Recommendations from Pediatric and Pediatric Dentistry Associations of the Americas Regarding Pacifier Use

Luana Viviam Moreira; Thainara Caroline Jordão e Silva; Laura Jordana Santos Lima; Maria Eliza da Consolação Soares; Maria Letícia Ramos Jorge; Izabella Barbosa Fernandes

Authors

Luana Viviam Moreira
Thainara Caroline Jordão e Silva
Laura Jordana Santos Lima
Maria Eliza da Consolação Soares
Maria Letícia Ramos Jorge
Izabella Barbosa Fernandes

Keywords:

Pediatric Dentistry, Sucking Behavior, Pacifiers, Child, Counseling

Abstract

Objective: To identify online recommendations from pediatric and pediatric dentistry associations of the Americas regarding the pacifier habit. Material and Methods: A search was conducted on the associations' website (November/2021 to March/2023) to the questions: (1) Recommend using a pacifier?, (2) What care?, (3) Advantages and (4) disadvantages, (5) Ideal age, and (6) methods for habit removal. Results: Among the 36 American countries, 21 were represented on websites, social media, and official guides. The most significant portion of pediatric dentistry associations (23.81%) does not recommend the use of a pacifier if the infant is exclusively breastfeeding, and recommends avoiding the offer of a pacifier in the first days of life to facilitate the establishment of breastfeeding. Some pediatric (29.63%) associations suggested that use reduces the risk of sudden infant death syndrome. Most pediatric dentistry associations (85.71%) and some pediatric associations (22.22%) linked pacifier use to breastfeeding difficulties and the occurrence of orthodontics. Most of the 20 pediatric dentistry associations stated that the habit should be removed by a maximum of three years of age (90.48%). The most reported recommendations were behavior modification techniques and positive reinforcement. Conclusion: Most pediatric dentistry associations recommend the care and disadvantages of pacifiers and the ideal age to remove them. The few pediatric associations that provide information address indications, care, advantages and disadvantages of pacifiers, age, and methods for removing them.

References

Schmid KM, Kugler R, Nalabothu P, Bosch C, Verna C. The effect of pacifier sucking on orofacial structures: A systematic literature review. Prog Orthod 2018; 19(1):8. https://doi.org/10.1186/s40510-018-0206-4

Traebert E, Zanini FA, Nunes RD, Traebert, J. Nutritional and non-nutritional habits and occurrence of malocclusions in the mixed dentition. An Acad Bras Cienc 2020; 92(1):e20190833. https://doi.org/10.1590/0001-3765202020190833

Garbin CAS, Garbin AJI, Martins RJ, Souza NPD, Moimaz, SAS. Prevalence of non-nutritive sucking habits in preschoolers and parents' perception of its relationship with malocclusions. Ciênc Saúde Col 2014; 19(02):553-558. https://doi.org/10.1590/1413-81232014192.23212012

Boeck EM, Pizzol KEDC, Barbosa EGP, Pires NCDA, Lunardi N. Prevalence of malocclusion in 3 to 6 year-old sucking habit children. Rev Odontol UNESP 2013; 42(2):110-116. https://doi.org/10.1590/S1807-25772013000200008

Dadalto ECV, Rosa EM. Knowledge about the benefits of breastfeeding and disadvantages of the pacifier related to the mother's practice with preterm infants. Rev Paul Pediatr 2017; 35(4):399-406. https://doi.org/10.1590/1984-0462/;2017;35;4;00005

Borrie FR, Bearn DR, Innes NP, Iheozor-Ejiofor Z. Interventions for the cessation of nonnutritive sucking habits in children. Cochrane Database Syst Rev 2015; 2015(3):CD008694. https://doi.org/10.1002/14651858.CD008694.pub2

Ling HTB, Sum FHKMH, Zhang L, Yeung CPW, Li KY, Wong HM, et al. The association between nutritive, nonnutritive sucking habits and primary dental occlusion. BMC Oral Health 2018; 18(1):145. https://doi.org/10.1186/s12903-018-0610-7

Orovou E, Tzitiridou-Chatzopoulou M, Dagla M, Eskitzis P, Palaska E, Iliadou M, et al. Correlation between pacifier use in preterm neonates and breastfeeding in infancy: A systematic review. Children 2022; 9(10):1585. https://doi.org/10.3390/children9101585

Ekambaram M, Irigoyen MM, Paoletti A, Siddiqui I. Impact of a baby-friendly-aligned pacifier policy on pacifier use at 1 month of age. Acad Pediatr 2019; 19(7):808-814. https://doi.org/10.1016/j.acap.2019.02.002

Moon RY, Carlin RF, Hand I. Task force on sudden infant death syndrome and the committee on fetus and newborn. Sleep-related infant deaths: Updated 2022 recommendations for reducing infant deaths in the sleep environment. Pediatrics 2022; 150(1):e2022057990. https://doi.org/10.1542/peds.2022-057991

Buccini GDS, Pérez-Escamilla R, Paulino LM, Araújo CL, Venancio SI. Pacifier use and interruption of exclusive breastfeeding: Systematic review and meta-analysis. Matern Child Nutr 2017; 13(3):e12384. https://doi.org/10.1111/mcn.12384

Góes MPSD, Araújo CMT, Góes PSA, Jamelli SR. Nonnutritive sucking habits persistence: prevalence and associated factors. Rev Bras Saúde Matern Infant 2013; 13(3):247-257. https://doi.org/10.1590/S1519-38292013000300006

Moraes RB, Knorst JK, Pfeifer ABR, Vargas-Ferreira F, Ardenghi TM. Pathways to anterior open bite after changing of pacifier sucking habit in preschool children: A cohort study. Int J Paediatr Dent 2021; 31(2):278-284. https://doi.org/10.1111/ipd.12725

Khan EB, Bibi AH, Mottani DA, Kumar S. Relationship of early weaning and nonnutritive sucking habits with facial development. J Pak Med Assoc 2022; 72(6):1118-1122. https://doi.org/10.47391/JPMA.3249

Gomes Silva Cerqueira A, Baraúna Magno M, Barja-Fidalgo F, Vicente-Gomila J, Cople Maia L, Fonseca-Gonçalves A. Recommendations from paediatric dentistry associations of the Americas on breastfeeding and sugar consumption and oral hygiene in infants for the prevention of dental caries: A bibliometric review. Int J Paediatr Dent 2021; 31(5):664-675. https://doi.org/10.1111/ipd.12754

Schmidt E, Viana SMDSA, de Mattos Andrade EB, Delgado M, Fernandes SDPIR, Reis PVS, et al. A inclusão da internet na relação médico-paciente: apenas prós? Rev Bras Clin Med São Paulo 2013; 11(4):386-390.

Miotto MHMB, Caxias FP, Campos DMKS, Ferreira LFPE, Barcellos LA. Breast feeding as a protection factor to avoid non-nutritive sucking habits. Rev CEFAC 2014; 16(1):244-251. https://doi.org/10.1590/1982-021620142113

Boccolini CS, Carvalho ML, Oliveira MI. Factors associated with exclusive breastfeeding in the first six months of life in Brazil: A systematic review. Rev Saude Publica 2015; 49:91. https://doi.org/10.1590/S0034-8910.2015049005971

Aarts C, Hörnell A, Kylberg E, Hofvander Y, Gebre-Medhin M. Breastfeeding patterns in relation to thumb sucking and pacifier use. Pediatrics 1999; 104(4):e50. https://doi.org/10.1542/peds.104.4.e50

Zimmerman E, Thompson K. Clarifying nipple confusion. J Perinatol 2015; 35(11):895-899. https://doi.org/10.1038/jp.2015.83

Jaafar SH, Ho JJ, Jahanfar S, Angolkar M. Effect of restricted pacifier use in breastfeeding term infants for increasing duration of breastfeeding. Cochrane Database Syst Rev 2016; 2016(8):CD007202. https://doi.org/10.1002/14651858.CD007202.pub4

Batista CLC, Rodrigues VP, Ribeiro VS, Nascimento MDSB. Nutritive and nonnutritive sucking patterns associated with pacifier use and bottle-feeding in full-term infants. Early Hum Dev 2019; 132:18-23. https://doi.org/10.1016/j.earlhumdev.2019.03.007

Tolppola O, Renko M, Sankilampi U, Kiviranta P, Hintikka L, Kuitunen I. Pacifier use and breastfeeding in term and preterm newborns - A systematic review and meta-analysis. Eur J Pediatr 2022; 181(9):3421-3428. https://doi.org/10.1007/s00431-022-04559-9

Kramer MS, Barr RG, Dagenais S, Yang H, Jones P, Ciofani L, et al. Pacifier use, early weaning, and cry/fuss behavior: a randomized controlled trial. JAMA 2001; 286(3):322-326. https://doi.org/10.1001/jama.286.3.322

Scudine KGO, de Freitas CN, Nascimento de Moraes KSG, Bommarito S, Possobon RF, Boni RC, et al. Multidisciplinary evaluation of pacifier removal on oro-dentofacial structures: A controlled clinical trial. Front Pediatr 2021; 9:703695. https://doi.org/10.3389/fped.2021.703695

Molina Escribano A, López Garví AJ, López Ibáñez C, Sáez Cuesta Ú. Caries del biberón. Rev Clín Med Fam 2008; 2(4):184-185. [In Spanish].

World Health Organization. Guideline: Sugars Intake for Adults and Children. Geneva: World Health Organization, 2015. 59p.

Scarpelli BB, Berger SB, Punhagui MF, Oliveira CA, Ferelle A, Oltramari-Navarro PV. Evaluation of a preventive educational program for malocclusions: 7-year study. Braz Oral Res 2016; 30(1):e119. https://doi.org/10.1590/1807-3107BOR-2016.vol30.0119

Li DK, Willinger M, Petitti DB, Odouli R, Liu L, Hoffman HJ. Use of a dummy (pacifier) during sleep and risk of sudden infant death syndrome (SIDS): Population based case-control study. BMJ 2006; 332(7532):18-22. https://doi.org/10.1136/bmj.38671.640475.55

Sexton SM, Natale R. Risks and benefits of pacifiers. Am Fam Physician 2009; 79(8):681-685.

Franco P, Chabanski S, Scaillet S, Groswasser J, Kahn A. Pacifier use modifies infant's cardiac autonomic controls during sleep. Early Hum Dev 2004; 77(1-2):99-108. https://doi.org/10.1016/j.earlhumdev.2004.02.002

Psaila K, Foster JP, Pulbrook N, Jeffery HE. Infant pacifiers for reduction in risk of sudden infant death syndrome. Cochrane Database Syst Rev 2017; 4(4):CD011147. https://doi.org/10.1002/14651858.CD011147.pub2

Queirós I, Moreira T, Pissarra, R, Soares H, Guimaraes H. Non-pharmacological management of neonatal pain: A systematic review. Minerva Pediatr 2022; 75(2):282-229. https://doi.org/10.23736/s2724-5276.22.06871-9

Abanto, J, Duarte D, Feres M. Primeiros Mil Dias do Bebê na Saúde Bucal. Nova Odessa: Napoleão, 2019. 87p. [In Portuguese].

Lubianca Neto JF, Hemb L, Silva DB. Systematic literature review of modifiable risk factors for recurrent acute otitis media in childhood. J Pediatr 2006; 82(2):87-96. https://doi.org/10.1590/S0021-75572006000200003

Burr S, Harding S, Wren Y, Deave T. The relationship between feeding and nonnutritive sucking behaviours and speech sound development: A systematic review. Folia Phoniatr Logop 2021; 73(2):75-88. https://doi.org/10.1159/000505266

Ferreira HR, Rosa EF, Antunes JL, Duarte DA, Imparato JC, Pannuti CM, et al. Prolonged pacifier use during infancy and smoking initiation in adolescence: Evidence from a historical cohort study. Eur Addict Res 2015; 21(1):33-38. https://doi.org/10.1159/000365351

Fernandes LFT, Kochenborger R, Woitchunas FE, Woitchunas DR. Influence of atypical swallowing on craniofacial pattern and on mandible morphology. RFO 2010; 15(1):52-57.

Abrão J, Moro A, Horliana RF, Shimizu RH. Ortodontia Preventiva: Diagnóstico e Tratamento. São Paulo: Artes Médicas, 2014. 240p. [In Portuguese].

Praetzel JR. Distúrbios miofuncionais da face: Um novo paradigma de atuação para a Odontopediatria. J Bras Odontopediatria Odontol Bebê 2002; 1(4):87-94. [In Portuguese].

Santos Neto ETD, Barbosa RW, Oliveira AE, Zandonade E. Factors associated with onset of mouth breathing in early child development. Rev Bras Crescimento Desenvolv Hum 2009; 19(2):237-248.

Vasconcelos FM, Massoni AC, Heimer MV, Ferreira AM, Katz CR, Rosenblatt A. Nonnutritive sucking habits, anterior open bite and associated factors in Brazilian children aged 30-59 months. Braz Dent J 2011; 22(2):140-145. https://doi.org/10.1590/s0103-64402011000200009

Massuia JM, Carvalho WO, Matsuo T. Má oclusão, hábitos bucais e aleitamento materno: Estudo de base populacional em um município de pequeno porte. Pesqui Bras Odontopediatria Clín Integr 2011; 11(3):451-457. https://doi.org/10.4034/PBOCI.2011.113.22 [In Portuguese].

Dimberg L, Lennartsson B, Söderfeldt B, Bondemark L. Malocclusions in children at 3 and 7 years of age: A longitudinal study. Eur J Orthod 2013; 35(1):131-137. https://doi.org/10.1093/ejo/cjr110

Mendes MLM, Gluszevicz AC, Saldanha MD, Costa VPP, Gabatz RIB, Michelon D. The influence of cultural reproduction on the pacifier sucking habit. Rev Pesqui Qual 2019; 7(13):89-116. https://doi.org/10.33361/RPQ.2019.v.7.n.13.132

Tanaka O, Oliveira W, Galarza M, Aoki V, Bertaiolli B. Breaking the thumb sucking habit: When compliance is essential. Case Rep Dent 2016; 2016:6010615. https://doi.org/10.1155/2016/6010615

De La Luz Ayala C. Los pediatras en la prevención de enfermedades bucales. Arch Pediatr Urug 2016; 87(3):257-262. [In Spanish].

De Oliveira BH, Grisolia BM, Dos Santos AP. Children's toothbrushing practices are recommended on the internet by pediatric dentistry associations. Pediatr Dent 2016; 38(7):484-488.

Zina LG, Moimaz SAS. Evidence-based dentistry: Steps and methods of a systematic review. Arq Odontol 2012; 48(3):188-199. https://doi.org/10.7308/aodontol/2012.48.3.10