Bad habits

Habit: it is an action or condition which by repetition had become spontaneous Habit: it is an action or condition which by repetition had become spontaneous

Oral bad habits 1. Thumb sucking 2. Mouth breathing 3. Lip biting 4. Tongue thrust

It decrease with increase in age It is less with bottle feeding than glass feeding It increase with increasing no. of siblings More frequnt in high socioeconomic status

What is the effect of habit on occlusion between the age of 6 mo yr.

Thumb sucking Production of negative or reduced intra oral pressure The pattern of sucking is different some children put the thumb only others put thumb and tongue between teeth

What is the treatment

Determinant factors of habit on occlusion Duration Duration Frequency Frequency Intensity Intensity

Duration At which age the child get the habit The time spent by the child to do the habit

Frequency How many times the patient put his thumb in his mouth per day (day, night, both)

Intensity The force used during the sucking habit The force used during the sucking habit

Treatment of bad habits  Clinical examination 1.Type of malocclusion 2.finger

Types of malocclusions associated with oral habits

Digit examination Clean Larger in dimension callous

Don ’ t ask the patient if he sucks his finger or no The question should be The question should be How many times you suck ?

Timing of treatment  In deciduous dentition?

Treatment Mouth breather