Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

11 questions · 11 findings · 1 reviews · Orthodontics · All outcomes

No studies found 0 · 0%GRADE not reported 7 · 63.6%Very low 2 · 18.2%Low 2 · 18.2%Moderate 0 · 0%High 0 · 0%

Orthodontic appliances (palatal crib) vs no treatment

Occlusion (change in maxillary arch length, short term) · Children with a non-nutritive sucking habit (digit or pacifier)
1 finding from 1 review

Palatal arch vs Palatal crib (alternative orthodontic appliance)

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

It is very uncertain whether palatal arch changes sucking cessation (short term) compared with palatal crib (alternative orthodontic appliance) (very low certainty).

1 finding from 1 review

Orthodontic appliances (palatal crib) vs no treatment

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

Orthodontic appliances (palatal arch/palatal crib) may leads to higher sucking cessation (short term) compared with no treatment (low certainty).

1 finding from 1 review

Orthodontic appliances (palatal crib) vs no treatment

Occlusion (net change in overjet, short term) · Children with a non-nutritive sucking habit (digit or pacifier)
1 finding from 1 review
  • Table 1 (reduction in malocclusion), Villa 1997 (n=24), palatal crib vs no treatment: net change in overjet (mm) - no treatment 0.02; palatal crib -0.2; no statistically significant net change in overjet between…
    1 study · 24 participants
    GRADE not reported

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

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

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 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

Orthodontic appliances (palatal crib) vs no treatment

Occlusion (change in mandibular arch length, short term) · 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

Orthodontic appliances (palatal crib) vs no treatment

Occlusion (change in overbite, short term) · Children with a non-nutritive sucking habit (digit or pacifier)

It is very uncertain whether orthodontic appliances (palatal crib) changes occlusion (change in overbite, short term) compared with no treatment (very low certainty).

1 finding from 1 review