Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

11 questions · 11 findings · 2 reviews · Orthodontics · All outcomes

No studies found 2 · 18.2%GRADE not reported 8 · 72.7%Very low 0 · 0%Low 1 · 9.1%Moderate 0 · 0%High 0 · 0%

Psychological interventions (positive and negative reinforcement) vs no treatment

Sucking cessation (long term) · Children with a non-nutritive sucking habit (digit or pacifier)

Psychological interventions (positive and negative reinforcement) led to higher sucking cessation (long term) compared with no treatment; GRADE not reported.

1 finding from 1 review

Psychological interventions (positive/negative reinforcement, habit reversal, DRO) vs no treatment

Sucking cessation (short term) · Children with a non-nutritive sucking habit (digit or pacifier)

Psychological interventions (positive/negative reinforcement, habit… may leads to higher sucking cessation (short term) compared with no treatment (low certainty).

1 finding from 1 review

Psychological intervention + palatal arch vs Psychological intervention + palatal crib

Sucking cessation (short term) · Children with a non-nutritive sucking habit (digit or pacifier)

Psychological intervention + palatal arch led to lower sucking cessation (short term) compared with psychological intervention + palatal crib; GRADE not reported.

1 finding from 1 review

Psychological intervention (positive reinforcement) vs Alternative psychological intervention (negative reinforcement)

Sucking cessation (long term) · Children with a non-nutritive sucking habit (digit or pacifier)
1 finding from 1 review

Psychological intervention (habit reversal / positive reinforcement) vs Alternative psychological intervention (DRO / negative reinforcement)

Sucking cessation (short term) · Children with a non-nutritive sucking habit (digit or pacifier)
1 finding from 1 review
  • Interventions for the cessation of non‐nutritive sucking habits in children 2015 · Cochrane All outcomes
    Short term (less than 12 months)
    Christensen 1987 (20 participants) compared habit reversal (HR) with differential reinforcement of other behaviour (DRO): no statistically significant difference. Larsson 1972 (38 participants) compared positive with…
    2 studies · 58 participants
    GRADE not reported

Psychological intervention + orthodontic treatment (palatal crib or palatal arch) vs no treatment

Adverse events · Children with a non-nutritive sucking habit (digit or pacifier)
1 finding from 1 review

Psychological intervention + orthodontic treatment (palatal crib or palatal arch) vs no treatment

Sucking cessation (short term) · Children with a non-nutritive sucking habit (digit or pacifier)

Psychological intervention + orthodontic treatment (palatal crib or… showed no clear difference in sucking cessation (short term) compared with no treatment; GRADE not reported.

1 finding from 1 review

Psychological intervention: structured telephone call (verbal follow‐up and reassurance) vs placebo or no intervention

Patient‐reported pain intensity or pain relief (VAS, NRS or categorical scale) · People undergoing orthodontic treatment (any age; 9 to 34 years in included studies)

The review found no eligible studies for this question.

1 finding from 1 review

Aversive tasting substance applied to digit vs Psychological intervention (habit reversal)

Sucking cessation (short term) · Children with a non-nutritive sucking habit (digit or pacifier)

Aversive tasting substance applied to digit showed no clear difference in sucking cessation (short term) compared with psychological intervention (habit reversal); GRADE not reported.

1 finding from 1 review