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When and How Should I Get Rid of the Pacifier?

Mandi Franklin, CPNP

Updated: Oct 26, 2022

Getting rid of the pacifier can be one of the hardest hurdles for parents. For my patients, I recommend weaning the pacifier around one and discontinuing it by age 2.


Let’s first talk about the positives of pacifier usage:

  1. Decreases the risk of Sudden Infant Death Syndrome (SIDS)

  2. Provides comfort for a crying or fussy infant

  3. You can get rid of a pacifier, but you can’t get rid of a thumb!


Now let’s discuss the negatives of (prolonged) pacifier usage:

  1. Dental Health- pacifiers can change the shape and alignment of teeth over time

  2. Illness- Consider that pacifiers are sometimes dropped on the floor and then put back in a child's mouth (ew). There is also evidence that pacifiers can increase the risk of ear infections in children (>6 months old)

  3. Speech- Back to point #1, if the shape of the palate is altered, this can lead to articulation issues and other negative consequences on speech development


CREATIVE WAYS TO SAY GOODBYE TO THE BINKY:

  • 1Trim the pacifier tip daily until there is essentially nothing left

  • If your child is into trucks, have him/her give her pacifiers to the trash truck or drop them off at the firehouse

  • My favorite trick is taking the pacifiers to Build-A-Bear and having your child stuff them into their bear for safekeeping

  • Cold turkey- just get rid of it. It will probably be a few difficult days, but it’ll pay off!

  • If the above measures are too drastic for you, try weaning the pacifier for naps and bedtime only. After a few weeks, limit the pacifier to naps only. Eventually, you will cut it out completely


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DISCLAIMER The Petite NP blog and social media accounts are not a substitute for medical advice from your health care team. The information provided is for educational purposes only. As always, if you believe you are having a medical emergency, please call 911 immediately.

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