Why Young Children Suck Their Thumbs

And When Parents Should Be Concerned

David Shen, DMD • OrthoWorks Orthodontics Group

Thumb-sucking is one of the most common habits in early childhood. Many infants naturally begin sucking their thumbs or fingers as early as the first few months of life. For most children, the habit is comforting and temporary. But when thumb-sucking continues beyond the toddler years, it can begin to affect dental development in ways parents should be aware of.


Why Children Suck Their Thumbs


Thumb-sucking is a normal reflex for babies. It helps them feel secure, self-soothe, and fall asleep. Children also suck their thumbs when they feel tired, anxious, bored, or in need of comfort. In infants and toddlers, this habit is not generally a problem and often fades naturally between ages 2 and 4 as children become more engaged with their environment and develop new coping skills.


When Thumb-Sucking Becomes Harmful


The concern arises when the habit continues past age 4 or 5, especially if the child sucks vigorously or frequently during the day and at night. The pressure from the thumb, combined with the suction created in the mouth, can influence the growth of the jaws and the position of the teeth. Over time, this can lead to changes that may require orthodontic correction.


Potential Dental and Facial Effects


Persistent thumb-sucking can cause:

  • An open bite — where the upper and lower front teeth do not touch, even when the child bites down.
  • Protruding front teeth — often called “buck teeth,” caused by the thumb pushing the upper teeth forward.
  • Narrow upper jaw — prolonged suction can constrict the upper arch, leading to crowding or crossbites.
  • Changes in facial growth — long-term habits may contribute to altered jaw development and a longer facial appearance.
  • Speech issues — such as lisping, due to improper tongue posture and tooth position.
  • Mouth breathing — which can lead to dry mouth, gum inflammation, and disrupted sleep.

These issues become more severe the longer the habit continues, and are much easier to correct when addressed early.


How an Orthodontist Can Help


Orthodontists have specialized training in a child’s dental and facial development and can guide families in stopping the habit before permanent damage occurs.