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Most parents give their infants a pacifier to soothe and to provide sucking comfort. While this is a common practice, children who routinely suck on a pacifier after the age of 2 years can experience some negative effects, including the following

  • Alignment problems:

    • Anterior Open Bite: a gap between the upper & lower front teeth when the jaw is closed. The back teeth touch, but the front teeth do not.

    • Posterior Crossbite: as a result of excessive sucking, the upper back teeth are tucked inside the lower back teeth.

    • Overjet: the upper teeth project slant outward.

  • Changes in the shape of the roof of the mouth

  • Problems with proper growth of the mouth:

    • Pacifier use after the age of 5 can prevent baby teeth from falling out and, therefore, delay the emergency of the permanent teeth

  • Increased risk of repeated middle ear infections (otitis media):

    • shows that children who don't use a pacifier have a 33% lower incidence of ear infections.

If your child uses a pacifier, Dr. Kherani makes the following recommendations:

  • Purchase a 1-piece unit, as 2-piece units post a choking hazard if the nipple end breaks off during aggressive sucking.

  • Keep the pacifier extremely clean to avoid introducing bacteria into your baby's mouth.

  • Use it as little as possible and eliminate it altogether as soon as possible.

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