Your Preschooler This Month

Friday, March 29, 2024
You and Your Toddler 56 Months
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Growing Up: The Preschool Years
Title
What to Do About Thumbsucking

Sucking on a pacifier, thumb, or finger(s) is a self-soothing behavior for up to 90% of babies. Most children gradually lose interest in what's called "non-nutritive sucking" -- sucking for reasons other than feeding -- by the time they are 4 or 5 years old; however, many will ditch the habit soon after their first birthday.

Overly enthusiastic non-nutritive sucking can create dental problems as well as speech delays. In addition, when the object being sucked is dirty, children may be at higher risk for catching colds and other viruses or developing ear infections.

So what's a parent to do? Although a pacifier can be removed relatively easily from a child, that just isn't possible when it comes to the thumb or fingers. Most children can stop a pacifier cold turkey around 18 months of age (although they may still be looking for it for a day or so). Thumb sucking can take much longer to stop (even years), but here are some tips to try until your child is ready to keep the thumb out of her mouth for good:

First, try to ignore her thumb sucking behavior. It may stop on its own.

Look for patterns to your child's thumb sucking and manage any stress that seems to trigger her habit.

Try to limit thumb sucking to naps/bedtime. She may realize she doesn't need to suck as much as she used to.

Give her an alternative to hold on to such as a small blanket or cloth or a stuffed animal.

Make sure she washes her hands first if she must suck.

Try to get her involved in stopping. (This tends to work best in children 4 years or older.) Reward her for periods without thumb sucking, and ask your pediatrician if a bitter-tasting liquid applied to her thumb may help.

For very stubborn suckers, your child's dentist may recommend using an oral appliance to help remind her not to suck her thumb.



Next Month: Taming Temper Tantrums

About Dr. Jennifer Shu


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