Do Pacifiers Mess Up Teeth? The Truth About Oral Health

Babies are adorable little creatures, but raising them can pose some challenges, especially when it comes to their oral development. Every parent is concerned about their baby’s oral health, and it’s not uncommon to wonder whether pacifiers mess up teeth.

In this article, we will explore the truth about pacifiers, how they can affect a baby’s teeth, and what parents can do to ensure their baby’s teeth grow correctly. We will also answer some of the most common questions related to the topic.

What is a Pacifier?

A pacifier is a rubber, silicone, or plastic nipple-like object that babies can suckle on to soothe themselves. They come in various shapes, sizes, and colors, and some even have designs or patterns.

Most babies start to develop a sucking reflex from the moment they are born, and pacifiers can be a great source of comfort for them. Pacifiers can help babies self-soothe, relax, and even fall asleep. They can also help reduce the risk of Sudden Infant Death Syndrome (SIDS) when used at bedtime.

Do Pacifiers Mess Up Teeth?

The answer is both yes and no. Pacifiers, when used correctly, do not mess up teeth. However, prolonged, frequent, and inappropriate use of pacifiers can pose a risk to a baby’s oral health.

How Do Pacifiers Affect a Baby’s Teeth?

Pacifiers can affect a baby’s teeth in the following ways:

  • Altered Bite: Frequent use of pacifiers can alter a baby’s bite or how their teeth grow and develop. Prolonged sucking can push the upper front teeth out and the lower front teeth in, leading to an overbite or an underbite.
  • Tooth Decay: Pacifiers can harbor bacteria and lead to tooth decay if not cleaned properly. Additionally, dipping pacifiers in sugar, honey, or other sweeteners can increase the risk of tooth decay.
  • Speech Problems: Prolonged pacifier use can interfere with a baby’s speech development. Babies need to move their tongues and mouths properly to develop proper speech skills, and prolonged sucking can hinder that development.

When is Pacifier Use Appropriate?

According to the American Academy of Pediatrics (AAP), pacifier use is appropriate in the following situations:

  • During sleep time or naptime
  • To calm a fussy baby
  • To comfort a baby during medical procedures, such as vaccinations

How to Ensure Your Baby’s Teeth Grow Correctly

There are several things parents can do to ensure their baby’s teeth grow correctly. These include:

  • Limit pacifier use to sleep time or naptime
  • Try to wean your baby off the pacifier by the age of two or earlier
  • Clean the pacifier regularly and avoid dipping it in sugar or other sweeteners
  • Visit a pediatric dentist regularly, starting from six months of age or as soon as the first tooth emerges

What if Your Baby Refuses the Pacifier?

Not all babies like pacifiers, and some may refuse them altogether. If your baby refuses the pacifier, do not force them to use it. There are other ways to soothe a fussy baby, such as swaddling, singing, or holding them.

Common Questions and Answers

  • Q: Can pacifier use cause dental problems in adults?
  • A: No, pacifier use does not cause dental problems in adults. However, it can cause oral issues in children if not used correctly.
  • Q: What should I do if my baby develops a pacifier habit?
  • A: Try to limit pacifier use to sleep time or naptime and wean your baby off the pacifier by the age of two or earlier.
  • Q: Can pacifier use cause ear infections?
  • A: Yes, pacifier use can increase the risk of ear infections, especially if used during or after a cold or flu.
  • Q: How do I clean my baby’s pacifier?
  • A: Wash the pacifier with warm water and mild soap, rinse it thoroughly, and let it dry before giving it back to your baby. Do not boil, microwave, or run the pacifier through the dishwasher.

The Bottom Line

Pacifiers can be a great source of comfort and can help calm a fussy baby. However, they should be used appropriately and not become a habit. Parents should ensure their baby’s oral health by limiting pacifier use, cleaning pacifiers properly, and visiting a pediatric dentist regularly.

If you have any concerns about your baby’s teeth or oral development, contact a pediatric dentist for advice and guidance.


  • American Academy of Pediatrics. (2013, November). What Are the Risks of Using Pacifiers?
  • American Dental Association. (n.d.). Pacifiers.
  • Khakbiz, S., & Abdi, A. (2019). How Pacifier Use Affects Oral Motor Development in Infants. Journal of Pediatrics Reviews, 7(1), 9-15.

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