A pacifier described as orthodontic does not guarantee the absence of dental effects. When supporting a child, the duration and evolution of the habit matter more than a promise on the packaging.
What does “orthodontic pacifier” mean?
The term describes a pacifier shape presented as suited to the mouth. It does not mean the child is receiving orthodontic treatment. Two products using this word may differ in shape, size and instructions. Read the manufacturer's instructions, particularly the intended age and replacement guidance. A commercial label alone cannot predict dental development.
The right question is not only “which brand should I choose?” It is also “when does my child use it, and how can I help them gradually need it less?”
Are orthodontic models better?
Studies do not provide a uniform answer. A 2018 review reports fewer open bites with some orthodontic pacifiers, but most included studies have substantial bias. Another review finds no significant difference from conventional pacifiers.
These findings therefore neither identify a universally superior shape nor justify a “no risk to teeth” claim. A benefit observed for one outcome in one study is not an individual guarantee.
Sucking duration is an important consideration
Prolonged thumb or pacifier sucking is associated with bite abnormalities, including open bite and crossbite. The duration of the habit contributes to this association. This does not mean every child will develop these abnormalities. Review by Doğramacı and Rossi-Fedele, 2016.
The AAPD recommends planning to reduce pacifier use and favouring encouragement. Its US recommendations are guidance to discuss with the professional caring for your child, particularly if the habit persists as age three approaches.
There is no benefit in making a parent feel guilty or presenting pacifier use as a wrongdoing. The aim is to prepare a manageable transition using guidance the child understands.
Preparing to stop with your child
Start by identifying when the pacifier is requested: falling asleep, tiredness, travelling or distress. This observation helps you choose a first concrete change. Plan another soothing routine with your child, then praise their efforts. A calm discussion is more useful than a threat about their teeth.
If an initial attempt does not work, note what made it difficult before trying again. The professional can help adapt the approach to the child's age and family situation. There is no identical success timeline for everyone.
For persistent thumb sucking, see our guide to thumb-sucking appliances and other approaches.
When should you seek dental advice?
If a gap remains between the upper and lower teeth when the mouth closes, or their bite concerns you, ask for an examination. The practitioner distinguishes the habit from the current state of the bite. Our guide to open bite explains this difference.
Do not buy a retraining appliance to replace a pacifier without a specific indication. The Myoforce appliance belongs to a different approach; it is not a pacifier and buying it does not constitute an orthodontic assessment.
Common questions
Should a conventional pacifier immediately be replaced with an orthodontic model?
Reviews do not demonstrate overall superiority. Discuss use, duration and a stopping strategy with the professional who knows your child.
Do teeth always return to position on their own after stopping?
No. Improvement is possible, particularly in young children, but some effects may persist. Follow-up checks allow changes to be monitored. Follow-up study by Warren and Bishara.
Sources and review
Guide reviewed on 1 October 2026 by Dr Vladimir Khourda. The references below concern the topics studied; they do not establish the results of a MyoForce product.