I give it 3 runs because it's durable. My daughter has used it every night for 5 months and not a single hole or piece has ever broken and it is dishwasher safe. I used her to get away from her original Nuk pacifier because she was poking holes and chewing on the Nuk's silicone. However, she has started replacing her pacifier with hers, in part because it is round and not an orthodontic teat. I noticed her teeth turned into "dummy teeth" with these, google "dummy teeth" for more info. So I forbidden her to use it. I have a transitional teether from Dr. Brown's Orthees. Hopefully this will help her transition off them, and since it's flat it will prevent "dummy teeth". They can be great as baby teething toys, but not as baby pacifiers, they can damage their teeth, unlike a regular orthodontic pacifier.
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