When and How Do You Transition Your Child Away From the 'Binkie'?

Pacifiers or 'binkies' can be a lifesaver during your child’s first months of life. They can provide relief and comfort, help develop sucking and feeding skills, prevent thumb-sucking, and promote self-soothing skills. However, as children start to approach 1 year of age, dependence on pacifiers can start to become an issue. They can possibly affect speech development or lead to dental problems. This guide can be a helpful resource to let you know when and how to transition your child away from the pacifier.

Choosing the Right Time

There is no ideal age to stop using a pacifier. It is important to consider your child's personality and disposition. Many pediatricians recommend starting the transition sometime around the 1-year mark, if not earlier. If your child continues to use one beyond 1 year of age, it is important to use on an 'as needed' basis (such as for naps or sleeping) to avoid dependency. Many dentists recommend stopping their usage before age 2.

Strategies for Transition

1. Start Early:


Starting at around 6 months of age when your child becomes more mobile, try using the pacifier less often. Keep it out of sight when it is not in use. Try to avoid offering it every time your child cries or falls asleep. Use other soothing strategies such as cuddling, swaddling, rocking, and feeding. Waiting to start the transition when a child is older can sometimes be more challenging. Your child is starting to become more independent and have a sense that the pacifier 'belongs' to them.

2. Gradual reduction:


Rather than cutting the binky out cold turkey, many parents find success in reducing use by limiting it to specific times, such as naptime or bedtime. Make sure you (not the child) are in control when it is given. For example, you could avoid using binkies while in the car but still allow it for naptime.

3. Offering alternatives:


Introduce other objects to help sooth your child such as a soft blanket or a stuffed animal. These can become a new source of comfort that will make the transition easier.

4. Have a "Goodbye" Party:


Some kiddos respond well to having a fun goodbye party for their binkies. You could try having a ‘special’ day that includes putting all the old binkies in a box to give to the "binky fairy". You could even have your child be involved in the planning process and think of some fun activities or a treat you could share as a family.

5. Be patient with yourself and with your child:


Some kids really struggle with the transition away from a pacifier, particularly at night. This is normal. Although many children will adapt to the change within a few days, your child may take a little bit longer. Continue to be consistent and supportive of your child. Ask your pediatrician or medical provider about other ideas too.


Sean Stringham, binkies, pacifier

Dr. Sean Stringham, MD is a pediatrician at Saint Alphonsus Pediatrics Clinic in Nampa.

Sean Stringham, MD