Thumbsucking and Pacifier Use

Thumbsucking is a natural reflex for children. Sucking on thumbs,
fingers, pacifiers or other objects may make babies feel secure and
happy and help them learn about their world.

Young children may also suck to soothe themselves and help them fall asleep.

How Can Thumbsucking Affect My Child’s Teeth?

After permanent teeth come in, sucking may cause problems with the
proper growth of the mouth and alignment of the teeth. It can also cause
changes in the roof of the mouth.

Pacifiers can affect the teeth essentially the same ways as sucking
fingers and thumbs, but it is often an easier habit to break.

The intensity of the sucking is a factor that determines whether or
not dental problems may result. If children rest their thumbs passively
in their mouths, they are less likely to have difficulty than those who
vigorously suck their thumbs. Some aggressive thumbsuckers may develop
problems with their baby (primary) teeth.

When Do Children Stop Sucking Their Thumbs?

Children usually stop sucking between the ages of two and four years
old, or by the time the permanent front teeth are ready to erupt. If you
notice changes in your child’s primary teeth, or are concerned about
your child’s thumbsucking consult your dentist.

How Can I Help My Child Stop Thumbsucking?

• Praise your child for not sucking.
• Children often suck their thumbs when feeling insecure or needing comfort. Focus on correcting the cause of the anxiety and provide comfort to your child.
• For an older child, involve him or her in choosing the method of stopping.
• Your dentist can offer encouragement to your child and explain what could happen to their teeth if they do not stop sucking.

If these tips don’t work, remind the child of their habit by
bandaging the thumb or putting a sock on the hand at night. Your dentist
or pediatrician may prescribe a bitter medication to coat the thumb or
the use of a mouth appliance.