Pacifier choice: Tips from an IBCLC

Leigh-Anne Skinner • April 13, 2025

Choosing a pacifier for your baby.

The right pacifier can be a great tool to use for soothing your baby, but it’s also important to think about how it will impact their oral health and development.


Pacifiers with a bulbous tip  (like in the picture above) or narrow base promote sucking patterns that rely on the lips and cheeks, which we want to avoid. These shapes mimic a shallow latch and make it more difficult for your baby to use their tongue and jaw correctly—a skill essential for proper latching. Over time, this can reinforce motor habits that not only affect feeding but also disrupt the development of safe swallowing, breathing, sleeping, and eventually speech. As for pacifiers marketed as "orthodontic" and designed to support dental alignment, they're not suitable for babies under 8 months. The focus at this age should be on oral function, not teeth, which babies likely don’t have yet. Even orthodontic pacifiers can promote an inefficient sucking pattern and fail to support the proper coordination of the tongue and jaw.


In this blog, we’ll be sharing our favorite pacifiers and offering some advice on when to start and stop using a pacifier to ensure your baby’s development stays on track.


1. Ninni Co Pacifiers

Ninni Co pacifiers are an excellent choice—our top pick! The unique nipple design, made from soft medical-grade silicone, offers a gentle and natural sucking experience. This design supports optimal oral development. Plus, there’s an added bonus: these pacifiers are perfect for suck training exercises. If you have a NICU baby or one who struggles with breastfeeding initially, the Ninni Co Pacifier can be a helpful tool for teaching proper latch and sucking skills, making the transition to breastfeeding smoother.  Use our code TINYTUMMYTRIBE for a discount on the Ninni Co pacifier and products. (click to go to website)


2. LeeLee and Me Pacifiers

If you're looking for a pacifier that's both functional and stylish, LeeLee and Me is the brand to consider. Their pacifiers are designed to promote healthy oral development. Made from premium silicone, they offer a soft yet durable feel, ensuring a comfortable fit for your baby. With their well-designed, sloped wide shape, these pacifiers help babies maintain a proper latch, making them an excellent choice. Click to purchase a LeeLee and me pacifier

3. Dr. Brown’s Pacifiers

Dr. Brown’s pacifiers are a trusted favorite among parents, and it’s easy to understand why. Their design promotes a natural sucking motion, supporting healthy oral development. The lightweight shield features ventilation holes to keep your baby comfortable and help prevent skin irritation. Click Here to purchase on Amazon


When to Start Using a Pacifier

Wondering when to introduce a pacifier to your baby? The general recommendation is to wait until feeding is going smoothly, typically around 3 to 4 weeks. This gives your baby time to develop an effective latch and optimal feeding skills before introducing a pacifier. However, for situations like painful procedures or car rides, it's perfectly fine to use a pacifier for comfort, even if your baby is younger.

When to Stop Using a Pacifier

While pacifiers are wonderful for soothing your baby, keeping them around for too long can lead to some potential issues, like dental problems or speech delays. It’s recommended to start weaning your baby off the pacifier between 6 months and 1year of age to avoid any negative effects on their oral development.

Here’s why it’s important to stop using a pacifier after the first year:

  • Dental problems: Extended use can lead to bite misalignments and dental issues.
  • Speech delays: Prolonged pacifier use can interfere with speech development.
  • Ear infections: Research suggests a link between extended pacifier use and an increased risk of ear infections.


Conclusion

Picking the best pacifier is important to supporting your baby’s oral health and development. Remember, to wait until  feeding is well established to introduce the pacifier and start weaning off of it between 6 months and 1 year to avoid any long-term issues.


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