The Impact of Pacifier Use: How it Effects Facial and Dental Growth

Pacifiers are often seen as a quick remedy to soothe infants and toddlers. They can be a lifeline for tired parents, but new studies raise concerns about the long-term effects of pacifier use. Research shows that prolonged use may adversely affect facial and dental growth, nasal breathing, and may lead to challenges when transitioning away from them. This post explores these issues and offers helpful tips for parents.

The Effects on Facial and Dental Growth

The impact of pacifier use on a child's face and dental alignment is a pressing issue. Studies indicate that over 50% of children who use pacifiers excessively may develop malocclusion, which is a misalignment of teeth. This misalignment can show up as an overbite, underbite, or crossbite, affecting both aesthetics and functionality as the child grows.

A pacifier can exert consistent pressure on the developing jaw and teeth. Studies indicate that children who use pacifiers past the age of two are three times more likely to require braces during their teenage years. This pressure may result in a narrower dental arch, potentially impacting tooth alignment. Misaligned teeth can lead to functional challenges, such as difficulty chewing, pronouncing words clearly, or sleeping well due to Sleep Disordered Breathing (SBD). These issues can, in turn, contribute to learning difficulties and challenges in regulating behavior.

The aesthetic consequences are only part of the story. Long-term malocclusion raises the risk for serious dental problems like cavities and gum disease as the child grows. According to the American Association of Orthodontists, about 75% of patients seeking orthodontic treatment have issues stemming from malocclusion.

Child sucking on a pacifier that may impact dental development.

Nasal Breathing Obstruction

Pacifiers can also disrupt a child's ability to breathe through their nose effectively. Nasal breathing is crucial as it filters air, ensuring that the body takes in clean oxygen. Studies show that children who primarily breathe through their mouths are more likely to suffer from dental and respiratory issues. Mouth breathing can lead to a 30% increase in the risk of developing sleep apnea and related sleep disorders, impacting overall health and development.

When children become accustomed to using pacifiers, they may adopt a habit of keeping their mouths open. This pattern can lead to chronic mouth breathing, increasing the risks for dry mouth, cavities, and lowered oxygen levels during sleep. Once established, this habit may take considerable time and effort to correct.

The Importance of Nasal Breathing

Go to by blog post on The Dangers of Mouth Breathing

Alternatives to Pacifiers

Parents can adopt various soothing methods that are safer and more beneficial for their children:

1. Finger or Thumb Sucking: Some children find comfort in their fingers or thumbs, which typically pose fewer risks to dental health compared to pacifiers. Nonetheless, it should be monitored to prevent excessive use.

   
   

2. Transitional Objects: Items like soft toys or blankets can offer emotional support and comfort. For example, a favorite stuffed animal can be particularly soothing during bedtime or stressful moments.

   
   

3. Gentle Rocking or Holding: The simple act of holding a child while rocking them can soothe and calm without relying on pacifiers.

   
   

4. Distraction Techniques: Engaging children with toys, stories, or games helps shift their focus away from the pacifier, fostering healthier interactions.

   
   

5. Breastfeeding: For younger infants, breastfeeding satisfies the natural sucking reflex while providing vital nutrition and bonding time.

   
   

6. Orthodontic Pacifier--If none of these suggestions work for your child, and you need to use a pacifier-- there are some orthodontic recommended suggestions. The Philips Avent pacifier with symmetrical nipple that supports proper oral development and a collapsible, symmetrical nipple that also supports the natural oral development of your baby’s teeth and gums, Here is an example :

   
   
   
   

   

   
   
   
   

Timing for Transitioning Away from Pacifiers

Deciding when to wean a child off pacifiers is crucial. Experts suggest that the best time to start is between 6 months and 1 year. This timing allows children to develop healthy oral skills and reduces the risk of attachment. Ideally, pacifier use should end before they turn 2, which lowers the chances of long-term dental issues.

Consider these strategies for making the transition smoother:

1. Gradual Reduction: Slowly limit pacifier use by designating specific times, like nap or bedtimes, before eliminating it entirely.

   
   

2. Positive Reinforcement: Celebrate milestones as your child reduces pacifier dependency. Small rewards or praise can motivate them.

   
   

3. Create a Replacement Ritual: Develop cozy habits to replace pacifier use, like reading a bedtime story or sharing quiet cuddles.

   
   

4. Discuss and Prepare: Talk to older toddlers about the benefits of letting go. Involving them in the decision can foster ownership and reduce pushback.

   
   

5. Be Consistent: Once the transition begins, consistency is crucial. Stick to your plan to help the child feel secure in the change.

   
   

6. Replacing the Pacifier : The Myo Munchee is an excellent option to replace a pacifier. It helps promote proper jaw and dental arch development, supports nasal breathing, strengthens oral muscles, establishes healthy oral habits, promotes proper facial growth, supports better sleep and behaviour, and encourages proper tongue postion and function.

   
   
   
   

See my blog post on the Myo Munchee

A toddler holding a plush toy as a comfort object instead of a pacifier.

Understanding the Bigger Picture

While pacifiers may seem like an uncomplicated solution for comforting infants, their long-term effects can lead to significant issues in dental and facial development, as well as influence healthy breathing habits. Recognizing these potential challenges can empower parents to make informed choices.

Transitioning away from pacifiers may feel intimidating, but with the right strategies and a little patience, it can be a positive experience for both parent and child. By focusing on healthier substitutes, families can nurture better habits that support physical and emotional well-being, paving the way for a healthier future for their children.