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Many articles on this subject focus on talking to your child and offering positive reinforcement, but most toddlers are not interested giving up a constant source of pleasure. If you wait too long to stop the thumb and finger sucking, your child can have permanent changes to their jaw shape, bite, and teeth. Speech can also be affected, and many thumb suckers will need speech therapy. By age years, many thumb and finger sucking children have a gap between their upper and lower teeth and their jaw development has changed, often causing problems with speech. As a pediatrician, I was frustrated that there is little evidence-based research on effective techniques to stop thumb sucking and finger sucking.
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Thumb sucking

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Thumb sucking: Help your child break the habit - Mayo Clinic

Thumb sucking is a behavior found in humans, chimpanzees , captive ring-tailed lemurs , [1] and other primates. It can also be accomplished with any organ within reach such as other fingers and toes and is considered to be soothing and therapeutic for the person. As a child develops the habit, it will usually develop a "favorite" finger to suck on. At birth, a baby will reflexively suck any object placed in its mouth; this is the sucking reflex responsible for breastfeeding. From the very first time they engage in nutritive feeding, infants learn that the habit can not only provide valuable nourishment, but also a great deal of pleasure, comfort, and warmth. Whether from a mother, bottle, or pacifier, this behavior, over time, begins to become associated with a very strong, self-soothing, and pleasurable oral sensation. As the child grows older, and is eventually weaned off the nutritional sucking, they can either develop alternative means for receiving those same feelings of physical and emotional fulfillment, or they can continue experiencing those pleasantly soothing experiences by beginning to suck their thumbs or fingers.
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Thumbsucking and Pacifier Use

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