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AS S E E N By Dr. Glenn V. Hemberger I N when biting off food. The back teeth are also affected t seems there is never a shortage of causing the upper teeth and advice in raising your baby and the palate to become too narrow use of a pacifier is no exception. The to bite properly with the advice, however, often varies wildly lower teeth. While some of when the questions are asked: When these dental problems may eventually self-correct when the pacifier is no longer used, frequently they will continue resulting in the need for early and extra orthodontic correction. Prolonged pacifier use can also contribute to lisping during speech development and difficulty in proper swallowing of solid foods. This is due to an anterior tongue posture often known as “tongue thrust.” In most should I give my baby the pacifier? cases, improvement in both speech and When and how should I wean? Are swallowing will occur when the pacithere any ill-effects? Is it necessary at fier’s use is totally discontinued. The all? sooner its use is curtailed, the more Most experts agree that babies do quickly will be the improvement. have a real need for sucking and the The weaning process is difficult for pacifier’s use does fulfill this desire. The some parents. Although immediate pacifier may, in some cases, even recurtailment of the pacifier works well place the thumb in non-nutritive suck- for children with a mild propensity, ing and is certainly more easily others present more of a challenge. A controlled. The key word, however, is child’s desire for the pacifier can be controlled. lessened quickly if the parents place A pacifier should never be forced on small holes in the nipple. The main ina child just because of crying. The gredient in a quick and successful baby’s crying could well be unrelated weaning process is the resolve the parto their need to suck. ent presents. Your child will quickly Your child should not be allowed to pick up on this and will give you conhave the siderably less of a challenge. A small pacifier at all times during the day. The child can not be expected to make this emphasis, again, is to control the use of decision on their own. the pacifier and mainly limit it to bedIn conclusion, the pacifier is recomtime. mended to help satisfy your baby’s When you child begins to crawl, the need for sucking but parents must be weaning process should already begin. in control of its use. By 12-16 months of age, total weaning should have taken place. Prolonged use Dr. Glenn V. Hemberger, D.D.S., M.S. of the pacifier (past 16 months of age) specializes in dental care from baby’s first can have several ill-effects on the teeth. check-up (12-18 months) to preventative The baby’s front teeth position is al- care. He also provides orthodontic care. tered to where they cannot function I Pacifier