How Thumb Sucking and Pacifiers Influence Tooth Alignment

February 25, 2026
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Posted By: Dr. James Guymon

Thumb sucking and pacifier use are common comfort habits for infants and young children. These behaviors are normal during the first few years of life. In the long run, however, they can affect tooth alignment and bite development. Understanding how these habits influence oral health helps parents support their children’s smiles while minimizing potential complications.

The Effects on Teeth and Bite

Extended thumb sucking or pacifier use can put pressure on the teeth and jaws, sometimes leading to:

  • Open bite — Front teeth that don’t meet properly when the mouth is closed.
  • Overbite/Misalignment — Due to shifting in the lower jaw or upper teeth that protrude.
  • Changes in palate shape — Prolonged pressure can alter the roof of the mouth, affecting how teeth fit together.

The severity depends on the frequency, duration, and intensity of the habit. Occasional use during early infancy usually does not cause lasting problems, but continued use after age three can increase the risk of alignment issues. Regular visits to a children’s dentist are the best way to ensure early detection. 

Most children naturally outgrow thumb sucking and pacifier use between ages two and four as they develop new ways to self-soothe. Gentle encouragement and consistent routines can support this transition. If the habit persists as permanent teeth begin to emerge, your dentist can provide guidance on appropriate solutions.

Encouraging Healthy Habits

Pediatric dentists recommend monitoring kids’ habits and providing gentle, gradual guidance to reduce thumb sucking or pacifier use over time. Positive reinforcement, comfort strategies, and age-appropriate distractions can help children gradually stop the habit before permanent teeth emerge. Timely intervention can prevent more complex orthodontic treatment later and ensure healthy bite development.

Caring and Supportive Pediatric Dental Care in Phoenix

If you’re in Phoenix and want to learn more about how thumb sucking and pacifiers influence your child’s dental development and alignment, contact Dr. James Guymon and the excellent Tatum Pediatric Dentistry team to schedule a consultation.