The American Academy of Pediatric Dentistry prefers pacifiers to thumbs.
The sucking reflex begins before birth. Babies suck for comfort, pleasure and to feel safe according to The of Pediatric Dentistry. During the first year of life it is suggested a baby use a pacifier. Orthodontic issues increase over prolonged periods of usage. There are many types of pacifiers on the market, which can make selecting the correct pacifier difficult.
Nipple shape
Pacifiers come in many nipple shapes, from round and thin to large bulbs at the end of the pacifier. The shape of an orthodontic pacifier nipple has a flatten end. This shape simulates the shape of a natural nipple and encourages the healthy sucking reflex. Orthodontic pacifiers are designed for the growing baby's palate and gums. Children who use an orthodontic pacifier are less likely to have an over or open bite according to Dr. Greene Pediatric website.
Shield
The shield of the pacifier is the exterior portion of the pacifier that covers the mouth of the child. The shield's width should be at least 1 to 1 1/2 inches to keep the child from being able to bring the entire pacifier into her mouth and choke. The shield also should be vented, to allow air flow and saliva to escape from behind the shield. Non-vented pacifiers can cause rashes around the mouth.
Materials
Pacifier nipples are typically made out of latex or silicone. Latex nipples are softer and more flexible than silicone nipples. According to the Orthodontic Pacifier website, latex nipples are more easily accepted by babies. Silicone nipples are more durable and will last longer than latex nipples. This means the silicone pacifier does not need to be replaced as often as the latex one.
Washable
The pacifier must be washable and dishwasher safe. Running the nipple through the dishwasher removes any bacteria that may build up on the pacifier between uses. Keep multiple pacifiers available in case the child needs a pacifier while the main pacifier is in the dishwasher.
Size
The nipples on the pacifier come in different sizes. Select age appropriate nipple sizes for your child. Each pacifier brand lists the nipple shape and size on the packaging to make this selection process easier.
When to Replace
Pacifiers will not last forever. Periodically check the pacifier for potential issues. If the nipple of the pacifier is discolored, cracked or torn the pacifier should be discarded. In addition, if the child is able to place the entire pacifier, including the shield, into her mouth, the pacifier should be thrown away to avoid a choking hazard.
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