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The following dental information pages answers your questions on space maintainers, finger sucking, thumb sucking and cleft of the lip and palate.

What are space maintainers?

Sometimes a milk tooth may have to be extracted (due to dental decay or some other cause) much before the permanent tooth is ready to replace it. In such cases the early extraction of the milk tooth may cause the neighboring teeth to move into the space and thus prevent the underlying permanent tooth from erupting into its correct position. To avoid this the dentist may give the child a device called space maintainer that maintains the space till the permanent teeth that replaces the milk teeth are ready to erupt.

Dental Information on Children's teeth

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Space maintainers

A removable type of habit breaker to stop thumb sucking habitA fixed type of habit breaker to stop thumb sucking habit

Sucking the thumbProlonged sucking of thumb can cause forward movement of the tront teeth and open bite

Cleft lip and palateCleft lip and palate

Is it normal for the child to suck the finger?

It can be considered quite normal for children to suck their finger upto a certain age. Continued finger sucking beyond 3 years of age may cause serious defects in the developing oral and facial structures


Why do children suck the finger?

Many children develop the habit of sucking the thumb or other fingers. A number of possible causes exist for finger sucking. These include: 1. Lack of adequate nursing or feeding. 2. Feeling of insecurity due to inadequate parental care, love and affection. 3. Sudden change in domestic or work atmosphere which the child cannot cope with. 4. Stress related to school, friends,etc.


Until what age can the finger sucking be allowed?

Finger sucking may not cause irreversible harm in children less than 3 years of age. However much depends on factors such as duration, intensity and frequency of the sucking habit. Continuation of the habit beyond 3 years may pose problem for the developing facial and dental structures. The teeth can come forwards and open bite can occur.


How will the dentist control finger sucking?

Many children stop sucking the thumb when the causative factor is identified and eliminated. Timely nursing, feeding, and increasing the time you spend with the child may to some extent decrease his insecurity. Slightly older children can be reasoned out of the habit by explaining the bad effects of the habit. The dentist may sometimes advice the use of finger bandaging or the use of bitter medicine to make the habit less pleasurable. When these simple steps fail the dentist may advice a habit breaker, which is placed behind the front teeth, and prevent the child from sucking the thumb.


What are the effects of finger sucking?

Thumb sucking can cause problems if allowed to persist beyond 3 years of age. Some of the effects include the front teeth being pushed too far forward, spacing of the teeth and therefore poor facial appearance. Continued indulgence in the habit may cause defects in the developing jaw and facial bones.


Do habits like biting the nails, pencil, etc
cause harm to the teeth?

Habits like biting nails, pencils, etc besides causing wear of the teeth can cause injury to the gums and supporting structures around the teeth. In addition the pressures they exert on the teeth may force them into abnormal positions which may necessitate orthodontic treatment.


What is tongue thrusting?

Tongue thrusting is a habit wherein the person forces the tongue against the back surface of the front teeth while swallowing. This habit can produce proclination of the front teeth and spaces between them. The dentist may have to train the patient on the correct swallowing method by some exercises and use of habit breaking devices.


What is cleft lip and palate?

Clefts of the lip and palate are a very common occurrence. They are congenital deformities meaning defective developments seen at the time of birth. Cleft lip is seen as a clefting of the lip - usually the upper. This produces bad facial appearance. Cleft palate is seen as a cleft or furrow in the palate producing sometimes a communication between the nose and the mouth. This causes difficulty in nursing the child and may later pose problems of speech.


Why do clefts occur?

The clefts of the lip and palate occur due to a verity of reasons the most important being genetic. The other causes include the intake of certain teratogenic drugs or chemicals during pregnancy, which cause a defect in the development.


How are clefts treated?

Clefts pose numerous problems. They are treated by a multidisciplinary approach by involvement of the pediatrician, orthodontist, pediatric dentist, plastic surgeon, prosthodontist etc.