Originally featured in babyvibe.ca, October 7, 2008

Thumb sucking

by Dr. Darren Sam

Is it normal and when should my toddler stop?

Babies are born with the natural desire to suck. In fact, the act of swallowing and sucking begins as early as 13 to 16 weeks in utero development. A common concern for parents of toddlers is the consequence of prolonged thumb sucking.

It’s natural

Thumb sucking is perfectly natural and normal for babies and toddlers until the age of three. Most toddlers will stop thumb sucking on their own between the ages of two to four.

The down side

Problems may result if you toddler continues to thumb suck past the age of four. These issues include speech impediment, abnormal movement of the teeth which requires orthodontic treatment and potential social and emotional trauma:

-Prolonged thumb sucking can cause the upper front teeth to move forward and the lower front teeth to move inward making it difficult for the child to enunciate words properly.

-In most cases, abnormal movement of the teeth caused by thumb sucking is resolved if the habit is stopped prior to the eruption of the permanent teeth, usually around six years of age.

-Orthodontic treatment may be required if your toddler’s permanent teeth have been affected adversely from prolonged thumb sucking.

-Adults or peers may tease an older toddler or child that continues to thumb suck, resulting in possible social and emotional trauma.

The Do’s and Don’ts of treating thumb sucking

Remember, thumb sucking is natural and a common form of self-soothing for young babies and toddlers up to the age of three. Use the following tips a guideline for helping you wean your toddler from thumb sucking (if necessary):

DO – use a non-toxic, bitter tasting polish specifically designed for weaning children off thumb sucking. Apply the polish on your toddler’s thumbs in the morning or just before bedtime. Ask your family dentist or local pharmacist for information about this type of product.

DON’T – punish your child for thumb sucking

DO – try a reward system such as a sticker chart. For example you can place a sticker on a calendar for each thumb sucking free day. After a period of time, you can reward your toddler with praise or a special privilege.

DON’T – let siblings or adults tease your child for thumb sucking

DO – try to put a positive spin on the weaning process by using a combination of the two suggested techniques. Talk to your family dentist if you need more ideas.

Above all, remember that like any other habit, it takes time and effort to break your toddler from thumb sucking. Involve your family physician or pediatrician and dentist in the treatment of thumb sucking if necessary – they are there to help you succeed.

Wednesday, November 7, 2007 – B.C. and Calgary

What’s the vibe today . . .

Teaching your toddler good oral hygiene habits

Oral hygiene care is often neglected by parents or unfortunately not considered a priority in our busy lifestyles. It is important for parents to set their toddlers in the right direction by making oral hygiene care a part of the daily routine during early infancy. Early tooth decay prevention starts with good home care.

Early prevention is key

Start brushing your child’s teeth and gums as soon as the first tooth erupts. This will help to foster a routine and encourage lifelong good oral hygiene habits. If you feel intimated or nervous about using a soft bristle toothbrush, you may start with a clean piece of gauze or a soft cloth wrapped around your finger. Make sure you brush in an up and down motion along your child’s gum line where plaque tends to be trapped.

Make brushing a part of your toddler’s routine

Establish a routine by brushing your toddler’s teeth twice a day. Try brushing your child’s teeth after breakfast every morning and in the evening just before bedtime. Allow your child to brush his or her own teeth. This will help your toddler feel a sense of achievement and enjoyment in learning to master a task on his own.

Tips for brushing your tot’s teeth

• Try sitting knee to knee with your toddler so you have optimal vision and reach while brushing and flossing
• You can also mimic the dental chair position by allowing your child to put his or her head in your lap
• Be persistent but not forceful — try your best and your toddler will eventually accept the task of brushing his or her teeth as a part of the daily routine.

Choosing the right toothbrush

Toothbrushes come in many sizes and shapes. Brushes with soft rounded nylon bristles are the best choice for your little one. Both parent and child should choose a design that they feel comfortable with. For example, if your child has a sensitive gag-reflex, consider a brush with a narrow head and fewer bristles. You may also consider an electric or novelty toothbrush to help make brushing more fun. Remember to replace your child’s toothbrush every three months or when the bristles are well-worn.

Visit the family dentist regularly

Good oral hygiene care starts at home but it is very important for families to maintain a regular relationship with their family dentist. Bring your toddler in for a dental check up and cleaning every six months to ensure your child is brushing well and staying cavity free!