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Pediatric Dentistry/Pacifier shape/ tooth growth

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Question
Hi dr saxe
We were wondering if pacifier shape makes a real difference with tooth growth. My kids all still have baby teeth. My daughter used an orthodontic pacifier and her bottom teeth have space in between them. My son used a Soothie pacifier and his teeth don't have as much space between and look nicer. I realize again these are just baby teeth. Would the pacifier shape have anything to do with this or that's just how their teeth are?
We have a newborn and wondering which kind to use.

Thank you!

Answer
sorry for the delay, was out of town. An orthodontic pacifier is best. It is normal for baby teeth to have spaces. It allows for the permanent teeth which are larger to have enough room. When all the teeth are close together these patients will most likely need early orthodontic treatment to alleviate crowding. It may look nicer at a young age but will cost you orthodonticly when older. Best to stop weening off by age 2-3 at latest. If on a pacifier to long can also change dental position. Best Wishes

Pediatric Dentistry

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Michael D. Saxe D.M.D.

Expertise

All questions related to Pediatric Dentistry, Dental Growth, Dental Trauma, First Dental visit, Baby Bottle tooth Decay, Dental Sedation, Etc...

Experience

20 years private practice as a Pediatric Dentist, Staff at University Of Nevada School of Dental Medicine, Advanced Education Program in Pediatric Dentistry.

Organizations
ADA, AAPD, Nevada dental society, Clark County Dental Society, Cal. AAPD, Western society of Pediatric Dentistry, Southern Nevada CFA Team core member.

Publications
ASDC Journal

Education/Credentials
Washington University in Saint Louis, Dental School University of Texas Health Science Center San Antonio, residency

Awards and Honors
Top pediatric Dental office 6 years in a row.

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