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Breaking the Thumb Sucking Habit: When Compliance Is Essential
Orlando Tanaka1, Wagner Oliveira1, Melissa Galarza1
1Graduate Dentistry Program in Orthodontics, School of Health and Biosciences, Pontifícia Universidade Católica do Paraná, Curitiba, PR, Brazil.
Prolonged thumb sucking can cause anterior open bite (AOB). While a palatal expander helped initially, habit relapse led to AOB recurrence, highlighting the need for multidisciplinary care.
Area of Science:
- Dentistry
- Orthodontics
- Pediatric Dentistry
Background:
- Anterior open bite (AOB) and posterior crossbite are common malocclusions.
- Prolonged sucking habits are frequently associated with these dental issues.
Purpose of the Study:
- To illustrate the use of a Haas-type palatal expander in managing thumb sucking.
- To discuss the challenges and outcomes of treating AOB related to persistent sucking habits.
Main Methods:
- A clinical case study focusing on a patient with AOB and thumb sucking.
- Application of a Haas-type palatal expander to deter thumb sucking behavior.
Main Results:
- Initial improvement in AOB was observed upon habit discontinuation.
- Relapse of AOB occurred due to habit recurrence and lack of patient cooperation.
Conclusions:
- Palatal expanders can aid in habit cessation, but are insufficient alone for persistent habits.
- Successful treatment of AOB requires a multidisciplinary approach, patient consent, and cooperation for a favorable prognosis.
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