Should my child use a dummy or pacifier?

Pacifiers or dummies can affect the teeth and potentially cause orthodontic movement in several ways, especially with prolonged or improper use. Here's how:

1. Misalignment of Teeth:

   Extended use of a pacifier can lead to misalignment of the teeth. This is because the constant pressure applied by the pacifier against the front teeth and the jaw can alter the shape of the mouth and the alignment of the teeth. This is particularly concerning when the natural weaning off a pacifier doesn't happen, and its use is continued as the permanent teeth begin to emerge.

2. Development of an Open Bite:

   An open bite occurs when the upper and lower teeth don't touch each other when the mouth is closed. Consistent use of a pacifier can lead to this condition because the pacifier holds the teeth apart for prolonged periods, potentially impeding natural growth and alignment.

3. Overbite Development:

   An overbite is characterized by the upper front teeth protruding over the lower front teeth. A pacifier can contribute to this condition if it pushes the upper teeth forward over time, which can be aesthetically displeasing and might affect the bite, requiring orthodontic treatment to correct.

4. Palatal Changes:

   The roof of the mouth (palate) can also be affected by prolonged pacifier use. The pressure exerted by a pacifier can lead to a narrowing of the roof of the mouth, which can affect the way the child's teeth meet and may impact speech.

5. Crossbite:

   Continuous sucking on a pacifier can lead to uneven jaw growth, which might result in a crossbite, where some upper teeth close inside the lower teeth rather than on the outside.

6. Impact on Baby Teeth:

   Even though baby teeth are temporary, improper alignment due to pacifier use can affect the spacing and placement of permanent teeth, potentially leading to crowding or improperly spaced teeth.It's important to note that the risk of these dental issues increases with the duration and intensity of pacifier use.

   The American Academy of Pediatric Dentistry (AAPD) suggests limiting or stopping pacifier use by age 3 to reduce the risk of dental problems. Also, choosing orthodontically designed pacifiers can mitigate some risks, as these are shaped to reduce pressure on the gums and developing teeth.