ORAL HABITS OF COMPULSION
Oral habits of compulsion are
repeated movements involving the mouth. The movements are caused by: lip
biting, lip licking, lip sucking, tongue thrusting, and thumb or finger
sucking. The repeated forces caused by these habits move teeth and bone.
When there is a compulsion, it is
derived from the comfort of sucking the thumb, lip, or movement from which the
child derives satisfaction. Tongue thrusting is the most insidious problem as
it is difficult to observe, but lip biters move top teeth out and forward as
do tongue thrusters. All these habits are abnormal and destructive to the
teeth and face.
Tongue thrust habit:
Tongue thrust is an abnormal
swallowing pattern. It is the way babies swallow when they have no teeth. Why
do you want to stop tongue thrusting? Because tongue thrusting delays
completion of treatment by forcing the teeth apart or forward. After the
braces are removed, thrusting will ruin the results. Thrusting is a negative
force. Thrusting will destroy straight teeth. Most tongue thrusters lick their
lip prior to swallowing. They swallow with the tongue between the teeth
instead of on the roof of the mouth. They do this about 2000 times per day and
exert high pressure forces on the teeth. The forces are very destructive.
Thumb and/or finger habit:
Thumb suckers deform the upper jaw,
move the teeth out forward, distort their nose growth, and in general ruin the
environment for straight teeth. Long-term thumb or finger habits move the
upper jaw forward, open the bite, and lead to abnormal tooth position and jaw
related problems. This habit is usually associated with younger kids and is
not usually a problem with kids over seven. If there is a problem after seven,
it is usually severe and should be addressed as soon as possible. Treatment to
stop the habit is usually just psychological and involves a discussion between
patient and doctor.
Lip biting/sucking/licking:
Lip biting is a habit of repeatedly
biting on the lower lip. Lip biting causes the upper teeth to move abnormally
forward and keeps the front teeth from fitting together. Biting or sucking on
the lower lip will move the lower teeth backwards and the upper teeth outward.
Lip licking is associated with a tongue thrust. An enlarged, red, lower lip is
an indication of lip biting. Red cracked lips are usually associated with lip
lickers as the constant wetting and drying cracks the skin. Lip lickers lick
their lips a thousand times a day. It's easy to catch them doing it. Just
watch them when they don't know you are watching and that tongue is darting in
and out of their mouth like a lizard. Not attractive.
Bottom-line: all of
these habits greatly affect orthodontic treatment negatively. Oral habits have
to be stopped or the situation only gets worse or ruins your orthodontic
results.