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Is my child’s pacifier or thumbsucking habit harmful? At what age should I begin to worry if he/she does not stop?

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Is my child’s pacifier or thumbsucking habit harmful? At what age should I begin to worry if he/she does not stop?

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Sucking is normal for babies and young children. Thumbsucking habits are usually established by three months of age. Some children have the need to “suckle” more than others. Frequent use of a pacifier or thumb can create a number of problems such as an anterior open bite (front teeth do not meet), palatal changes and tongue protrusive posturing (tongue thrusting). Although these conditions can be corrected through orthodontics and/or surgical procedures in the future, early intervention is recommended. Pacifiers should be discontinued by 2-3 years of age. If your child has a thumbsucking habit, begin to encourage discontinuation at 4-6 years of age. Your pediatric dentist will work with you and your child to develop a positive reinforcement reward system to help them quit. If this approach isn’t successful, a thumbsucking or orthodontic habit appliance may be recommended. These appliances block the thumb or fingers from being inserted into the mouth.

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