Chandel Rohini, Pande Meenal S, Yeluri Ramakrishna, Pankey Neha, Khubchandani Monika
Pediatric Dentistry, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Wardha, IND.
Cureus. 2024 Jun 30;16(6):e63549. doi: 10.7759/cureus.63549. eCollection 2024 Jun.
The most prevalent oral habit and one of the most often habitual behavioral patterns in preschool-aged children is thumb-sucking. This behavior is crucial to the development of malocclusion and must be addressed carefully since it may cause a secondary tongue thrust that worsens the issue. Developing an effective treatment plan requires determining the underlying cause, which may include psychological, physiological, and or anatomical factors. Overall prevention of behavior needs to be planned for successful outcomes. One such device for treating tongue-thrusting and thumb-sucking habits is the palatal crib. The present case shows the possible effectiveness of palatal crib use in conjunction with myofunctional therapy for a child whose diagnosis involves habitually holding the tongue low and sucking the thumb that causes an anterior open bite (AOB). An 11-year-old boy with flared and spaced upper and lower incisors also had an AOB. Myofunctional therapy was combined with palatal cribs to help the tongue reposition itself and discourage the habit of sucking. The AOB was successfully corrected with an appropriate overjet and overbite after a total of three months of treatment.
吮拇指是学龄前儿童中最普遍的口腔习惯，也是最常见的习惯性行为模式之一。这种行为对错牙合畸形的发展至关重要，必须谨慎对待，因为它可能会导致继发性吐舌，从而使问题恶化。制定有效的治疗方案需要确定潜在原因，这可能包括心理、生理和/或解剖学因素。为了取得成功的结果，需要对行为进行全面预防。一种用于治疗吐舌和吮拇指习惯的装置是腭托。本病例显示了腭托与肌功能治疗联合使用对一名诊断为习惯性舌低位和吮拇指导致前牙开牙合（AOB）的儿童可能具有的有效性。一名11岁男孩，上下前牙外展且间隙较大，也存在前牙开牙合。肌功能治疗与腭托相结合，以帮助舌头重新定位，并抑制吮指习惯。经过总共三个月的治疗，前牙开牙合成功矫正，覆盖和覆牙合正常。
