Shlomo Frankel
Shlomo Frankel - December 28

Baby pacifiers: Pros and cons

Should you give your baby a pacifier? Using a pacifier comes with both benefits and downsides

On the positive side, pacifiers provide a source of comfort to infants. Pacifiers can also assist in reducing the incidence of sudden infant death syndrome (SIDS), according to the Academy of General Dentistry. Because babies with pacifiers sleep less deeply than those who sleep without pacifiers, they can be aroused from a deep sleep that could result in the stopping of breathing.

On the other hand, pacifiers can harm the growth and development of the mouth and teeth. Prolonged pacifier use can cause changes in the shape of the roof of the mouth, prevent proper growth of the mouth and create problems with tooth alignment.

This photo shows some typical skeletal problems than can occur from prolonged pacifier use. These can include a cross-bite of the back teeth, open bite in front, delayed eruption, or poor position of Adult teeth.

Many Orthodontists recommend that children stop using pacifiers by age two, and the good news is many cases resolve on their own, just by stopping at the right time.

If you do choose to give your child a pacifier, these tips can help reduce its harm:

  • Restrict pacifier use to when the infant needs to fall asleep.
  • Look for a pacifier with ventilation holes in the shield, as they permit air passage. This is important if the pacifier accidentally becomes lodged in the child’s throat.
  • Always clean the pacifier before giving it to a child.

Breaking the pacifier habit

Breaking the habit is not always easy. Here are a few suggestions for helping a child wean from the pacifier:

  • Dip the pacifier in white vinegar.
  • Pierce the top of the pacifier or cut it shorter to reduce sucking satisfaction.
  • Leave it behind on a trip.

Always throw away a used pacifier; it is not sanitary for another child to use or to save

Dr. Frankel’s BOTTOM LINE

You need to survive and sleep at night, so use the pacifier, if it comforts your baby and aids in falling asleep. Just have your eye on the end game – and weening your child off at the right time!

Dr. Frankel is a dual trained Orthodontist and Board certified Pediatric Dentist. His state of the art practice focuses on proper diagnosis, a child friendly mother approved office, and doing things right, so you can have a beautiful smile.


AGD guidelines, AAPD guidelines, Maimonides Orthodontic handbook