Pacifiers can be an amazing tool for our babies, but how do we take advantage of all the benefits of pacifiers while reducing some of the potential negative side effects?
Benefits
Calming effect. Sucking is a natural reflex in babies. The controlled action of sucking on a pacifier promotes a feeling of security and allows babies to self-soothe.
Reduces risk of Sudden Infant Death Syndrome (SIDS) Research indicates that infants put to sleep with a pacifier have a lower incidence of SIDS. The exact mechanism isn’t completely understood, but the pacifier may maintain an open airway during sleep.
Prevents thumb sucking. A thumb is always readily accessible and cannot easily be removed. A pacifier gives you more control over when and how the pacifier is used and a more structured weaning process.
Risks and Considerations
Establish breastfeeding first. To avoid nipple confusion, it is recommended to establish breastfeeding well before introducing the pacifier.
Germs. Pacifiers can serve as a reservoir for bacteria and other microbes. To mitigate the risk, sterilize and wash pacifiers often.
Increased risk of dental issues. Prolonged pacifier use has the potential to cause dental issues including misaligned teeth and bite problems. The Academy of Pediatric Dentistry recommends children stop the habit by 36 months. The weaning process should be started around 18 months to minimize harmful effects on teeth. Some pacifiers are better for the teeth than others. Look for ‘orthodontic pacifiers’ with a flatter profile. Also, do not attach heavy stuffed animals to them that could put harmful forces on the palate and teeth.
When and How to Stop
Weaning when your child Is less emotionally attached to the pacifier, can be easier. Ever child is different, but most kids will stop by themselves between the ages of two and four. If this isn’t the case, then there are some gentle motivational strategies:
Make It unappealing. Snip the ends of the pacifier, which changes the suction experience of the pacifier. Some kids will become less interested in sucking on these broken tips and move on.
Break the routine. Kids eat, sleep, play on routine, and like clockwork when they get tired, they reach for the pacifier. Vacations, sleepovers at grandparents, or even starting a new daycare offer natural breaks in the routine. Take advantage of these times and switch up one more variable – the pacifier.
Pacifier fairy. Similar to the tooth fairy, the pacifier fairy exchanges the pacifiers for a special prize. If you would rather not involve fantasy, swap for a longed-for toy or experience.
Go cold turkey. Most kids will successfully wean on their own gradually. If gradual doesn’t work, then cold turkey can be the best option– it will likely be a hard few days and nights!
Keep it positive. Positive reinforcement is always preferable to negative reinforcement to avoid power struggles that can extend the duration of the habit.
Dr. Erica Hollander is a board-certified pediatric dentist with Just Keiki Pediatric Dentistry in Kahului. Learn more at justkeiki.com.
