My son cannot keep the pacifier inside because of the tongue tie. This is a great alternative! At 4 months my son can already hold, suck or chew mushrooms. As with any toy, I'll keep an eye on him while he's using it. It feels durable and easy to clean, but anything and everything sticks to it when it hits the floor. I would definitely recommend it although we will use it with caution after reading some of the other comments where the reviewers felt it was unsafe and a choking hazard.
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