Kids!
MARCH 23, 2012
Thumb sucking CONTINUED FROM PAGE 7A
for some nighttime thumb suckers. There are also thumb coverings that look like gloves, but that cover only the thumbs. Of course, all these strategies work only as long as the band-aid or mitten stays on the hand, since kids can remove them at will. It is possible to buy “thumb guards” made of plastic. They strap on the hands and make it impossible to suck the thumbs, but some determined children have been known to figure out how to remove them, or to chew right through them. If all else fails and a dentist or orthodontist determines that a child is on the way to developing serious problems, a consultation with an orofacial myologist may help. “An orthodontist will never put braces on a child who still sucks his thumb,” said Heitzler. The habit has to be broken first, or the act of sucking will defeat the whole purpose of braces. Fabbie noted that it’s important not just to break the sucking habit, but to undo the other problems that go along with it, such as improper placement of the tongue in the mouth. “A child has a habit that is causing the problem,” she said. “You can put the braces on, but when you take the braces off, if the child isn’t retrained it will go right back.” During therapy, said Fabbie, “We retrain the tongue and lips, and retrain the supporting muscles to keep the beautiful faces we hope to have.”
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THE RECORD-REVIEW |PAGE 17A
Pacifier dos and don’ts
acifiers should not be used by children over 2 to 3 years of age because of the risk of damaging the jaws and teeth. But they are generally harmless for younger infants if they are used correctly, and they can even have health benefits. The American Academy of Pediatrics, in a 2011 report on safe sleeping environments for infants, recommends offering a pacifier to young babies at nap and sleep time: “Although the mechanism is yet unclear, studies have reported a protective effect of pacifiers on the incidence of Sudden Infant Death Syndrome,” the report states. The protective effect is believed to continue throughout the sleep period even if the pacifier falls out of the baby’s mouth. If you do decide to let your baby use a pacifier, take these precautions: • Do choose a one-piece pacifier if possible. Two-piece pacifiers can come apart with vigorous use. • Do choose a pacifier with air vents in the shield. • Do be sure the pacifier shield is wider than the baby’s mouth. Discard tiny pacifiers after the baby has
outgrown them. • Do choose a pacifier with a symmetrical nipple that will stay in the right sucking position in the baby’s mouth. • Do clean the pacifier frequently with soap and water, or at least in clean running water. • Don’t use a pacifier that is broken or damaged in any way. Check pacifiers for cracks, and pull on the
nipple before giving it to the child to be sure it is not damaged. • Don’t coat a pacifier with any substance such as sugar or syrup. In particular, never give a baby honey or corn syrup, whether on a pacifier, a finger, or in any other form, as these products can cause botulism in infants. • Don’t hang a pacifier around the baby’s neck. Pacifiers attached to a ribbon clipped on to a baby’s clothes should only be used under constant supervision. A baby should never be left alone with a pacifier clipped to a stuffed animal in the crib; suffocation can result. • Don’t clean a dropped pacifier by putting it in your own mouth. Even mom’s mouth has plenty of germs. • Don’t buy cheap, off-brand pacifiers. • Don’t use a pacifier before breast-feeding is well established. The American Academy of Pediatrics recommends waiting four to six weeks before introducing a pacifier. • Don’t let a toddler walk around with a pacifier in her mouth all day. It can cause orthodontic and speech problems later. — JACKIE LUPO
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