Bluegrass Habit Appliance
Appliance Purpose / Function:
The bluegrass habit appliance, is an alternative to a rake type appliance or a crib. Patients turn the roller which replaces the desire to suck the thumb.
Appliance Components:
- Bands on the 1st permanent molars
- .036 base arch
- The on roller, stainless steel, or the on roller, stainless steel, or soldered to the bands
Suggested Materials:
- Wire: Chromium Cobalt or Stainless-Steel wire
- Solder: Silver Solder (Cadmium Free)
Options:
- Laser welding (no solder)
- Appliance may be made with a roller or beads
- Occlusal rests may be added to the 1st primary molars or the 1st bicuspids
Appliance Fabrication Standards:
- The base arch slightly o the tissue
- The base arch touches all of the posterior teeth
- The wire placed at the top 1/3 of the band and laying against the band for 4 to 5mm
- The roller or beads are even with the middle third of the cuspid
- If you have a lower arch, the crib will be as far forward as possible
Appliance Notes:
If the habit persists, it may be helpful to determine whether the habit is a simple habit or a mechanism to help the child cope with stressful events happening in his or her life.