Introduction: We aimed to assess the effect of finger-sucking, nail-biting, and salivary levels of growth hormone on the type of malocclusion among primary school students. Methods: This study was conducted among 10–11-year-old (4th and 5th class of the elementary schools) students in the center of Karbala city from February to June 2021 using a multistage cluster random sampling technique. Data related to oral habits were obtained using questionnaires, which were distributed among the students and collected the next day after being answered and signed by the parents. Unstimulated saliva samples were collected, and salivary levels of growth hormone were assessed using the enzyme-linked immunosorbent assay (ELISA) method. Data were analyzed via multinomial logistic regression using R software. Results: The finger sucking was a significant predictor for class 2 malocclusion (p < 0.001). Night-time finger sucking was a significant predictor for class 3 malocclusion (p = 0.031). Salivary levels of growth hormone and nail-biting were not significant predictors for malocclusion (p ˃ 0.05). Also, finger sucking was a marginally nonsignificant predicator for class 3 malocclusion (p = 0.057). Conclusion: Cross-sectional studies capture data at a single point in time, and they cannot establish a cause-and-effect relationship. More cohort studies are required to reach a conclusion about the effect of non-nutritive sucking habits such as finger sucking, nail-biting and salivary level of growth hormone on type of malocclusion.

Diagnosis, etiology, and management strategies of open bite malocclusions

Open bite malocclusion is a condition where the upper and lower incisors do not overlap vertically. It involves factors like structure, dental issues and functional challenges. This review offers an overview of diagnosing, understanding the causes and managing bite malocclusions. The condition is noticeable by the gap between incisors, difficulties in biting and speech and habits like tongue thrusting. In children thumb sucking is often associated with this issue underscoring the importance of intervention. Diagnosis relies on assessments, cephalometric analysis and categorization based on dental or skeletal elements. The causes can be attributed to factors, environmental influences or behavioral habits. Various management strategies are available with treatments playing a role using methods like fixed appliances clear aligners, and innovative temporary anchorage devices (TADs). Surgical interventions such as surgery address discrepancies when necessary. Considering that open bites are age conditions, behavioral modifications along with intervention using orthopedic appliances are crucial for effective treatment. Advanced diagnostic tools like cone beam computed tomography (CBCT) contribute to treatment planning. The retention phase ensures stability of results while patient cooperation remains essential throughout the process. Collaboration between orthodontist’s maxillofacial surgeons and other specialists is vital for care. The field of orthodontics is continuously advancing and with research we can expect improvements in our understanding and treatment of open bite malocclusions.

The Detrimental Effects of Oral Bad Habits on Children's Oral Health and Dental Development

Oral bad habits refer to external sources, such as nail biting, item biting (e.g., pencils and pens), finger sucking, cheek sucking, and mouth breathing. The act of inhaling and exhaling through the mouth is the predominant behavior that frequently leads to irregularities in the facial composition and misalignment of the teeth. Mouth breathing during the growth and development phase can impact dentocraniofacial growth. Persistent mouth breathing results in muscular anomalies in the vicinity of the mouth, perhaps resulting in malocclusion. The purpose of this review is to delineate detrimental oral behaviors in children and elucidate their repercussions on oral health and dental development.

Influence of bad oral habits upon the development of posterior crossbite in a preschool population

BackgroundA study is made of posterior crossbite in deciduous dentition and its possible association to extrinsic factors (bad oral habits).MethodsA total of 1168 Spanish children between 3 and 6 years of age were included in the study. Exploration of the oral cavity was performed to assess the presence of crossbite (uni- or bilateral and/or functional), and a questionnaire was administered to the parents or caregivers to determine the presence of bad oral habits and their duration.ResultsIn occlusion, 19.7% of the cases (n = 230) presented uni- or bilateral posterior crossbite. On adopting centric relation confronting the midlines, crossbite persisted in 165 children, indicating that 65 cases were due to premature contacts (functional crossbite). The identified favoring factors were pacifier use, thumb sucking, oral breathing and tongue thrusting or immature swallowing.DiscussionMost studies in the literature report a relationship between posterior crossbite and bad oral habits. The proportion of posterior crossbites identified in our study (16.6%) is consistent with the data published by authors such as Kobayashi, Limeira or Paolantonio, among others, but differs from the results of Zhifei Zhou, Peres or Germa. In coincidence with most studies, we recorded a statistically significant association between posterior crossbite and bad oral habits.ConclusionsBad oral habits favor the appearance of posterior crossbite, and the duration of the habit, its intensity (in the case of thumb sucking) and type (in the case of pacifier use) act as influencing factors. Functional study characterized the types of posterior crossbites and identified those attributable to premature contacts. This aspect has not been addressed by previous studies, and we consider the findings to be very interesting for analyzing and identifying the features of true crossbites.

Incompetent lip seal and nail biting as risk factors for malocclusion in Japanese preschool children aged 3–6 years

BackgroundMalocclusion is a multifactorial condition associated with genetic and environmental factors. The purpose of this study was to investigate the prevalence of occlusal traits, oral habits, and nose and throat conditions by age and to assess the association between malocclusion and its environmental factors in Japanese preschool children.MethodsA total of 503 Japanese children (258 boys and 245 girls aged 3–6 years) were recruited. Occlusal traits were assessed visually to record sagittal, vertical, and transverse malocclusion, and space discrepancies. Lip seal was recorded by an examiner, and oral habits (finger sucking, lip sucking or lip biting, nail biting, chin resting on a hand) and nose and throat conditions (tendency for nasal obstruction, allergic rhinitis, palatine tonsil hypertrophy) were assessed by a questionnaire completed by the parents. The prevalence of each item was calculated, and binary logistic regression was used to examine the factors related to malocclusion.Results62.0% of preschool children in the present study exhibited malocclusion, and 27.8% exhibited incompetent lip seal. Nail biting was the most frequent oral habit with a prevalence of 18.9%. Nasal obstruction was recorded in 30.4% of children. The results of binary logistic regression showed that incompetent lip seal was significantly related to malocclusion, and that nail biting was significantly negatively related.ConclusionsIncompetent lip seal is significantly associated with malocclusion, but nail biting may not necessarily be a deleterious habit for the occlusion in Japanese preschool children.

Oral Health Knowledge and Practice Behaviour among Secondary School Children in Shahzadpur Upazilla, Siraganj, Bangladesh.

Background: A healthy oral cavity is of great significance for an individual’s overall health and well-being. Further, it enables an individual to masticate, speak and socialize without any active discomfort or embarrassment.Objectives: The study was conducted with the objective of revealing the condition of Healthy Oral Health Practice among a Selected Secondary School Children of Sirajganj District.Materials & Methods: This was a descriptive cross-sectional survey conducted during the month of April-June 2022. The target population for this study were the people residing in secondary school children of Shahjadpul upazila in the Sirajganj district. A convenience sampling technique was adopted. A total of 325 respondents were included in the study.Results: The age of study population ranged between 13 to 15 years with a mean age of 14 years. Data pertaining to the oral hygiene habits among the study population (n=325). The survey revealed that approximately 56.9% of the population studied, brushed their teeth once daily, while 38.5% respondents brushed twice a day. About knowledge towards general oral health, most of sample subjects were aware that sweets (89.8%) & smoking (65.5%) was not good for dental health. 85.6% of the respondents knew about the detrimental effect of paan/ tobacco respectively on oral health. About half the respondents were aware that maligned teeth could affect oral health. A variable proportion of respondents were aware of the adverse effects of various habits e.g., thumb sucking (29.2%) and nail biting (48.0%).Conclusions: This survey furnishes the background data to get insight into the status of awareness of secondary-level school students regarding oral health. KYAMC Journal Vol. 14, No. 02, July 2023: 64-68.

Consequences of Thumb Sucking Habit among School Going Children: A Cross Sectional Study

Background: Thumb-sucking, a non-nutritive sucking behavior, is a natural reflex seen in infants but can persist into childhood if not addressed leading to various dental and orofacial issues, including malocclusion, dental arch deformities, speech difficulties, and facial asymmetry. The aim of the study was to explore the consequences of thumb-sucking habits among the school going children. Methods: This cross-sectional study involved among purposively selected 124 school going children, aged between 5-8 years with their parents attended in the outpatient department of University Dental College at Moghbazar, Dhaka, Bangladesh. The data were obtained through a pretested structured questionnaire and checklist through face-to-face interview from parents regarding background characteristics, consequences of thumbs sucking and oral examination of children respectively. Then, data were analyzed using statistical package for social sciences (SPSS) software version 27 for descriptive analysis (frequency, percentage) and inferential statistics (chi-square test or fisher’s exact test) at 5% level of significance (P<0.05). Results: The study revealed that 77.4% of children aged 5-6 years and about 41.9% of parents reported that their child had thumb sucking habit. The thumb sucking habit was found to be statistically significant with start of age thumb sucking( p= <0.001), duration of thumb sucking ( p= <0.001), pronunciation of word clearly( p= <0.001), proclination of maxillary anterior teeth (P=0.002), asymmetry of face (P=0.002) and seek for dental advice or treatment(p=0.002). Majority of children (21.8%) start thumb sucking at the age 6-7 years. Only 8.1% of the children didn’t pronounce words clearly whereas only 5.6% had proclined maxillary anterior teeth, facial asymmetry and sought dental advice or treatment. Conclusion: This study found a significant association of thumb-sucking habit among children with notable consequences. It highlights the importance of early intervention and parental education and awareness regarding this habit's potential consequences on children's oral health and overall development. Update Dent. Coll. j: 2023; 13(2): 19-22

Major deleterious oral habits: a brief systematic review

Introduction: The deleterious habits in children, in the deciduous dentition phase, seem to be present in more than half of the child population, reaching rates greater than 90%, depending on the population studied, and dentofacial alterations may already be present in half of these individuals. Early identification is essential so that malocclusions, which are more difficult to treat, do not set in. Objective: It was to carry out a brief systematic review to highlight deleterious oral habits, as well as to point out their main predictors and treatments. Methods: The systematic review rules of the PRISMA Platform were followed. The research was carried out from April to June 2023 in Scopus, PubMed, Science Direct, Scielo, and Google Scholar databases. The quality of the studies was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results and Conclusion: A total of 87 articles were found. A total of 32 articles were evaluated in full and 16 were included and developed in this systematic review study. Considering the Cochrane tool for risk of bias, the overall assessment resulted in 6 studies with a high risk of bias and 43 studies that did not meet GRADE. Since pediatric follow-up is more frequent than consultations with the pediatric dentist, the early identification of deleterious habits by physicians is of fundamental importance in referring these patients to dental treatment that diagnoses and removes these habits, before difficult-to-resolve malocclusions get settled. Preventive measures should also be taken, guiding parents so that deleterious oral habits do not take hold, such as a minimum period of six months of breastfeeding, finger sucking should be replaced by an orthodontic pacifier, the bottle should have an orthodontic spout, removing the habit of pacifier and bottle until the age of three. There is an association between deleterious habits and different types of malocclusions in different planes of space, with atypical swallowing being a habit that must be diagnosed early.

Homoeopathic Approach to Thumb Sucking in Children

Thumb sucking is a behavioral habit disorder. Thumb sucking is considered as a normal developmental phase but may become a habit in some children. It can be due some insecurities, boredom, and loneliness experienced by the child and may develop after the birth of sibling. Persistent sucking of thumb or fingers in older children is a cause of concern as it may lead to dental malocclusion, soreness of fingers or thumb, and speech difficulties. Homoeopathy offers effective and safe treatment for thumb sucking in children. In this article an attempt is made to explain thumb sucking in children and its homoeopathic management. Keywords: Thumb sucking, Children, Homoeopathy, Habit disorder.

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.

Correction of Habit along with Laser Assisted Frenectomy in High Frenal Attachment - A Case Report

Digit sucking is the most prevalent oral fixation seen in young toddlers. Digit sucking can be brought on by fatigue, boredom, excitement, hunger, fear, and both mental and physical stress. If these practices persist until the preschool years, when permanent teeth start to erupt, they may operate as a substantial environmental etiological factor in the development of malocclusion. The diode laser can be used to successfully remove pathological frenum. The diode laser can be used in paediatric dentistry due to its application, adequate coagulation, lack of need for sutures, and decreased discomfort and inflammation. In the case study presented in this paper, an 8-year-old female patient who had a high frenal attachment and had thumb-sucked her entire life was treated with fixed appliance therapy and laser labial frenectomy. In addition to resolved malocclusion, acceptable secondary intention wound healing, and beginning functional recovery of a physiological upper lip movement, the clinical evaluation revealed that the malocclusion had been corrected. The surgery was well tolerated, according to the patient. Keywords: Thumb sucking, Fixed appliance therapy, Laser frenectomy