ACCESSIBILITY

Pacifiers and Thumb Sucking

For most infants, the sucking of thumbs and pacifiers is a happy, everyday part of life.  Since sucking is a natural, instinctual baby habit, infants derive a sense of comfort, relaxation, and security from using a thumb or pacifier as a sucking aid.

According to research from the American Academy of Pediatric Dentistry (AAPD), the vast majority of children will cease using a pacifier before the age of four years old.  Thumb sucking can be a harder habit to break and tends to persist for longer without intervention.  Children who continue to suck thumbs or pacifiers after the age of five (and particularly those who continue after permanent teeth begin to emerge) are at high-risk for developing dental complications.

How can thumb sucking and pacifier use damage children’s teeth?

Pacifier and thumb sucking damage can be quite insidious.  Both can be difficult to assess with the naked eye, and both tend to occur over a prolonged period of time.  Below is an overview of some of the risks associated with prolonged thumb sucking and pacifier use:

Jaw misalignment – Pacifiers come in a wide range of shapes and sizes, most of which are completely unnatural for the mouth to hold.  Over time, pacifiers and thumbs can guide the developing jaws out of correct alignment.

Tooth decay – Many parents attempt to soothe infants by dipping pacifiers in honey, or some other sugary substance.  Oral bacteria feed on sugar and emit harmful acids.  The acids attack tooth enamel and can lead to tooth decay and childhood caries.

Roof narrowing – The structures in the mouth are extremely pliable during childhood.  Prolonged, repeated exposure to thumb and pacifier sucking actually cause the roof of the mouth to narrow (as if molding around the sucking device).  This can cause later problems with developing teeth.

Slanting teeth – Growing teeth can be caused to slant or protrude by thumb and pacifier sucking, leading to poor esthetic results.  In addition, thumb sucking and pacifier use in later childhood increases the need for extensive orthodontic treatments.

Mouth sores – Passive sucking is much less harmful than aggressive sucking.  Aggressive sucking (popping sounds when the child sucks) may cause sores or ulcers to develop.

If you do intend to purchase a pacifier:

  • Buy a one-piece pacifier to reduce the risk of choking.
  • Buy an “orthodontically correct” model.
  • Do not dip it in honey or any other sugary liquid.
  • Rinse with water (as opposed to cleansing with your mouth) to prevent bacterial transmissions.

How can I encourage my child to stop thumb or pacifier sucking?

In most cases, children naturally relinquish the pacifier or thumb over time.  As children grow, they develop new ways to self-soothe, relax, and entertain themselves.  When thumb sucking or pacifier use persists past the age of five, a gentle intervention may be required.

Here are some helpful suggestions to help encourage the child to cease thumb sucking or pacifier use:

  • Ask the dentist to speak with the child about stopping.  Often, the message is heard more clearly when delivered by a health professional.
  • Buy an ADA recommended specialized dental appliance to make it difficult for the child to engage in sucking behaviors.
  • Implement a reward system (not a punishment), whereby the child can earn tokens or points towards a desirable reward for not thumb sucking or using a pacifier.
  • Wrap thumbs in soft cloths or mittens at nighttime.

If the above suggestions do not seem to be working, your dentist can provide more guidance.  Remember: the breaking of a habit takes time, patience, and plenty of encouragement!

Testimonials.

Read what people are saying about us.

read more

Testimonials

I have been a patient of Dr. Jeffrey Weiner since 1981. His work is impeccable. He is meticulous and results focused. He is not happy unless you are happy. I have referred many patients over the year to his office. His staff is always accommodating and friendly. I have had to call him and his son Dr. Jason Weiner on weekends and holidays over the years for a dental emergency and they have both responded to me quickly and with concern and advice. I receive compliments every day about my smile and it is because of Weiner Dental.

Mary P., Bensalem, PA

I know from experience that patients at Weiner Dental are very fortunate in knowing that "the apple doesn't fall far from the tree." Dr. Jason Weiner is my primary dentist. He is not only adept in the painless and creative cosmetic work that he has performed on me, his easy manner and confident professionalism allays any anxiety that I may have about any dental problems. Having also been treated by Jason's father, Dr. Jeffrey Weiner, it is evident that a caring attitude and a healing aptitude has been passed on from father to son. That same demeanor seems to be instilled in everyone at Weiner Dental. I sincerely recommend the doctors and staff at Weiner Dental. I believe that they really care.

Edward M., Huntingdon Valley, PA

I have been going to Doctor Weiner for 30 years along with my wife and children. He has always given us the best of care. I do not know t oo many doctors who care so much that they call you at home to check on you. He cares about all people. When Dr. Weiner heard we were going to visit our daughter (who is a missionary in Jaraboca, in the Dominican Republic), he sent dental supplies for the folks down there. Most of them do not have the money for toothbrushes and toothpaste. If you could have seen the look of joy on their faces...it's hard to describe. And his son Jason is following in his father's footsteps. I not only feel like I have a great dentist but a good friend! Thanks Docs.

Robert B., Philadelphia, PA

View More

Contact Us.We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form.