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Nuk Pacifier Orthodontic Exercise encourages healthy oral development while satisfying natural sucking desire. Designed to be similar in shape to a mother's nipple during breast-feeding. Prior to first use - sanitize by placing in an open pan of boiling water for 2 minutes. Cleaning - wash with hot water and mild detergent then rinse, or use top rack of dishwasher.CAUTION: Do not tie pacifier-exerciser around child's neck, as it presents a strangulation danger. All rubber articles can wear out. To prevent a possible choking hazard, test strength by pulling on bulb portion before each use. Inspect and replace if it becomes sticky, enlarged, cracked, torn or shows other signs of excessive wear.Features:Orthodontic nipple made of latexEncourages healthy oral developmentSatisfies baby's natural sucking desireBPA free