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. 2013:2013:647649.
doi: 10.1155/2013/647649. Epub 2013 Oct 3.

Habit breaking appliance for multiple corrections

Reji Abraham  1 , Geetha Kamath, Jasmeet Singh Sodhi, Sonia Sodhi, Chandki Rita, S Sai Kalyan
Affiliations

Habit breaking appliance for multiple corrections

Reji Abraham et al. Case Rep Dent. 2013.

Abstract

Tongue thrusting and thumb sucking are the most commonly seen oral habits which act as the major etiological factors in the development of dental malocclusion. This case report describes a fixed habit correcting appliance, Hybrid Habit Correcting Appliance (HHCA), designed to eliminate these habits. This hybrid appliance is effective in less compliant patients and if desired can be used along with the fixed orthodontic appliance. Its components can act as mechanical restrainers and muscle retraining devices. It is also effective in cases with mild posterior crossbites.

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Figures

Figure 1
Figure 1
Hybrid Habit Correcting Appliance (HHCA).
Figure 2
Figure 2
Appliance secured to molar band by (a) engaging in lingual sheath and (b) soldering.
Figure 3
Figure 3
Pretreatment palatographic analysis showing impression material smeared over the maxillary and mandibular anteriors indicating abnormal tongue posture during swallowing.
Figure 4
Figure 4
pre-treatment cephalogram showing low positioning of tongue at rest position.
Figure 5
Figure 5
Palatographic analysis six months after the placement of HHCA showing impression material smeared over the maxillary rugae area missing the crown of the incisors indicating that the patient has attained a somatic swallow.
Figure 6
Figure 6
Cephalogram after 6 months of HHCA therapy showing low positioning of tongue at rest position.
See this image and copyright information in PMC

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