Thumb/Finger Sucking Habit
Conditions
Brief summary
The aim of this study is to assess the use of electronic habit reminder and palatal crib in the cessation of thumb/finger sucking habit. Treatment of thumb/finger sucking by extraoral approaches are well accepted by school-age children (Adair, 1999). It was reported in a case study by Krishnappa et al that the use of an extraoral electronic habit reminder is a new method used for cessation of thumb/finger sucking habit in short time and it is more comfortable and acceptable to the child (Krishnappa et al, 2016).
Detailed description
This study will be conducted in, Pediatric Dentistry and Dental Public Health Department, Faculty of Dentistry, Cairo University. Diagnosis and patient selection will be at outpatient clinic in the specific days of diagnosis. Impression taking, delivery of appliances and follow up will be at post graduate clinic under supervision of the main and assistant supervisor. Eligible patients will be randomized to form two groups, Intervention group: Treatment by using electronic habit reminder which will be constructed by taking impression for the thumb/finger using silicon impression material (putty consistency) and pouring it with dental stone. The replica of the finger is used to formulate a custom made cover for it, which consists of stainless steel wires with specific design and acrylic resin this is the first part of the reminder. The second part is in the shape of wrist watch which is connected to the first part by a wire. When the child puts his finger in his mouth the stainless steel wires touch each other and the watch produces alarming sound and counts how many times the alarm goes off. The child should wear the appliance most of the time except during eating and activities. Control group: Treatment by using palatal crib which will be constructed by taking impression for upper arch with alginate impression material, and then will be sent to the lab for fabrication. Cementation of the appliance and then follow up. Follow up will be at two weeks and 1, 3, 6 months.
Interventions
DEVICEelectronic habit reminder
Habit reminder in the form of wrist watch with music that display as reminder is one of recent innovations for cessation of the habit in short time and the child accepts it and it's comfortable
OTHERpalatal crib
Fixed palatal crib is commonly used and recommended for treating thumb/finger sucking habit.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Masking description
Blinding isn't feasible except for the statistician.
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* Children with thumb/finger sucking habit. * After eruption of upper first permanent molar * open bite
Exclusion criteria
* Patients with special health care need * Uncooperative child * Parents refuse the participation of their child
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cessation of thumb/finger sucking habit | 6 monthes | cessation of thumb/finger sucking habit is by asking the parent in every appointment during the follow up period if the notice that their child has stopped the habit or at least there is decrease in the duration |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| child acceptance | 6 monthes | Child acceptance is simply by asking the child if he/she comfortable/happy with the appliance. The answer is by yes/no |
| parental acceptance | 6 monthes | Parental acceptance, there is a questionnaire will be handed to the parent at the end of the treatment period to assess if they found that the device was easy to use, instructions was helpful, the appliance helped in the cessation of the habit and if they will recommend it to others all these questions will be answered by scale (very/somewhat/neutral /minimally/not).And the parents can list if there were any problems they faced with the appliance |
| time for habit cessation | 6 monthes | Time for habit cessation is assessed by a booklet is handed to the parent at the beginning of the treatment to record the daily thumb/finger habit activity of the child |
Countries
Egypt
Outcome results
None listed