Pacifiers can be a powerful soothing tool in infancy. But when comfort stretches into the toddler and preschool years, it can quietly create new problems. Pediatrian Cindy Gellner, MD, walks parents through when pacifier use stops helping, the age milestones that matter most, and realistic strategies to wean without turning bedtime into a battle. Learn how to help your child transition off the pacifier before it starts to impact sleep, speech, and long-term dental health.