?Discontinuation of parental comments about thumb sucking if parental attention appears to have reinforced the behavior


?Management of sources of stress and anxiety in the child's life


?A program consisting of positive reinforcement for avoidance of digit sucking (eg, a sticker chart) and negative reinforcement (the application of an aversive tasting substance to the digit)


?Intraoral dental appliances that serve as a reminder not to suck and/or that interfere with the seal that is necessary for sucking are effective interventions when necessary