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Thumb Sucking

WHAT YOU SHOULD KNOW

Thumb or finger sucking is common in children. A child's need to suck is very strong during the first 6 months; and thumb sucking may start anytime from birth to 3 months of age. Usually, the child will drop the habit by the time he or she turns 4; but some children continue until they start school. Thumb sucking is not a sign of emotional problems. In fact, unless it makes the child unhappy, you need not worry about it. However, if it continues past 7 years it can lead to long-term tooth problems.

Causes

All children are born with a need to suck in order to receive nourishment. However, we do not know why some children are more prone to thumb sucking than others.

Care

The best way for you to deal with thumb sucking is to ignore it. Medicines, reminders, and rewards may help break the habit. Punishment is not effective.

WHAT YOU SHOULD DO

  • If your child is younger than 4 years:
    • A pacifier may divert the child from thumb sucking.
    • If the child is bored, give him or her something to do with his hands. Praise the child for not sucking. Punishment may result in even more sucking.
  • If your child is 4 years or older:
    • Ask the child if it's OK to say something when he or she starts sucking. Praise the youngster for not sucking. Even if the child has been sucking, praise any sign of stopping.
    • When the child avoids sucking, give a special reward at the end of the day. For example, read another bedtime story or hand out a snack. You may want to use a penny, nickel, or a dime as a reward. Put a star on a calendar each day the child avoids sucking.
    • If your youngster agrees, put sour-tasting over-the-counter medicine on the thumb or finger. However, do not use the medicine as a punishment. Let the child put the medicine on the thumb or finger before breakfast, before bed, or before any favorite sucking time.
  • Tell the dentist that your child is thumb or finger sucking. If the youngster is 7 or 8 years old, he may put a bar in the upper part of the mouth to prevent the child from sucking.
  • Never pull the thumb out of your youngster's mouth.
  • Do not complain about the habit in front of the child.
  • Do not scold, slap the child's hands, or do anything to punish him or her for sucking.

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