Along with favorite blankets, teddy bears, and nap time, thumb-sucking can be one of the most comforting aspects of childhood. According to a recent report, between 75% and 95% of infants suck their thumbs, so chances are there’s a thumb-sucker (or a former thumb-sucker) in your family. Is this cause for worry?
In most cases, the answer is no. However, it’s important to pay attention to your child’s habits in case his or her behavior has the potential to affect overall oral health.
What is normal thumb-sucking behavior?
Most children begin sucking their thumbs or fingers from a very young age; many even start inside the womb. Sucking is a natural reflex for an infant and it serves an important purpose. Sucking often provides a sense of security and contentment for a young one. It can also be relaxing, which is why many children suck their thumbs as they fall asleep.
According to the American Dental Association, most children stop thumb-sucking on their own between the ages of two and four. They simply grow out of a habit that is no longer useful to them. However, some children continue sucking beyond the preschool years (although studies show that the older a child gets, the lower the chances are of continuing the habit). If your child is still sucking when his or her permanent teeth start to erupt, it may be time to take action to break the habit.
What signs should I watch for?
First, take note of how your child sucks his or her thumb. If the sucking is passive, with the thumb gently resting inside the mouth, it is less likely to cause damage. If, on the other hand, the thumb-sucking is aggressive, placing pressure on the mouth or teeth, the habit may cause problems with tooth alignment and proper mouth growth. Extended sucking affects both the teeth and the shape of the face and may lead to a need for orthodontic treatment in the future.
If at any time you suspect your child’s thumb-sucking may be affecting his or her oral health, please give us a call and schedule a visit. We can help you assess the situation.
How can I help my child quit thumb-sucking?
Should you need to help your child end the habit, follow these guidelines:
- Always be supportive and positive. Instead of punishing your child for thumb-sucking, give praise when he or she doesn’t.
- Put a band-aid on your child’s thumb or a sock over the hand at night. Let your little one know that this is not a punishment, but rather a way to help remember to avoid sucking.
- Start a progress chart and let your child put a sticker up every day that he or she doesn’t suck. If your child makes it through a week without sucking, he or she gets to choose a prize. When the whole month is full, reward your child with something great (a toy or new video game); by then the habit should be over. Making your child an active participant in his or her treatment will increase the willingness to break the habit.
- If you notice your child sucking when he or she is anxious, work on alleviating the anxiety rather than focusing on the thumb-sucking.
- Take note of the times your child tends to suck (long car rides, while watching movies) and create diversions during these occasions.
- Explain clearly what might happen to the teeth if he or she keeps thumb-sucking.
Whatever your method, always remember that your child needs your support and understanding during the process of breaking the habit of thumb-sucking.
Pacifier use: What parents should know
Pacifiers are a common and effective tool for soothing infants, providing comfort and helping them self-soothe, especially during sleep. The American Academy of Pediatric Dentistry (AAPD) encourages parents to make informed choices, weighing the benefits against potential risks to support healthy growth and development.
While pacifiers play an important role in early infancy, it's essential to monitor their use as your child grows to avoid long-term oral health issues. Prolonged pacifier use can affect dental and jaw development, so it’s important to be mindful of how long the habit continues.
Risks of Prolonged Pacifier Use
Prolonged pacifier use beyond 18 months can lead to dental and jaw issues, including an open bite (when the front teeth don’t meet), crossbite (misalignment of the upper and lower teeth), and jaw development problems such as a narrow upper jaw and protruding front teeth. These issues can affect bite alignment and may require orthodontic treatment later on. For healthy oral and jaw development, it’s important to wean your child off the pacifier by age 3.
Tips for Breaking the Pacifier Habit
If you're ready to help your child stop using a pacifier, here are some strategies recommended
by the AAPD:
- Gradual Weaning: Limit pacifier use to specific times, like naps or bedtime, and gradually reduce its use. This allows your child to adjust at their own pace.
- Positive Reinforcement: Encourage progress by rewarding milestones, such as going a full day or night without the pacifier. Offer small incentives like stickers or a new toy. The AAPD recommends avoiding punishment and focusing on praise to maintain a positive approach.
- Cut the Pacifier: Cutting the rubber tip with scissors to break the suction seal can eliminate the soothing sensation
- Comfort Alternatives: If your child uses the pacifier for comfort, try replacing it with a favorite blanket or stuffed animal to help them self-soothe during the transition.
Early Intervention is Key!
If your child continues to use a pacifier after age 3, or if you notice dental concerns like an open bite or misalignment, it's a good idea to consult with a pediatric dentist. Addressing these issues early can help prevent more serious dental problems down the road.