Should I Let My Toddler Suck Their Thumb or Help Them Stop? - Pediatrics

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Baby thumb sucking?


Hello, doctor.
My child is currently one year and four months old and has developed a habit of sucking her thumb to fall asleep.
I initially planned to let it be and help her stop around the age of two, but I recently noticed that her thumb has developed calluses.
If I help her stop sucking her thumb now, will it cause issues with her oral fixation needs, and is it too early to do so? However, I am also concerned that if she continues, the calluses on her finger will worsen.
Could you please provide some advice? Thank you.

Xiao Qing, 30~39 year old female. Ask Date: 2015/09/07

Dr. Xiao Kaiwen reply Pediatrics


Before the permanent teeth emerge at the age of 4, it is generally acceptable for babies to suck their fingers, and there is no need to intentionally wean them off this behavior.
Trying to discourage finger sucking at 16 months may reduce the child's sense of security and even increase anxiety.
If finger sucking does pose a problem, consider using a safe pacifier as an alternative for soothing.

Reply Date: 2015/09/07

More Info


When it comes to thumb sucking in toddlers, it's a common behavior that many children exhibit, especially as a self-soothing mechanism. Your concern about your child’s thumb sucking leading to calluses is valid, and it’s great that you’re considering the implications of this habit on their development.

Firstly, thumb sucking is a natural behavior for infants and toddlers. It can provide comfort and security, especially during stressful situations or when they are tired. Most children will naturally outgrow this habit by the age of 2 to 4 years. However, if thumb sucking persists beyond this age, it can lead to dental issues, such as misalignment of teeth or changes in the shape of the mouth, which can affect speech development.

In your case, since your child is already showing signs of developing calluses on their thumb, it may be a good idea to start addressing the habit sooner rather than later. While it’s important to be sensitive to your child’s needs and not to create anxiety around the behavior, there are gentle strategies you can employ to help them reduce or stop thumb sucking.

1. Positive Reinforcement: Encourage your child when they choose not to suck their thumb. You can use a reward system, such as stickers or small treats, to celebrate their successes.

2. Distraction Techniques: Provide your child with alternative comfort items, such as a stuffed animal or a blanket, especially during times when they might be inclined to suck their thumb, like bedtime.

3. Identify Triggers: Pay attention to when your child tends to suck their thumb. Is it during stressful moments, when they are tired, or when they are bored? Understanding the triggers can help you address the underlying needs.

4. Gentle Reminders: If you notice your child sucking their thumb, gently remind them to stop. Avoid scolding or punishing them, as this can create anxiety and may reinforce the behavior.

5. Consult a Pediatric Dentist: Since you are concerned about the physical effects of thumb sucking, it might be beneficial to consult a pediatric dentist. They can provide guidance on whether your child’s thumb sucking is likely to cause dental issues and offer additional strategies to help.

Regarding your concern about the oral fixation and the potential impact on your child's development, it’s important to note that while thumb sucking can be a source of comfort, there are many other ways for children to explore and satisfy their oral needs, such as chewing on safe toys or snacks. The key is to transition away from thumb sucking in a way that feels supportive rather than punitive.

In conclusion, while it’s natural for toddlers to suck their thumbs, if it’s leading to physical changes like calluses, it may be time to gently encourage your child to stop. By using positive reinforcement and understanding their triggers, you can help them transition away from this habit without causing undue stress. If you have further concerns, especially regarding dental health, consulting with a pediatric dentist can provide tailored advice for your child’s situation.

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