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It is well known that many infants and young children calm themselves by sucking their thumbs. While most children will stop on their own, some children continue with thumb sucking past the age of 4 or 5.
It is true that prolonged thumb sucking may cause a child to develop dental problems. Thumb sucking can cause a child’s teeth to become improperly align or push the teeth outward, sometimes malforming the roof of the mouth. Malocclusion usually corrects itself when the child stops with this habit. However, the longer thumb sucking continues, the more likely it is that orthodontic treatment will need correction. A child may also develop speech problems, including mispronouncing Ts and Ds, lisping, and thrusting out the tongue.
At what point does thumb sucking become a problem?
Thumb sucking in children younger than four years old is usually not a problem. Children who suck their thumbs frequently or with great intensity after the age of four or five, or those who continue to suck their thumbs after age five are at risk for dental or speech problems. In rare cases, thumb sucking after age 5 is in response to an emotional problem or other disorder. Commonly, it could be problem with anxiety. A child with this type of problem needs to evaluation by a health professional. Most other children stop sucking their thumbs after introducing simple treatment measures.
How is problem thumb sucking treated?

- Apply it like fingernail polish to the thumbnail each morning, before bed, and whenever you see that your child wish to thumb suck. This treatment is most successful when it you combine it with a reward system. If these treatments do not appear to be successful, you could use other methods including behavioral therapy, thumb devices, or oral devices.
- Behavioral therapy helps a child avoid thumb sucking through various techniques. There could help substituting tapping fingers together quietly. Behavioral therapy works best if all people involved in their child’s care follow the treatment plan.
- Thumb devices, such as a thumb post, are common for children who suffer of severe thumb sucking problems. A thumb device is usually made of nontoxic plastic and child wear it over thumb. It is in place with straps that go around the wrist. A thumb device prevents a child from being able to suck his or her thumb. Child should wear this thumb device during all day. You could remove it only after the child has gone 24 hours without trying to suck a thumb. If the child starts to suck his or her thumb again, you should put this device again until your child completely get rid of this habit of thumb sucking. It is important to know that you should fit this thumb device with a health professional.
- Oral devices, such as a palatal arch or crib that fits into the roof of the mouth, interfere with the pleasure a child gets from thumb sucking. It may take several months for the child to stop sucking the thumb when these devices are used. Once the child stops sucking, parents may choose to continue using the device for several months after this, to achieve permanent results. This may prevent common problem when child from starts the habit again. It is also important to know that you should fit oral devices by your child’s dentist.
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