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Thomas P. Connelly, D.D.S.

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How to Prevent Your Child From Thumb Sucking

Posted: 05/25/10 11:42 AM ET

Last week, we discussed nail biting, and the problems related with this habit. Staying on that general theme, let's discuss thumb-sucking today.

Thumb sucking is something every parent is acutely aware of - almost all children suck their thumbs at one time or another. In fact, it's a completely natural phenomena that seems to be somewhat hardwired into an infant's brain (babies have even been observed sucking thumbs in the womb.)

But why sucking? Well, early in their lives, babies need to suck to feed, whether from a nipple or from a bottle. So we can see why sucking would be a natural habit to develop. Sucking is also very calming for infants, and is believed to be a way for babies to relieve stress and anxiety.

Let me give you a few numbers on thumb sucking (these statistics are amalgamated from a variety of sources):

  • About 95 percent of babies suck their thumb
  • About 10 percent will do so beyond the age of two to three
  • About five percent will do so beyond the ages of four and five

Numbers on adult thumb sucking are difficult to find, or even believe. This is because the habit is not something most people easily admit. But as a dentist, I know some adults still suck their thumbs.

Thumb Sucking and your mouth/teeth

The first thing I want to tell parents is... relax. Yes, there are all kinds of horror stories about thumb sucking and deformed mouths or jaws. But as I mentioned earlier, thumb sucking is natural. It's not going to become a problem until adult teeth start to come in. And, from all indications, most children will have stopped on their own by then. In fact, let's use that as our barometer. If your child's adult teeth have not started coming in, don't worry too much about thumb sucking - there's no sense in worrying about your two or three year old sucking his or her thumb. In all likelihood, he or she will stop in another year or so.

But ok, let's say your child is still sucking his or her thumb after adult teeth start to come in -- what can happen? Well, there are a few things that can happen. Let's start with the teeth themselves. Sucking one's thumb will cause permanent teeth to move. The front teeth are the ones that are most affected -- the upper front teeth will move outward, and the lower front teeth will move inward.

Also, the jaw can be reshaped, as this area is still soft and developing. In addition, prolonged thumb sucking can affect the growth of the palate (the roof of the mouth), which can lead to problems with chewing or swallowing, cause an overbite, and even affect speaking.

Now, not all of these problems are going to happen to everyone. I know adult thumb suckers who have no trouble speaking, etc. But the teeth problem is pretty much going to happen universally. Trust me, these adult thumb suckers I "know" didn't tell me they sucked their thumbs -- I can just tell. So it is something parents want to pay attention to as children age.

Aside from physical problems, many of the problems I mentioned in the nail-biting post will be prevalent with thumb suckers as well -- in short, it's really not the most hygienic thing we can do.

How to stop children (and adults) from sucking their thumbs

There are several ways to break the habit. The first step, however, is to recognize that it is a nervous habit. Thumb sucking at advanced ages is a stress reliever. So any attempt to break the habit should take this into consideration (in other words, is there something that can be done to the home environment to make thumb sucking unnecessary? Maybe, maybe not, but it's worth asking).

The popular "bad taste" solutions can be used, but personally, I'd rather see other methods used with children first. My favorite technique is a simple discussion on how it's a bad habit and needs to be broken, followed by verbal and physical reminders (like a band-aid or a mitten). In my experience, given a little time, this method (coupled with perhaps small rewards for success) has worked quite well.

You can also replace the thumb with a pacifier or other toy. While this doesn't totally relieve the problem, an "outside" device to suck on is easier to give up -- similar to using nicotine gum to stop smoking. And as any adult who has successfully done such, the "replacement" method has merits.

Good luck, and until next time, keep smiling!

 

Follow Thomas P. Connelly, D.D.S. on Twitter: www.twitter.com/dr_connelly

Last week, we discussed nail biting, and the problems related with this habit. Staying on that general theme, let's discuss thumb-sucking today. Thumb sucking is something every parent is acutely aw...
Last week, we discussed nail biting, and the problems related with this habit. Staying on that general theme, let's discuss thumb-sucking today. Thumb sucking is something every parent is acutely aw...
 
 
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09:16 AM on 05/26/2010
Hi there,

I had the same experience with my son. All he loves to do is suck his thumb. I've tried all these different thing but he just switches to this other thumb. We tried putting all these things on his thumb, but after he licked it he would then wipe it in his shirt and just suck again no matter how bad the taste was.

I then just thought I would give up; I figured he isn't hurting anyone and that was his security blanked. Then I asked his doctor about it and he told me all the bad things that can happen as far as his teeth are concerned & its stops your chin development!

He told me to look at adults with no chin form and that most likely means they sucked the them...

So I searched the internet and found these pair of gloves...he loved wearing them & after a couple of months he has stopped sucking his thumb!

The funny part is we just bought him another pair because he loves wearing them...he calls himself Sonic the Hedgehog...lol

Here is the site in case anyone else is looking

http://endthumbsucking.com/
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knucklelady
The prettiest dresses are worn to be taken off.
08:29 AM on 05/26/2010
Ninety-five percent of babies suck their thumbs? I have four children and none sucked their thumbs. However, they had pacifiers. Well, three did anyway. One didn't want a pacifier, just loved his bottle after I stopped breast-feeding.

I have a theory, and feel more than confident about it after raising 4 children. Give babies what they *need* and they will grow out of it when they're ready. Sure, a little coaxing(guiding) might be involved, but it is still something they will gradually grow out of. For instance, my children went from sucking a pacifier a bit, to just having it a naptime and bedtime. Then gradually just bedtime. Then none at all. Think about it like potty-training. They will when they're ready! And not before. Then, with guidance, they can be put in training pants, and then just at night, and then none at all.

With my oldest I did everything "by the book." I took away his pacifier and his bottle(only breast fed him for 4 months) at 6months because that is what I was "supposed to do." And you know what? To this day, he has to put things in his mouth! He's twelve! I am convinced it is because I denied him the oral stimulation he needed... when he needed it. With my next three children, I let them take the lead, with some guidance from me towards the end... and they have NO oral fixation whatsoever.
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fcsakes
06:20 AM on 05/26/2010
Thumb sucking is best stopped by six months of age and easily done. It's a method that I used with all of my children and it worked with each of them.

For obvious reasons, the sucking instinct is strongest during the first six months of life - after that it is truly a habit and much harder to break. My children's pediatrician (who I still consider to be the best physician I ever encountered) instructed me in what to do to prevent thumb sucking and I followed it to the letter - worked like a charm. No stress on the child, no crying, no compensating behaviors.
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KIMBER
Reality has a pronounced liberal bias.
12:47 AM on 05/26/2010
My cousin was an incorrigible thumb sucker, resistant to all attempts to stop him. He sucked his thumb 24 hours a day, whether he was awake or asleep, and it had gotten so bad that his thumb was raw, and still he would not stop. His father worked on the railroad with a man who had lost both of his thumbs in an accident. Upon hearing about my cousin’s unstoppable habit, the man stepped up and said he could stop him in a minute. The man was invited over, whereupon he proceeded to place his hands on the table, gesture, make sure my cousin saw his hands, which of course he did. He stared at the man’s thumb-less hands until he could no longer resist, and asked the man what happened to his thumbs. The man said that when he was a little boy he had sucked his thumbs so badly that one day he sucked them right off. The man was right – my cousin took his thumb out of his mouth and never sucked it again.
12:00 AM on 05/26/2010
I agree that the bad tasting polishes should not be used to stop thumb sucking and that there are other solutions. And you also mentioned that you can replace thumb sucking with a toy...but there is a really great product called "Thumbuddy To Love" that helps kids stop thumb sucking. It comes with a book and thumb puppet and they can even put it on their thumb at night. It teaches them in a fun and positive way to gently breatk the habit. You can get it on Amazon or google it.


http://www.thumbuddytolove.com
09:02 PM on 05/25/2010
Let them smoke...................only filters, of course.
08:12 PM on 05/25/2010
Eh...I had one thumbsucker kid, one pacifier kid, and one kid who didn't use anything. The orthodontics bills were all the same.
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thinkingwomanmillstone
My life is microbiodegradable.
05:14 PM on 05/25/2010
Is there a relationship between thumb sucking and bottle fed vs. breast fed babies? All three of my children were breastfed on demand for their first year (only breast milk for six months). None of them were thumb suckers or liked pacifiers. Does the added sucking required to breastfeed cut down on the need to thumbsuck?
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Tulka2
Solidarity. Courage. Humor.
05:44 PM on 05/25/2010
I wonder that too. I would also like to see a study that follows adult habits like cigarette smoking and dysfunctional relationship to food correlated with breast or bottle.

My theory is, give a baby the exact kind of sucking they need, when they need it and they will grow out of oral fixation when they are supposed to....around age two to three.
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knucklelady
The prettiest dresses are worn to be taken off.
08:32 AM on 05/26/2010
Not so sure about breast vs bottle where oral fixation is concerned because they BOTH provide the satisfaction.

I did both... bottle and breast. As well as pacifier if they wanted it.

I have four children. My theory? Just like your other responder... give them what they need and they will grow out of it.
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thinkingwomanmillstone
My life is microbiodegradable.
01:46 PM on 05/26/2010
I have no scientific study of this but the difference in sucking between a bottle and breast is major. It's much more work and takes much longer to feed from the breast than to drink a bottle. Not advocating just hypothesizing.