Pavacare - Unburden your parenting journey

The use of a dummy, also known as a pacifier or soother, is a topic often clouded by strong opinions and conflicting advice. However, when viewed objectively, a dummy is simply a tool designed to satisfy a baby’s natural non-nutritive sucking instinct. While it is not a requirement for every infant, understanding the biological benefits and the practical safety requirements allows you to make an informed decision that supports your baby’s comfort and your own peace of mind.

One of the most persistent myths is that using a dummy will inevitably lead to "nipple confusion" and sabotage breastfeeding. While some healthcare providers recommend waiting until breastfeeding is well-established (usually around three to four weeks) before introducing a dummy, many recent studies suggest that for healthy infants, the risk of nipple confusion is lower than previously thought. Another common fear is that dummies cause permanent dental damage. While prolonged use into the preschool years can affect the alignment of permanent teeth, using a dummy in infancy typically does not cause long-term orthodontic issues, especially if the habit is phased out by age of two.

On the positive side, one of the most significant benefits of dummy use is its association with a reduced risk of Sudden Infant Death Syndrome (SIDS). Leading pediatric organizations, including the American Academy of Pediatrics (AAP), suggest offering a dummy at naptime and bedtime once breastfeeding is established. The presence of a dummy may help keep the airway open or prevent the baby from falling into a dangerously deep sleep. Furthermore, dummies are highly effective for pain relief during minor medical procedures or for soothing a baby who has a high "sucking drive" that exceeds their nutritional needs.

Despite their benefits, there are specific situations where a dummy should be avoided. A dummy should never be used as a "plug" to delay or replace a feeding. If a baby is showing hunger cues, such as rooting, sucking on hands, or smacking lips, offering a dummy instead of a feed can lead to poor weight gain and a decrease in mother’s milk supply. Additionally, if your baby suffers from frequent middle-ear infections, a healthcare professional may suggest limiting dummy use, as the act of sucking can sometimes interfere with the drainage of the Eustachian tubes, potentially exacerbating the condition.

Because dummies spend a significant amount of time in a baby’s mouth, strict hygiene is non-negotiable. For infants under six months of age, whose immune systems are still developing, dummies should be sterilized daily. This can be done by boiling the dummy for five minutes, using a steam sterilizer, or using a dishwasher on a high-heat cycle if the manufacturer’s instructions allow. For older babies, washing with warm, soapy water and rinsing thoroughly is usually sufficient.

Furthermore, never dip a dummy in sugar, honey, or juice to encourage the baby to take it, as this can lead to rapid tooth decay even before the teeth have fully erupted.

It is important to note that dummies are not permanent items and must be replaced frequently for both hygiene and safety reasons. Most manufacturers recommend replacing a dummy every four to eight weeks. Over time, the material, whether silicone or latex, can degrade due to exposure to saliva, heat, and sunlight. Latex dummies tend to break down faster and can become "sticky" or porous, which allows bacteria to hide in the material. Silicone dummies are more durable but can develop small tears if the baby has started teething.

Before every single use, you should perform a "pull test". Grasp the teat and pull firmly on the base or shield to ensure it is securely attached. If you see any signs of thinning, cracks, holes, or discoloration, discard the dummy immediately. A weakened teat can detach and become a life-threatening choking hazard. Finally, never attach a dummy to a cord, ribbon, or string that is long enough to wrap around the baby’s neck, as this poses a severe strangulation risk. Only use safety-tested dummy clips that meet regional safety standards and are attached to the baby’s clothing at a safe length.

A gentle reminder: The content in this article is for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your pediatrician or another qualified health provider with any questions you may have regarding a medical condition. If you are facing a problem that feels sharp, persistent, or overwhelming, reaching out for professional help is a sign of strength.

Sources:

https://www.aapd.org/globalassets/media/policies_guidelines/p_pacifiers.pdf

https://publications.aap.org/pediatrics/article/150/1/e2022057990/188304/Sleep-Related-Infant-Deaths-Updated-2022?autologincheck=redirected