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Case Reports
. 2015 Jan-Apr;8(1):82-6.
doi: 10.5005/jp-journals-10005-1289. Epub 2015 Apr 28.

Three-Alarm System: Revisited to treat Thumb-sucking Habit

Affiliations
Case Reports

Three-Alarm System: Revisited to treat Thumb-sucking Habit

Raghavendra M Shetty et al. Int J Clin Pediatr Dent. 2015 Jan-Apr.

Abstract

Thumb and digit-sucking habits or non-nutritive sucking are considered to be the most prevalent among oral habits. Most children stop thumb sucking on their own. If the habit continues beyond 3 to 4 years of age, it not only affects the dental occlusion, but the shape of the thumb/digit may be altered as well. This article presents the management of thumb sucking by modified RURS, elbow guard incorporated with revised 'three-alarm' system. How to cite this article: Shetty RM, Shetty M, Shetty NS, Deoghare A. Three-Alarm System: Revisited to treat Thumb-sucking Habit. Int J Clin Pediatr Dent 2015;8(1):82-86.

Keywords: Finger sucking; RURS’ elbow guard.; Three-alarm system; Thumb sucking.

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Conflict of interest statement

Source of support: Nil

Conflict of interest: None

Figures

Fig. 1
Fig. 1
Keratinization and callus formation on the left thumb
Fig. 2
Fig. 2
Intraoral view exhibiting mild open bite
Fig. 3
Fig. 3
Impression making of the elbow using vinyl polysiloxane putty impression material
Fig. 4
Fig. 4
Cast obtained from the impression
Fig. 5
Fig. 5
Two layers of modelling wax adapted over the cast as a spacer
Fig. 6
Fig. 6
Acrylic elbow guard with musical chip and speaker on the outer surface of acrylic elbow guard
Fig. 7
Fig. 7
Acrylic elbow guard with switch button on the inner surface of the acrylic elbow guard
Fig. 8
Fig. 8
Acrylic elbow guard after placement of a layer of sponge
Fig. 9
Fig. 9
Patient wearing modified RURS’ elbow guard

References

    1. Maqurie JA. The evaluation and treatment of pediatric oral habits. Dent Clin North Am. 2000;44(3):659–669. - PubMed
    1. Rosenberg MD. Thumb sucking. Pediatrics in Review. 1995;16(2):73–74. - PubMed
    1. Traisman A, Traisman H. Thumb and finger sucking: a study of 2,650 infants. J Pediatr. 1958;52(5):556–572. - PubMed
    1. Graber TM. Thumb and finger sucking. Am J Orthod. 1959;45(4):258–264.
    1. Johnson ED, Larson BE. Thumb-sucking: literature review. ASDC J Dent Child. 1993;60(4):385–391. - PubMed

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