Which Pacifiers Are Healthiest for My Baby?

A too-large pacifier can crowd the mouth, causing a domino effect of health issues in your child. Yet, reasonable pacifier use is healthy and soothing for baby. What should a mom choose?

To read the background of this post see this post on Big Pacifiers, Big Problems.

Letting your child develop a healthy mouth and a healthy suck doesn’t mean giving up pacifiers and sippy cups. It simply means choosing the right ones. 

In general, stick with the newborn size pacifiers–don’t move up to larger ones as the child grows. The smaller the pacifier, the more the mouth works to keep it in place. Nipple shape is also important. The right type of pacifiers will have the label “orthodontic,” “anatomical,” or “symmetrical.” 

The same goes with the bottle–stick with the newborn size. Children with a healthy suck do not need more holes in their nipple, and often, they end up gulping too fast and taking in too much air. 

When it comes to sippy cups, choose one with a narrow straw and clip the top so only a little bit goes into the child’s mouth. This forces him to use more oral pressure to suck. 

See more information in each product description below.

Mam Symmetrical Pacifiers

This is the classic healthy-for-baby pacifier. Stick with the 0-6 months size, even when your baby gets older.

BIBS Orthodontic Pacifier

You don’t need to give up the pretty pacifier. All your favorite brands make pacifiers with the right types of “orthodontic” nipples. Stick with 0-6 month size.

Frigg Symmetrical Pacifier

Pacifiers labeled “Symmetrical” are also a good pick, also in 0-6 month size.

BIBS Anatomical Pacifiers

The right type of pacifier will also have the label “anatomical.” The baby boy set in blue is here.

FRIGG Anatomical Butterfly Pacifiers

All the colors you love are also available in the anatomical version!

NUK Comfy Orthodontic Pacifiers

Timeless Collection, in more blues and pinks.

Newborn Size Bottles and Slow-flow Replacement Nipples

Yes, even the cheap Gerber/Nuk bottles that you buy in the grocery are fine! If you’re using a fancier bottle for your new baby, stick with the newborn size nipples. You don’t need more holes. You might be in a rush for them to eat quickly, but it’s healthier for their suck and digestion vs. gulping it down. If your formula is thick and not coming out with newborn nipples, go up a size, but use the minimum size that you can. Most babies are really fine with the smallest holes.

Slow-flow Replacement Nipples

Munchkin Sippy Cup

If your child could benefit from oral motor strengthening, use a sippy cup with a narrow straw. You want the mouth to work hard. Avoid sippy cups with thick, fat straws. Clip off the top of the straw so the child is forced to suck with only a little bit of the straw in his mouth.

Talk Tools Lip Block

This is a useful tool to place on your child’s straw so that he can’t put too much straw into his mouth, encouraging more oral pressure. This is a great way to stick-in oral motor therapy while your child is sucking up his yogurt.

Talk Tools Squiggly Straws

This set of squiggly straws comes with the lip block and includes many different levels of straws. The longer and more squiggly the straw, the more work it takes.

Squiggly Straws

Here are more squiggly straw options. Using just the tip of the straw is significantly more work for the mouth vs. if they can stick a lot of straw into their mouth. If there’s a lot of straw above the squiggly part, just clip the top.

Mavala Stop

This is proven to help a child stop thumb sucking (nail biting too!). It is a clear nail polish that can be applied to the thumb. It has a terrible taste, discouraging the child to suck that finger.  It’s much easier to get rid of a pacifier but stopping thumb sucking is otherwise so hard!

Perel Layeh Sprecher: MS, CCC-SLP

Perel Layeh is the Speech Clinical Director of Tender Touch Educational Services, with 20 years of experience working as a speech language pathologist. She works with elementary age children who are experiencing language, tongue thrust, and articulation issues. She has seen a tremendous amount of articulation issues present with high narrow palates, overbites, cross-bites, and mouth breathing due to the reasons above.

30 responses to “Which Pacifiers Are Healthiest for My Baby?”

  1. F Avatar
    F

    They sell the bibs pacifier with the round nipple in a silicon (I think) material, it’s clear instead of that latex color- this one does not grow at all with time.
    My child has the same ones since a year ago.
    If one sticks with the smaller size 0-3 is that okay too? Will that cause a narrow palette?

    1. Perel L Sprecher Avatar
      Perel L Sprecher

      I would get rid of the round nipples. Use their symmetrical or anatomical options.

      1. Toba Avatar
        Toba

        Hi thanks for this informative article!!
        What about Dr browns happy pacci?
        My 15 month old has been sucking her thumb when going to sleep.. I decided to try to reintroduce the pacci cuz its easier to stop later on than thumb. Now she is mostly using the pacci by sleep time and I almost finished with her thumb. Is Dr. Brown’s pacci ok?

  2. D Avatar
    D

    Can you clarify? I specifically chose the bibs “round “ pacifiers because those are claimed to promote the most similar suck to breastfeeding?

  3. Malky Avatar
    Malky

    Thank you for this article! I’ve been the annoying older sister telling this to everyone for years. They didn’t always appreciate the advice but as a therapist i knew that the bibs pacifier was awful. Why not include the classic nuk though? That was the original orthodontic pacifier and I always found that the babies loved them. I kept my babies in the smallest size until they were done with them no matter how old they were!

    1. Ruchie Avatar
      Ruchie

      I came here to say the exact same thing!! Used nuk orthodontic size 0-6 months for all my kids and always encourage my clients to do the same. BH my kids are speak clearly and have never had any tongue thrusters in our house

      1. Ruchie Avatar
        Ruchie

        *all speak clearly

    2. Perel L Sprecher Avatar
      Perel L Sprecher

      Yes! The newborn Nuk is a great option as well.

  4. A Avatar
    A

    Please check with your doctor/therapist regarding bottle flow. I’ve had two babies who needed specific size nipples at different stages due to swallowing challenges. A blanket statement that the smallest flow is better is not always true, and for one of my babies would have caused real challenges. I love BCP and appreciate the information shared, but blanket statements from professionals are not always one size fits all.

    1. Perel L Sprecher Avatar
      Perel L Sprecher

      Thank you for clarifying! The article recommends increasing flow as needed. The point was that it is not necessary to follow the ‘ages’ listed on the bottle packaging. Most healthy babies can drink easily from a smaller hole. Though feeding time is quicker with a fast flow nipple, the fluid flows easily into the baby’s mouth, barely requiring the use of the oral musculature.

    2. Aleeza Avatar
      Aleeza

      So after speaking to board certified lactation consultants, SLP, and a pediatric dentist they actually all unanimously agree actually that the Bibs nuk and mam pacifiers actually do NOT promote a natural suck or latch.

  5. Chaya Rosmarin Avatar
    Chaya Rosmarin

    As a speech-language specializing in feeding for nearly 20 years, I am concerned about this article. Speech-language pathologists belong to a governing body called the American Speech and Hearing Association (ASHA) that sets the guidelines for practice. The American Journal of Speech-Language Pathology (2020) Volume 29, issue 4, pages 1811-1820, advises against using straws or the like to assist with speech or feeding. The research does not support this. Babies should drink with whatever bottle they are comfortable using and suck on whatever pacifier they are comfortable with. The evidence does not support this outdated practice. Feeding should not be made difficult for newborns or toddlers. We should strive to promote a comfortable feeding experience.

    Chaya Rosmarin

    1. Nt Avatar
      Nt

      Dentist that are not bound to ASHA also agree with this article

    2. Bracha Avatar
      Bracha

      Dentist which are not bound by Asha guidelines agree with this article and from your perspective maybe for health regarding food it’s not true but for the pallet and dental problems and speech issues this article should not be concerning to you If you are a speech therapist, you would actually see how much harm these pacifiers do to the mouth

    3. Perel L Sprecher Avatar
      Perel L Sprecher

      Thank you Chaya for pointing out that article. It is a favorite of mine! The researchers discuss how non-speech oral motor exercises are not proven effective in the treatment of cleft palate and standard articulation therapy. I absolutely agree with their findings! In this case, we are discussing the treatment of orofacial myofunctional disorders. On the topic of treatment of OMDs ASHA states: Therapeutic intervention can involve the selection of appropriate oral tools such as straws, lip or bite blocks, appropriate food items, etc. needed for eating and drinking.

  6. Chani Avatar
    Chani

    I’m not a speech therapist or professional in any sense, but I’m wondering how babies can use the same size nipple for bottles. The smallest size has the slowest flow and if they have to work they get upset. I even found that sometimes my babies would get too tired from working too hard to suck when they were young but not yet eating solids. Is that how it should be?

  7. H.e. Avatar
    H.e.

    I would greatly appreciate an article on how to stop thumb sucking.
    Thank you.

    1. Batsheva Avatar
      Batsheva

      Me too!

  8. Nechama Avatar
    Nechama

    I’ve been telling everyone for years not to use the bibs round pacifier! It destroyed my son’s mouth! And every dentist and speech therapist I have spoken agreed with me!
    It caused his entire upper palette and gum line to round out in such a shape that he couldn’t close his mouth all the way and he had major drooling and speech issues!!

    1. Bracha Avatar
      Bracha

      The Dr Brown Happy Paci is also round and even bigger than the Bib and unfortunately my son is now having speech delays and has a terribly high palate:( I wish I knew this info earlier. And I was using the Dr Brown bottle for my other son who was nursing great until two months when he straight out started refusing nursing and screamed every time I tried… the nipple confused him, Avoid Dr Brown at all costs!

  9. BH Avatar
    BH

    Feel so validated that I stuck to Nuk for all my babies while everyone’s using the Bibs!! The shape is much more natural

  10. Bk Avatar
    Bk

    You neglected to mention that babies with high palettes need a large pacifier. Per pediatrician and ent.

  11. M Avatar
    M

    what about when baby only wanted the round paci no matter how many others I tried offering. By me taking a paci is a must. Now she only wants the round one and I can’t get her to switch

  12. Yocheved Avatar
    Yocheved

    I beg to differ! My oldest son who is now 14 exclusively used nuk orthodontic paceys he had a slight tongue thrust and also had to have a palate expander, my other kids had mostly used nuk as well, some the mam shape, I did not find it made a difference with the nursing, each kids was individual in terms of bite and palate, and nursing

  13. SK Avatar
    SK

    Phillips Avent, the ones they give in hospital aren’t good?

    1. Esti Avatar
      Esti

      Does the thumb sucking thing also work for nose picking???

  14. Rikki Avatar
    Rikki

    How about the green pacifiers they give in the hospital?

    1. IdyL Avatar
      IdyL

      +1, according to the article it is probably not good because it’s round and not asymmetrical. So then why are they using it in the hospital?

  15. Leora Avatar
    Leora

    Our feeding therapist when my son was a newborn and had a high palate recommended the Ninni Co pacifier. Any idea if this is too big a pacifier? He’s 20 months old and now I’m nervous that I should get him used to a different pacifier. Thank you!

  16. CT Avatar
    CT

    My newborn only likes the Phillips Avent one from the hospital, which pacifier compares to that?

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Contact Us

This field is for validation purposes and should be left unchanged.

FREE GIFT!

Close the CTA

Get our BCP Lifepages Planner by signing up to our email list!