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94 comments:
It was fascinating to know that 90% of children with a anterior open bite in the primary dentition spontaneously correct by age 10.
Neilesh Patel
#165
Natalie Nguyen #159:
We care about oral habits when they impact the occlusion and affect the dentition. Non-nutritive sucking is the most common. Spontaneous cessation usually around 4 year old, so any treatment should be initiated after this age and before the permanent teeth erupt.
90% of kids with a pacifer habit will quite on their own by age 5 and 100% will quite by age 8.
Liz Miltner #150
4-6 hrs of force per day is the minimum requirement to cause tooth movement.
Orly Hendizadeh #134
An infants urge to suck - pacifier, thumb, lip - is a normal and healthy aspect of development. It is not the "bad habit" that it was previously thought to be.
Sydon Arroyo #102
90% kids has oral habits before age of one. Therefore do not worry about child's behavior.
Tiffany Hsu #529
Need 6 months of time to break the oral habit (ie: thumb sucking) after putting a physical barrier in (ie: tongue crib).
Xiang Li #146
Bad oral sucking habits are absolutely normal behaviors that will resolve on their own within normal amount of time 90 % of the time and won't cause further problems.
Alina Tiraspolskaya (#183)
When parents mention that they are concerned about their child's oral habits, be sure to ask about the details: what is the child doing?, when?, before sleep or during the daytime?, for how long? This helps to determine if the oral habit is going to affect the dentition or not.
Emmy Le #142
Thumb sucking habits can lead to
•Anterior open bite
•Facial movement of the upper incisors
•Lingual movement of lower incisors
•Maxillary constriction
Cessation may occur spontaneously by the age of 4. Treatment including
•Counseling
•Reminder therapy
•Reward system
•Adjunctive therapy (physical barrier)
should be implemented prior to the eruption of permanent teeth.
Austin Tung 187
Distal step occlusion is commonly seen with kids who sucks their thumb or finger. Kids usually grow out of their habits around age 4 but it is advised that they refrain from the habit before the eruption of permenant dentition.
Sonia Lee 145
i learned that it may be more beneficial to start kids on pacifiers than to let them suck their thumb.
catherine do #122
There are a few types of oral habits. We care about the oral habits if it affects occlusion and dentition. 4-6 hours of continuous force from the oral habit is the minimum required to cause tooth movement.
Last comment by #193
AAP advocates the use of Pacifiers-- as linked with a decrease in incidence of SIDS (Sudden infant death syndrome).
Duration of oral habit , of 4-6 hours per day, has the most impact on malocclusion.
Dilshad Aabtin #524
Sucking and biting are not considered causative, but can maintain existing malocclusion. Mouth breathing is not just a habit, but from something that is blocking the airway. Eric Cheung #110
The vast majority of kids under 3 have an oral habit (>90%), but most kids cease by 3 years of age. A non-nutritive sucking habit beyond 3 years may be due to the inability to manage stress/anxiety.
Sean Young #192
5s's
Swaddle
Sway
Shush
Side or Stomach
Suck
Jeffrey Kim 139
During 1st year after birth, don't worry about thumb sucking habit. It's normal because 90% of infants suck their thumb.
Also, time to stop bad oral habit is around age 4 and before permanent teeth erupt.
Naomi Nguyen
#158.
Some important questions to ask the parent concerned about thumb-sucking:
1) Does the child suck his thumb all day? Just at naps?
2) Does the thumb-sucking continue during naps?
3) Is the child pushing in a direction? Is the thumb entering from the front or side?
#173
Brandon Seto
Oral habits using greater than 300-500g of force/pressure, 4-6 hours/day can produce changes of dentition. Posterior crossbite can be corrected with Quad helix, 3 month expansion, 3month retention.
Oral habits using greater than 300-500g of force/pressure, 4-6 hours/day can produce changes of dentition. Posterior crossbite can be corrected with Quad helix, 3 month expansion, 3month retention.
Jing Lee #144
There is a correlation But not causation between tongue thrust and anterior open bite.
Heidi 526
The duration of oral habits is the most important factor when considering its impact on oral growth and development. Treatment for finger habits should begin around the age of 4 but before the permanent teeth erupt. There is research that shows that a pacifier can increase the severity of a crossbite. However, there is some research to suggest that a pacifier may decrease the incidence of SIDS although this idea is controversial.
Richard Duong #124
It is important to take age into account, to assess patient's psychological state, and to ask parents the duration, frequency, and intensity of the oral habit in order to determine if it is something to worry about.
Shelby Padua #166
Tooth movement can occur through a minimum of 4-6 hours of force per day. This means that regardless of the intensity of an occasional force, it is ultimately the continuous application of force that can cause movement-- like the sleeping habit of holding a curled hand between one's cheek and their pillow in such a way that eventually causes teeth to move lingually out of the arch form.
Sujain Dissanayake #119
Michelle Duong #123
90% of children have an oral habit prior to age 3. Therefore, it should not be of serious concern until permanent teeth grow in, around age 4.
An important thing to remember is to really reward children when they change their behaviors... they love it! An example is to parade the child around the office to show people that this patient stopped sucking their thumb!! woo hoo!
steph morphis
#154
I find it interesting that children in educated and high income families continue to suck longer. I learned that anterior open bites can spontaneously correct when the habit is resolved
Jun Flores #130
I think the most imortant thing I took from lecture was the fact that it is the amount of time a patient spends on their bad oral habit to predict a malocclusion.
Marc Thomas 182
The most common oral habits that may have impact on occlusion are thumb or digit sucking and pacifier, and can lead to posterior cross bite and anterior open bite.
Claudia Rodriguez #531
Oral habits of children are of concern if they are continuously at it for 4-6 hours which can cause changes in dentition and occlusion.
-Shelton Chow #111
A pacifier habit is easier to control than finger sucking. The AAP supports the use of pacifiers, as they are linked to a decrease in the incidence of SIDS. However, this is not necessarily a causality.
[Colby Smith #178]
It is important to know and recognize when to worry about oral habits and when it is normal behavior.
-Carol Kim (138)
This Magic moment...
I thought the most interesting thing that I learned is that children are far more likely to continue sucking their thumbs than using a pacifier. In addition to this there has been evidence that use of a pacifier may decrease the chance of SIDS. Bottom line... little Paul Jr. is going to get a pacifier.
Paul Field Sr. #127
Most kids have a bad oral habit before age 9 and will correct it on their own. If intervention is necessary then 4-6 hours a day is the requirement to break it.
Shannon Lazarian
#133
I thought that most pediatric dentist were moving away from use of pacifiers totally, it was interesting to hear that it is still allowed and that manufacturers are actually making specific ones to help in future open bites.
Sean Nguyen #160
Almost all kids develop oral habits, and of those that do, over 90% of them will resolve on their own. In other words, oral habits in children usually aren't a big concern.
For the habit to cause orthodontic changes, it must happen for 4-6 hours per day. Also, sucking on fingers/pacifiers usually stops spontaneously by age 4. If it continues when the child is getting permanent teeth, intervention may be appropriate.
Trish Barsanti #105
When parents ask us if their child's oral habit will cause problems, we should evaluate:
-strength of force placed
-duration of habit once initiated
-frequency (per day) of habit
Of these, duration is the most important factor.
Watch out if the habit lasts 4-6 hours per day.
Raquel Ulma #188
The minimum duration applied by a force for tooth movement is 4 to 6 hours. 90% of anterior open bites correct themselves naturally by age 10.
Ryan Plewe
#168
The duration of the oral habit determines the impact on the occlusion more than the intensity of the oral habit.
Joanne Kim #140
Thumb sucking habits usually resolve on their own. For a child who continues to suck their thumb or a pacifier at the age of 4, intervention should be made if orthodontic forces are produced that can affect the dentition and the surrounding structures. The AAP recommends the use of pacifiers in infants because they can prevent S.I.D.S.
Jared Martin #147
Jonathan Do #121
90% of children suck on their thumbs early in life but most tend to cease when they are 4 yrs old. Ask parent how often the child sucks, and if they keep finger in mouth when they fall asleep.
We begin to care about an oral habit when it impacts occlusion and/or affects the dentition. The minimum force required to cause tooth movement is 4-6 hours per day.
Kevin Omoto
#163
Non-nutritive sucking habits seen in more than 90% of children during the first year, most children cease by 24-36 months. Those who continue tend to be from better educated or higher income families.
Soheil Yashari #191
The video showing the effectiveness of how a crying baby calmed down by sucking the thumb , was very interesting.I guess this habit is normal till about 3-4 years of age.The concept of a tree where children hang their pacifiers after a certain age( as practised in europe) was also interesting!
Asha Sethu Madhavan #532
Both excessively frequent bottle feeding such as going to sleep with the bottle &prolonged bottle or breast feeding longer than 18 months are associated with early and rampant caries.
Sanaz Hamzehpour #132
Sucking calms babies and helps them fall asleep
Also, for a child that has bad habits such as thumb sucking, some type of reward system should be used; for example a calendar for I did not suck my thumb this day.
Regina Espinoza #126
Swaddle, sway, shush, side/stomach, and suck are the 5 S's that help calm babies down. And, ask Dr. Law for reading recommendations if you're expecting a baby.
Tina Duong 125
Sucking is a very common practice among children that may lead to undesirable dental features and treatment should be initiated if the behavior does not spontaneously stop by around 4.
Kim Pham #167
It is important to ask parents about feeding habits with very young patients (<2 years old) as significant caries can occur due to night-time feeding. The most common area where caries manifest due to this problem is in the maxillary incisors.
Cristen Dismuke #118
Most oral habits in children will spontaneously resolve on their own, but if permanent teeth start to erupt and the bad habit persists, intervention is recommended.
Bozhena Fisher #128
Studies show a link between thumb sucking and anterior open but but no causation. Also <90 % of anterior open bites correct themselves after 10 years.
Mihir Shah
#175
Thumbsucking leads to:
-ant. open bite
-protruded max incisors
-retruded man. incisors
#177 Farshid Siami
90% of children have an oral habit(thumb sucking,pacifier habit etc)during the first yr.Most children cease by 24-36 months.However it is time to intervene if a child doesnot stop by 4ys of age when permanent teeth erupt, as it may significantly affect occlusion.
Amandeep Iqbal
#527.
Dr. Law, I stubled accross your UCLA blogs a few weeks ago. I think what you are doing here is a really innovative use of blogging in academics. I am speaking at the American Academy of Pediatric Dentistry Annual Session in San Antonio in a few weeks (string of pearls) on blogs and their use in dentistry. Here is a link to my Pediatric Dentistry blog for anyone here who might find it interesting:
Link to my "Pediatric Dentistry' blog
I thought the 5 S's were important to know:
Swaddle
Sway
Shush
Side/Stomach
Suck
Ernest Lai #141
Children that are mouth breathers usually have long lower faces and
maxillary constriction. Treatment can either be turbinectomy
or adenoidectomy if the person has an accompanying health problem.
Matthew Moadel, #151
This magic moment...
The impact of oral habits on occlusion depend on three factors:
Intensity, Duration and Frequency.
Most children kick the habit by 2-3 years old. Those who continue tend to be from better educated/ higher income families - kinda like the incidence of gout.
J.Oka #162
Most children under under 3 years of age have an oral habit (>90%), but most kids stop by 3 years of age.
Jan Slapnicka
#533
It is important to let a concerned parent know that their child's oral habits are normal and will usually stop by the age of 6. If the habits continue when the permanent dentition starts to erupt then measures should be taken to actively stop the habit.
Joshua Cardwell #108
My Majic moment came when I learnt that children in better educated and higher income families continue to suck longer.wow.
poonam rai
#530
As dentists we care about oral habits when they impact occlusion and when they affect the dentition. Oral habit such as thumb sucking can cause tooth movement if it is done for more than 4-6 hours per day.
Paul Hoang #135
90% of children develop oral habits within the first year but these habits usually cease by the third year.
#184
Oral habits are very common in children under the age of three. If the habit continues after the age of three, and lasts for a duration of 4-6 hours, it may be enough to cause malocclusion.
I learned that sucking on a pacifier may decrease the chance of SIDS, and that it is better to suck on a pacifier than a thumb. Also, sucking habits usually resolve on their own by age 4.
Cynthia Morford #153
4 years of age is the ideal to star quitting sucking, before the eruption of the permanent teeth.
Positive reinforcement should be used to help them.
A minimum of 4-6 hours of force per day is needed for tooth movement. Children from higher income families tend to continue their sucking habits for a longer period of time.
Robert Busan #107
A minimum of 4-6 hours of continuous force is required to effect the occlusion.
Pacifiers decrease the incidence of SIDS.
Edvin, #100
I learned that a duration of 4-6 hours of comtinuous applied force is sufficent to cause tooth movement
Amy Dixon #120
90% of children have an oral habit during their first year of life. Most children stop by 3 years. However, it is time to intervene if a child does not stop by 4 years of age when the permanent teeth erupt.
Broc Mushet
#156
It takes from 4-6 hours of force per day for the dentition to be affected by any oral habit. So, thumb sucking shouldn't be a concern unless it exceeds that amount.
Will Traynor #186
An oral habit should concern a dentist:
When it impacts occlusion
When it affects the dentition
#176
Non nutritive sucking that persists beyond three years old suggests coping difficulty but could also be a learned response.
Thumb and finger habits are more of an issue if they occur frequently and are long in duration.
Chris Claus 113
Azadeh Ahmadi-Ardakani
student 101
usage of pacifier, thumb sucking is the main reason kids have open bite.
It's a good thing my kids didn't ever use pacifiers. Maybe that's because we are so poor right now. I guess if we have a kid later when we have money, there could be a higher chance of bad oral habits leading to malocclusion...if they are sucking 4-6 hrs. Peace.
Jake Cragun #117
The AAP advocates pacifier use in infants because of a decrease in incidence of SIDS. Hmm.
Morris Poole #169
With regards to thumb-sucking over 90 percent babies do it during the 1st year. A study was also done showing that there is a correlation between kids w/ longer thumbsucking habits and smarter kids.
Dave Tajima
#181
In deciding whether a child's oral habit must be treated, consider intensity of force on the oral structures, duration and frequency of practice. Of these, duration is the most important factor. 4-6 hours of force per day is the minimum required to cause tooth movement.
Diana Craft 115
Persistent non-nutritive sucking is often an adapted response and a learned habit, but could manifest a psychological disturbance; beware of the impact oral habits have on a child’s occlusion and dentition
- Jeanne Wong, #195
It take 4-6 hours CONTINUOUS force to cause movement in regard to oral habits causing malocclusion.
Lei Zeng, #535
That the sucking reflex (whether for suckling, sucking on a pacifier or thumb) is a normal part of development that gradually ceases by the age of 5. And that a minimum of 4-6 hours of force per day is required for tooth movement.
Steve Kim, #528
The majority of children stop their oral sucking habits by age 3. It takes approx 4-6 hours per day of force to affect tooth movement.
JOnathan Miller #149
It is more beneficial to start children on pacifiers rather than letting them suck their thumbs, since 90% of children with a pacifier habit will quit on their own by age 5, and 100% by age 8. Also, 90% of children with anterior open bite will have it spontaneously corrected by the age of 10.
Enayat Astani
#308
Babies are not mentally prepared for the world and it suggested that creating an environment similar to the mom’s womb, such doing the shush, swaddle, sway, side or stomach and sucking, calms the baby.
Paredes #164
Only 4-6 hours of continual applied force is needed to move teeth and lead to malocclusion.
Sanam Soroudi
#180
It was most interesting to me to learn that most oral habits spontaneously stop as children age (90%/5 yo. and the rest by age 8). This would seem to parallel and coincide with the social development and peer pressure they experience as children mature and enter situations where sucking digits or pacifiers may not win them votes as the best nominee choice for the coolest kid award in school. Unless they were into desert gatherings in which case.....well nevermind.
This most professional commentary, run-on sentence and Magic moment was brought to you by the letters U, X and by
Jeffrey Flores
#129
Although thumb sucking can lead to open bites and max constriction, it is not a "unhealthy" behavior. rita chen 109
90% of children will usually put away their pacifiers by age 5. It is important that children quit the habit as soon as possible because oral habits of children are of concern, especially if they are continuously at it for 4-6 hours, this type of oral fixation can cause changes in dentition and occlusion. Hamid Shafizadeh, #174
Thumb sucking is a bad habit that can lead to a variety of dental problems if the child is engaging in it for 4-6hrs per day or more.
Alex Molayem#152
90% of oral habits will resolve on their own.
Varo Boyajyan #106
Tongue thrust is not causative of open bite, but it is associated. People who tongue thrust do not always have anterior open bites.
90% of anterior open bites resolve spontaneously by age 10.
Jared Lee
#143
The treatment for thumb sucking inlude:
-Counseling
-Reminder therapy
-Reward system
-Adjunctive therapy
Cornel Crasnean #525
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