To pacy or not to pacy? That’s the timeless conundrum! Uncover the essential facts to help you make an informed decision for your little one.

What are the potential benefits of pacifier use?

  • Pacifiers are soothing to babies. Pacifiers provide comfort to babies by satisfying their natural sucking reflex. The non-nutritive sucking motion can have a calming effect, helping babies self-soothe and feel secure. 
  • Reduces the risk of Sudden Infant Death Syndrome (SIDS). The use of pacifiers has been associated with a reduced risk of Sudden Infant Death Syndrome (SIDS). The pacifier may help maintain an open airway and improve infant arousal, making it easier for babies to respond to potentially life-threatening situations during sleep. It’s essential to consult with healthcare professionals for personalized advice on infant care and sleep practices.

What are the potential negative consequences of pacifier use?

Potential negative consequences of pacifier use may include dental issues if used for an extended period, potential dependence, interference with breastfeeding if introduced too early and potential risk for speech sound disorders and picky eating.  

When should my baby start and stop using a pacifier? 

The American Academy of Pediatrics recommends if you are breastfeeding your baby to wait until 3-4 weeks of age before introducing a pacifier. It is recommended to start limiting pacifier use by 6 months, and weaned off the pacifier completely by 9 months. This is to avoid prolonged use of a pacifier which can increase the risk of ear infections, cause crooked teeth, create a high arched palate, and affect overall facial structure. 

What if my child refuses to stop using a pacifier? 

If your child is reluctant to stop using a pacifier, consider a gradual approach. Start by limiting pacifier use to specific times, such as naps or bedtime. You can also involve your child in the process by explaining that they are growing up, and it’s time to say goodbye to the pacifier. Offer positive reinforcement and rewards for successful periods without the pacifier.

Signs your child may have been affected by prolonged pacifier use:

  • Crooked teeth/open bite – splayed outward teeth due to pacifier shape
  • High arched palate
  • Reverse swallow pattern/tongue thrust
  • Tongue resting low in the mouth
  • Mouth breathing
  • Drooling
  • Potential speech errors

What if I am concerned about pacifier use? 

It is always recommended to consult your child’s pediatrician and dentist on the specific needs of your child. The speech-language pathologists trained in myofunctional therapy at LKS and Associates are available to answer your questions and support your child’s journey. 

About the Author

Alaa Elogbi, MS, CCC-SLP
Speech-Language Pathologist
LKS & Associates – Denver