International Journal of Clinical Pediatric Dentistry

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VOLUME 8 , ISSUE 1 ( January-April, 2015 ) > List of Articles


Three-Alarm System: Revisited to treat Thumbsucking Habit

N Shridhar Shetty, Anushka Deoghare

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

Citation Information : Shetty NS, Deoghare A. Three-Alarm System: Revisited to treat Thumbsucking Habit. Int J Clin Pediatr Dent 2015; 8 (1):82-86.

DOI: 10.5005/jp-journals-10005-1289

License: CC BY-NC 4.0

Published Online: 01-06-2019

Copyright Statement:  Copyright © 2015; The Author(s).


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 Thumbsucking Habit. Int J Clin Pediatr Dent 2015;8(1):82-86.

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  1. Maqurie JA. The evaluation and treatment of pediatric oral habits. Dent Clin North Am 2000;44(3):659-669.
  2. Rosenberg MD. Thumb sucking. Pediatrics in Review 1995; 16(2):73-74.
  3. Traisman A, Traisman H. Thumb and finger sucking: a study of 2,650 infants. J Pediatr 1958;52(5):556-572.
  4. Graber TM. Thumb and finger sucking. Am J Orthod 1959; 45(4):258-264.
  5. Johnson ED, Larson BE. Thumb-sucking: literature review. ASDC J Dent Child 1993;60(4):385-391.
  6. Levine RS. Briefing paper: Oral aspects of dummy and digit sucking. Br Dent J 1999;186(3):108.
  7. Bengi AO, Karacy S, Guven G. A unique treatment of fingersucking habit in children with mental retardation: report of 2 cases. Quint Int 2007;38(3):172.e158-163.
  8. Larsson E. Dummy and finger-sucking habits with special attention to their significance for facial growth and occlusion. Effect of facial growth and occlusion. Sven Tandlak Tidskr 1972;65(12):605-634.
  9. Willmot DR. Thumb sucking habit and associated dental differences in one of monozygous twins. Br J Orthod 1984; 11(4):195-199.
  10. Larsson E, Ronnerman A. Clinical crown height in 9, 11 and 13-year-old children with and without finger-sucking habit. Br J Orthod 1981;8(4):171-173.
  11. Bowden BD. A longitudinal study of the effects of digit and dummy-sucking. Am J Orthod 1966;52(12):887-901.
  12. Nanda RS, Khan I, Anand R. Effect of oral habits on the occlusion in preschool children. ASDC J Dent Child 1972;39(6): 449-452.
  13. Modeer T, Odenrick L, Linder A. Sucking habits and their relation to posterior cross-bite in 4-year-old children. Scand J Dent Res 1982;90(4):323-328.
  14. Popovich F, Thompson GW. Thumb and finger sucking: lts relation to malocclusion. Am J Orthod 1973;63(2):148-l55.
  15. Shetty RM, Dixit U, Hegde R, Shivaprakash PK. RURS’ elbow guard: an innovative treatment of thumb-sucking habit in a child with Hurler's syndrome. J Ind Soc Pedod Prev Dent 2010;28(3):212-218.
  16. Shah R. RURS’ elbow guard: a state-of-the-art treatment of digit sucking habit in a child with primary dentition. Am Int J Contemp Sci Res 2014;1(2):160-164.
  17. Norton LA, Gellin ME. Management of digital sucking and tongue thrusting in children. Dent Clin North America July 1968:363-382.
  18. Alemran SES. A new method in reminder therapy technique for ceasing digit sucking habit in children. J Clin Pediatr Dent 2000;24(4):261-263.
  19. Fukuta O, Braham RL, Yokoi K, Kurosu K. Damage to primary dentition resulting from thumb and finger sucking. ASDC J Dent Child 1996;63(6):403-407.
  20. Van Norman R. Digit sucking: It is time for an attitude adjustment or a rationale for the early elimination of digit-sucking habits through positive behavior modification. Int J Orofacial Myology 1985;11(2):14-21.
  21. Benjamin LS. The beginning of thumb sucking. Child Dev 1967;38(4):1065-1078.
  22. Morley M. Management of non-nutritive or digit sucking habits in children: a practical approach. J Can Dent Assoc 1994;60(11):969-971.
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