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Pacifiers and thumb sucking

Dental assistant showing a child a model of teeth during a dental visit
MDDr. Anna Jiříčková

Pacifiers and thumb sucking. There are many opinions, and it is often a topic of debate. It can be difficult for parents to choose the right one from all the available sources.

Why children need it

Children use their sucking reflex, which they are born with, to suck milk. Sucking gives them a feeling of calm. They perceive sucking on a pacifier in a similar way. Even though the sucking reflex gradually disappears, the child continues to use the pacifier to calm down. It is good to remember that if the child does not require a pacifier, it is not necessary to automatically give it to them.

Which pacifier is suitable

There is an endless variety of pacifiers on the market. If we decide to give our child one, it is important to know which type to choose. We prefer flat, orthodontic pacifiers. We avoid round (bulb-shaped) and unnecessarily large pacifiers.

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The negative impact of pacifiers on children’s oral cavity

In milk teeth, the upper front teeth touch the lower teeth when biting. When using a pacifier, its pressure pushes the teeth apart and causes an open bite. This can cause problems with biting food, a tendency to breathe through the mouth, a higher risk of tooth injury, etc. If your child uses a pacifier, it is necessary to break this habit by the age of 2.5 to 3 years at the latest. The risk of an open bite is also associated with thumb sucking. To break this bad habit, we recommend covering the thumb with a bandage or applying a special varnish. In addition to an open bite, we also want to minimize the risk of tooth decay in children. Therefore, never dip a pacifier in honey, juice, etc.

How to help your child give up the pacifier

In general, the sooner we remove the pacifier, the better. There are several ways to stop using a pacifier. One option is to gradually cut off the silicone part, another option is to remove it (“the pacifier got lost”), or the little patient may leave the pacifier behind during a preventive check-up at the doctor’s office.