Breaking Harmful Habits:
The Keys to Optimal Facial Growth

Early intervention in correcting oral habits and posture is essential for optimal jaw development, airway function, and overall health in children. Habits like mouth breathing, thumb sucking, and poor tongue posture can lead to dental misalignment, impaired facial growth, and breathing issues. Studies show that addressing these habits early in life can reduce the need for more extensive orthodontic treatment later on.

Common Oral Habits in Children

Mouth Breathing

Effects on Jaw and Facial Development: Chronic mouth breathing causes the tongue to rest in a low position, which can result in a narrow dental arch and an elongated facial profile. This can also lead to the development of “long face syndrome,” where the face grows vertically more than horizontally.

Health Consequences: Mouth breathing is linked to a higher incidence of sleep-disordered breathing, which includes conditions like obstructive sleep apnea (OSA). According to studies, nearly 50% of children with habitual mouth breathing suffer from sleep-disordered breathing, leading to behavioral problems, daytime fatigue, and difficulties in school.

Correction: Palate expansion, Myofunctional therapy, and Nasal Airway Evaluation.

Prolonged Bottle Feeding

Dental and Jaw Impact: Children who continue bottle feeding beyond 18 months are at increased risk for malocclusions, such as open bite and crossbite. The sucking action required for bottle feeding can distort the developing dental arches and contribute to poor jaw growth.

Health Consequences: A study published in the journal Pediatrics found that children who used a bottle beyond 2 years of age were 1.5 times more likely to develop dental problems that required orthodontic intervention . Additionally, prolonged bottle feeding has been associated with an increased risk of obesity and ear infections.

Correction: Pediatric guidelines recommend transitioning to a cup by 12-18 months. In cases where malocclusions occur, early orthodontic screening and intervention may be necessary.

Thumb Sucking and Prolonged Pacifier Use:

Impact on Dental Alignment: Thumb sucking and pacifier use beyond 3 years of age can result in an open bite, where the front teeth do not meet properly. This habit can also narrow the upper palate and create dental crowding.

Long-Term Effects: Studies show that 20% of children over the age of 3 continue to engage in thumb sucking or pacifier use, increasing the likelihood of needing orthodontic treatment . Prolonged use is also linked to speech delays and abnormal swallowing patterns.

Correction: Pediatric guidelines recommend transitioning to a cup by 12-18 months. In cases where malocclusions occur, early orthodontic screening and intervention may be necessary.

Sucking on Objects
(e.g., Pens, Blankets)

Dental and Jaw Impact: Habitual sucking on non-nutritive objects like pens or blankets can affect the alignment of teeth and lead to bite problems. This habit exerts constant pressure on the teeth, resulting in malocclusions such as overbite and crowding.

Health Consequences: In addition to misaligning the teeth, sucking on objects can introduce harmful bacteria into the mouth, increasing the risk of oral infections.

Correction: Early identification of this habit and orthodontic evaluation can prevent long-term dental consequences. Habit-breaking appliances or positive reinforcement strategies can help a child stop this behavior.

Tongue Thrusting and Reverse Swallow

Impact on Jaw Development: Tongue thrusting and reverse or immature swallow are closely related habits where the tongue pushes against the teeth during swallowing or rests in an improper position. In a normal swallow, the tongue should press against the roof of the mouth, promoting proper jaw growth and dental alignment. However, in cases of tongue thrusting or immature swallow, the tongue pushes forward or rests too low, often leading to an open bite, dental crowding, and poor jaw development.
Health Consequences: Malocclusion: Studies show that up to 80% of children with these habits develop malocclusions, such as open bite or crossbite. The persistent pressure of the tongue against the teeth disrupts normal occlusion, leading to spacing issues, protruding front teeth, and misaligned jaws.
Speech and Swallowing Issues: Improper tongue posture can also impact speech clarity and swallowing efficiency, making it harder for children to articulate certain sounds or swallow without exerting excessive pressure on the teeth.
Airway Concerns: In some cases, tongue thrusting is linked to airway obstruction, as the low tongue posture reduces nasal breathing efficiency, contributing to mouth breathing and sleep-disordered breathing.
Correction: Myofunctional Therapy: Focused on retraining the muscles involved in swallowing and tongue posture, this therapy helps guide children to develop a proper swallowing pattern and tongue rest position.
Orthodontic Treatment: In some cases, braces or aligners may be necessary to correct the dental misalignment caused by tongue thrusting or reverse swallowing.
Habit Appliances: Special appliances can be used to discourage tongue thrusting by reminding the child to place their tongue in the correct position during swallowing.

Nail Biting

Dental and Jaw Impact: Nail biting is one of the most common habits in children and adolescents, with studies showing that about 30% of children engage in this behavior . It can cause chipped teeth, weaken dental enamel, and lead to increased wear on the front teeth.
Health Consequences: Besides dental damage, nail biting can introduce bacteria into the mouth, increasing the risk of infections such as gum disease. It can also exacerbate conditions like bruxism and lead to TMJ issues due to the repetitive motion.
Correction: Behavioral therapies, combined with orthodontic evaluation if dental damage occurs, can help children break the habit and protect their oral health.