pacifier use and thumb sucking

Tips for Handling Thumb Sucking & Pacifiers

March 19, 2026 9:00 am

Thumb sucking and pacifier use are a normal part of early childhood. For many infants and toddlers, these habits provide comfort, help with self-soothing, and can make it easier to settle down for sleep.

At some point, though, most parents start to wonder when it becomes something to pay closer attention to. The change isn’t always obvious. What begins as a helpful habit can, over time, start to affect how teeth and jaws develop if it sticks around longer than expected.

At Petite Smiles Pediatric Dentistry in Oak Park, IL, Dr. Gabriel Murphy works with families through this stage all the time. The goal isn’t to rush it, but to guide it in a way that supports healthy growth without turning it into a struggle.

Why These Habits Develop

Thumb sucking and pacifier use come from a natural reflex. Babies are born with a strong urge to suck, which helps with feeding and also provides a sense of comfort.

As children grow, the habit often becomes part of their routine—something they turn to when they’re tired, adjusting to something new, or just needing a moment to settle down. Because of that, stopping isn’t only about removing the habit. It’s also about finding another way to meet that same need. Keeping that in mind can make the process feel more realistic.

When Should You Start to Be Concerned?

In many cases, these habits fade on their own between ages two and four.

If thumb sucking or pacifier use continues beyond that—especially as permanent teeth begin developing—it can start to influence how teeth come in or how the bite forms. You might notice changes like the front teeth not lining up the same way or a small gap when the mouth is closed (called an open bite).

That doesn’t mean something is wrong, but it is usually a good time to start guiding your child toward stopping rather than waiting it out.

Gentle Ways to Encourage Your Child to Stop

Helping a child move away from thumb sucking or pacifier use usually works best with a gradual approach.

  • Keep the tone positive: Framing it as a growing step, rather than a problem, tends to go further

  • Pay attention to patterns: Notice when the habit shows up most—bedtime, downtime, or stress

  • Offer a replacement: A favorite toy, blanket, or calming routine can help fill that gap

  • Celebrate small wins: Progress often happens in steps, not all at once

Most children respond better when they feel supported rather than corrected.

Pacifiers vs. Thumb Sucking

Both habits can affect dental development if they continue long enough, but there is one practical difference.

Pacifiers can be limited or phased out more easily since they’re something you can control. Thumb sucking tends to be more automatic and harder to interrupt, simply because it’s always available.

Even so, the general approach stays the same with gradual changes, consistency, and a bit of patience.

What to Avoid

It’s understandable to want the habit to stop quickly, especially if it’s been ongoing for a while. Still, some approaches can make it harder.

  • Avoid punishment or negative reactions

  • Avoid calling attention to the habit in stressful moments

  • Avoid sudden changes without preparing your child

When the process feels pressured, children often hold onto the habit longer rather than letting it go.

When to Talk to Your Pediatric Dentist

If the habit continues beyond age four, or if you notice changes in your child’s bite or tooth position, it’s worth bringing up during a visit.

As a pediatric dentist, Dr. Murphy can evaluate how the habit may be affecting development and offer guidance that fits your child’s specific situation. In some cases, additional strategies or appliances may be recommended, but often, small adjustments at home are enough.

Supporting Healthy Habits at Petite Smiles Pediatric Dentistry in Oak Park, IL

Thumb sucking and pacifier use are part of early childhood for many kids, and most grow out of them with a little guidance along the way.

At Petite Smiles Pediatric Dentistry in Oak Park, IL, Dr. Gabriel Murphy works with families to approach these habits in a way that supports both comfort and healthy development.

If you’ve been wondering when or how to start phasing out these habits, scheduling a visit can give you a clearer sense of what to expect and how to approach it in a way that works for your child.

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