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My children were both different when it came to pacifiers, like some of the ones already mentioned.
My daughter had no interest in one at all, ever.
My son on the other hand...he was colicky, and I firmly believe babies with colicky tendencies are soothed by that sucking, when little else helps. I slowly weaned him from it at about a year, and luckily didn't have a hard time with it.
I agree that it's distasteful to see a child much older than that walking around with one in its mouth. To me, it's like the parent just wants to quiet the child, and they go with the easiest solution.
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