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Oral
Habits
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1 act
Introduction
Used with permission from ANZ Photography
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Learner Objectives
Used with permission from ANZ Photography
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Nonnutritive Sucking
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Nonnutritive Sucking, continued
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Nonnutritive Sucking, continued
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Pacifiers and SIDS
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Pacifier Recommendations
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Pacifier Recommendations, continued
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Dental Effects
anteriorly,
which may result in an
anterior
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Dental Effects of Non-nutritive
sucking
Used with permission from Rocio B. Quinonez, DMD, MS, MPH; Associate Professor Used with permission from Martha Ann Keels, DDS, PhD; Division Head of Duke
Department of Pediatric Dentistry, School of Dentistry University of North Carolina Pediatric Dentistry, Duke Children's Hospital
Tell the child in basic terms why you want them to stop and
that you believe they can do so
Implement reminder therapy, the use of aids such as rubber
bands or string, to help a child interrupt the habit
Start a reward system
Encourage the use of a stuffed animal or other comfort
object
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Physical Intervention
Techniques include:
Covering hands at night with mittens or socks
Dressing the child in a special shirt with the sleeves
sewn closed
Placing a bandage or specialty plastic guard on the
thumb or finger
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Physical Intervention
Used with permission from Martha Ann Keels, DDS, PhD; Division Head of Duke The appliance is removed
after
Pediatric Dentistry, Duke Children's Hospital
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Bruxism
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Bruxism
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Bruxism, continued
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Question #1
A. Suggest that they try to substitute a pacifier for the thumb sucking.
B. Reassure that this is a normal habit and the child will stop on his
own when he is ready.
C. Reassure that this is a normal habit for this developmental age and
intervention should be reserved until after age 3.
D. Attempt to break the habit now to prevent damage to the erupting
teeth, using a distasteful liquid applied to the thumb or a barrier
method (eg, socks or gloves), especially at night.
E. Recommend they speak to the child's dentist and follow his or her
recommendations.
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Answer
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Question #2
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Answer
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Question #3
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Answer
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Question #4
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26 ct
Answer
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27 ct
Question #5
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28 ct
Answer
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References
1. Adair SM. Pacifier Use in Children: A Review of Recent Literature. Pediatr Dent. 2003;
25(5): 449-458. Available online at: http://www.aapd.org/upload/articles/adair-25-
05.pdf. Accessed January 15, 2007.
2. American Academy of Pediatric Dentistry, Council on Clinical Affairs. Guideline on
Infant Oral Health Care. 2012. Reference Manual 35(6): 137-141. Available online at:
www.aapd.org/media/Policies_Guidelines/G_infantOralHealthCare.pdf . Accessed November
11th, 2013.
3. American Academy of Pediatrics. The Changing Concept of Sudden Infant Death
Syndrome: Diagnostic Coding Shifts, Controversies Regarding the Sleeping
Environment, and New Variables to Consider in Reducing Risk. Policy Statement: Task
Force on Sudden Infant Death Syndrome. Pediatrics. 2005; 116(5): 1245-1255.
Available online at: http://aappolicy.
aappublications.org/cgi/content/full/pediatrics;116/5/1245. Accessed January 15, 2007.
4. Fleming PJ et al. Pacifier use and sudden infant death syndrome: results from the
CESDI/SUDI case control study. Arch Dis Child. 1999; 81: 112-116.
5. Holt K and Barzel R. A Health Professionals Guide to Pediatric Oral Health
Management; 2006. http://www.mchoralhealth.org/PediatricOH/index.htm. Accessed
January 15, 2007.
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References, continued
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