It's really depend.
My friend's daughter thumb sucking was a serious case.
http://ashlynthia.blogspot.sg/2014_09_01_archive.html?m=1
Her daughter was hospitalized from it. So if can, prevent it.
For pacifier, u just need to endure for few days of no pacifier, it'll wean off easily. My friend try my method, and she manage to wean away her boy from pacifier. Her boy is very hardcore pacifier fan.
I only give pacifier when she want to sleep or when she is need comfort like teething period, or fever period. Hence, she is not very into pacifier. I easily wean off within 2-3 days without much hassle except during the night time when she want to sleep.
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