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Finding the best pacifiers for 18 months and up can be challenging. The Philips Avent Soothie Baby Pacifier stands out because it is BPA-free and designed to support oral development. For those looking to save money, the Dr. Brown’s HappyPaci offers a soft silicone design. However, this one is better for younger babies and may not last as long.
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The Top 8
Top 8 Pacifiers Reviewed in Detail
Here are some of the best pacifiers for kids who are 18 months and older. Each offers unique features to help soothe your little one.
1. Editor’s Choice
Philips Avent Soothie Baby Pacifier for 0-3 Months, BPA-Free, 4-Pack, Green
- Newborn pacifier 0-3 months supporting baby’s natural suckling need: designed to fulfill newborns’ natural suckling reflex to self-soothe between feeds, while supporting oral development from day one
- Helps establish feeding routines: Soothie gently trains the muscles babies need for drinking, which helps switch latching and milk intake; you can confidently breastfeed and offer a pacifier
- 100% medical grade silicone: made entirely from flexible medical grade silicone, specially created for newborns of 0-3 months; adheres to the American Academy of Pediatrics guidelines¹
- Easier to clean, safer to use: one-piece design ensures bacteria have nowhere to hide; extra durable & made for hospital-strength sterilization − use a sterilizer or submerge in boiling water
- Soothie’s symmetrical, round nipple gently sits in baby’s mouth, helping reduce pressure between the tongue and mouth; Philips Avent Soothie is independently accredited by the Oral Health Foundation
- Helps you and your village bond with baby: place a finger in the nipple to connect with baby, so anyone in the family can step in and give mom some time for herself
- The set includes: 4x Philips Avent Soothie Pacifiers for newborns 0-3 months, green
The Philips Avent Soothie Baby Pacifier is designed specifically for newborns. Its BPA-free material ensures safety for babies. The pacifier promotes oral development, making it a smart pick for infants up to three months old. It features a natural shape that mimics the breastfeeding experience, which helps babies self-soothe.
Pros
- BPA-free material for safety.
- Supports oral development with a natural shape.
- Pack of four for convenience.
Cons
- Only suitable for newborns to 3 months.
- Not ideal for older toddlers.
Best for: Newborns needing natural suckling support. Not ideal for: Toddlers 18 months and older.
The Philips Avent Soothie is a safe choice for newborn comfort.
2. Best for 18 Months and Up
Dr. Brown's HappyPaci Silicone Pacifier, Gray, Green, Ecru, 0-6m, 4-Pack
- SILICONE BABY PACIFIER. Soothe baby with lightweight and soft 100% silicone pacifier. Designed for babies 0-6 months.
- EASY TRANSITION TO PACIFIER. The unique 100% silicone HappyPaci bulb design features the same shape as Dr. Brown’s bottle nipple that’s familiar to baby.
- CONTOURED COMFORTABLE SHIELD. The one-piece construction of the HappyPaci features a contoured butterfly-shaped shield that curves away from baby’s face, providing plenty of room for their nose, chin, and cheeks.
- BREATHABLE DESIGN. Holes in the shield provide airflow to help reduce irritation on baby’s sensitive skin.
- SOOTHER SHAPE. Open back lets you place your finger into the nipple to better bond with and soothe fussy baby.
- SOFT YET DURABLE. Soft silicone is gentle on gums, but durable enough to withstand biting.
- EASY TO CLEAN. The one-piece construction makes the silicone pacifier easy to clean, and water won’t get trapped inside the bulb. Dishwasher (top rack) and sterilizer safe.
- SAFE FOR BABY. BPA and phthalate-free.
Dr. Brown’s HappyPaci Silicone Pacifier is designed for babies aged 0 to 6 months. Its soft silicone material feels gentle on a baby’s gums. This pacifier’s unique design matches the shape of Dr. Brown’s bottle nipple, making it easy for babies to transition. While it earns a spot here, it is less suitable for children over six months.
Pros
- Soft silicone material for comfort.
- Unique design matches Dr. Brown’s bottle nipple.
- Lightweight for easy handling.
Cons
- Only intended for infants up to 6 months.
- May not satisfy older toddlers.
Best for: Babies transitioning from bottle to pacifier. Not ideal for: Children over 6 months.
Dr. Brown’s HappyPaci is great for babies new to pacifiers.
3. Most Versatile
NUK Timeless Comfy Orthodontic Pacifier, 0-6 Months, 5-Pack, Pink Assorted
- Shaped and sized for newborns
- Breast-like nipple shape naturally fits baby’s palate
- NUK orthodontic nipple shape helps promote healthy oral development
- 100% medical-grade silicone
- Heart-shaped shield fits perfectly under baby’s nose for breathing
The NUK Timeless Comfy Orthodontic Pacifier is designed for infants. Its orthodontic shape promotes healthy oral development. Made from medical-grade silicone, it ensures safety and comfort for newborns. This pacifier is specifically made for a limited age group, making it unsuitable for older toddlers.
Pros
- Orthodontic shape promotes healthy oral development.
- Made from 100% medical-grade silicone.
- Available in various colors.
Cons
- Intended for a limited age range (0-6 months).
- May not fit all babies comfortably.
Best for: Newborns needing orthodontic support. Not ideal for: Toddlers over 6 months.
The NUK Timeless Comfy Pacifier aids in oral health for infants.
4. Best Premium
Philips Avent Soothie Baby Pacifier for 0-3 Months, BPA-Free, 4-Pack
- Newborn pacifier 0-3 months supporting baby’s natural suckling need: designed to fulfill newborns’ natural suckling reflex to self-soothe between feeds, while supporting oral development from day one
- Helps establish feeding routines: Soothie gently trains the muscles babies need for drinking, which helps switch latching and milk intake; you can confidently breastfeed and offer a pacifier
- 100% medical grade silicone: made entirely from flexible medical grade silicone, specially created for newborns of 0-3 months; adheres to the American Academy of Pediatrics guidelines¹
- Easier to clean, safer to use: one-piece design ensures bacteria have nowhere to hide; extra durable & made for hospital-strength sterilization − use a sterilizer or submerge in boiling water
- Soothie’s symmetrical, round nipple gently sits in baby’s mouth, helping reduce pressure between the tongue and mouth; Philips Avent Soothie is independently accredited by the Oral Health Foundation
- Helps you and your village bond with baby: place a finger in the nipple to connect with baby, so anyone in the family can step in and give mom some time for herself
- The set includes: 4x Philips Avent Soothie Pacifiers for newborns 0-3 months, 2 lilac and 2 pink
The NUK First Choice Comfy Orthodontic Baby Pacifier is built for infants. Its breast-like shape helps promote a natural latch. This pacifier is made from soft silicone, which is gentle for sensitive gums. However, it is limited to a narrow age range, making it less suitable for those over six months.
Pros
- High-quality design from a trusted brand.
- Supports breast-like latch for comfort.
- Soft silicone for a gentle feel.
Cons
- Not suitable for toddlers over 6 months.
- Limited size options.
Best for: Infants who need familiar shapes. Not ideal for: Older children.
NUK First Choice offers comfort for younger babies.
5. Best Heavy-Duty
NUK First Choice Comfy Orthodontic Baby Pacifier, 0-6 Months, 5-Pack, Pink
- Shaped and sized for newborns
- Breast-like nipple shape naturally fits baby’s palate
- NUK orthodontic nipple shape helps promote healthy oral development
- 100% medical-grade silicone
- Heart-shaped shield fits perfectly under baby’s nose for breathing
The MAM Original Baby Pacifiers offer a soft feel for newborns. Made from SkinSoft silicone, they provide a familiar latch for comfort. While they come in a convenient four-pack, they are not designed for use beyond six months. This limits their appeal for older toddlers.
Pros
- Multiple pack options for convenience.
- Soft and comfortable material.
- Supports a natural sucking reflex.
Cons
- Designed for younger infants only.
- Limited use beyond 6 months.
Best for: Newborns needing soothing. Not ideal for: Older children.
MAM Original Pacifiers provide comfort for babies.
6. Runner-Up
MAM Original Baby Pacifiers 0-6 Months, Glows in The Dark, 4 Pack
- SUPER COMFORTABLE FEEL : With Skin Soft silicone
- DEVELOPED WITH ORTHODONTISTS and pediatric dentists with a breast like thin SkinSoft silicone nipple for a familiar latch & lasting comfort
- SYMMETRICAL NIPPLE : No right side up supports healthy oral development these specailly-shaped nipples have a 94% acceptance rate.
- BREATHABLE CURVED SHIELD : Designed for maximum breathablity for your babies sensitive skin with room for little noses
- MINIMIZED IRRITATION : Little dimples inside the shield protect your baby
- GLOW-IN-THE-DARK : Front design is glows in the dark making it easy to find at night
- MANUFACTURED IN EUROPE from Skin Soft silicone to exceed American and European safety standards
The MAM Original Baby Pacifiers are ideal for newborns. Their glow-in-the-dark feature makes them easy to find at night. The pacifiers are made from soft silicone to ensure comfort for your little one. However, they are limited to a specific age range and may not be useful for older kids.
Pros
- Unique glow-in-the-dark feature.
- Soft silicone material for comfort.
- Symmetrical nipple for proper oral development.
Cons
- Only suitable for infants aged 0-6 months.
- Limited color options.
Best for: Nighttime use to find easily. Not ideal for: Older kids.
MAM Original Pacifiers glow in the dark for easy nighttime access.
7. Best Value
MAM Original Baby Pacifiers 0-6 Months, Glows in The Dark, 4 Pack
- SUPER COMFORTABLE FEEL : With Skin Soft silicone
- DEVELOPED WITH ORTHODONTISTS and pediatric dentists with a breast like thin SkinSoft silicone nipple for a familiar latch & lasting comfort
- SYMMETRICAL NIPPLE : No right side up supports healthy oral development these specailly-shaped nipples have a 94% acceptance rate.
- BREATHABLE CURVED SHIELD : Designed for maximum breathablity for your babies sensitive skin with room for little noses
- MINIMIZED IRRITATION : Little dimples inside the shield protect your baby
- GLOW-IN-THE-DARK : Front design is glows in the dark making it easy to find at night
- MANUFACTURED IN EUROPE from Skin Soft silicone to exceed American and European safety standards
The Dr. Brown’s HappyPaci Silicone Pacifier is crafted for infants. Its soft silicone design provides comfort and matches the shape of Dr. Brown’s bottle nipple. This makes for an easy transition for babies. However, it is not suitable for those beyond six months and limits its usability.
Pros
- Soft silicone for gentle use.
- Supports healthy oral development.
- Breast-like shape for comfort.
Cons
- Not designed for older children.
- Limited design options.
Best for: Babies needing orthodontic support. Not ideal for: Toddlers above 6 months.
Dr. Brown’s HappyPaci offers a familiar feel for infants.
8. Best Design
Dr. Brown's HappyPaci Silicone Pacifier, Pink and White, 0-6m, 4-Pack
- SILICONE BABY PACIFIER. Soothe baby with lightweight and soft 100% silicone pacifier. Designed for babies 0-6 months.
- EASY TRANSITION TO PACIFIER. The unique 100% silicone HappyPaci bulb design features the same shape as Dr. Brown’s bottle nipple that’s familiar to baby.
- CONTOURED COMFORTABLE SHIELD. The one-piece construction of the HappyPaci features a contoured butterfly-shaped shield that curves away from baby’s face, providing plenty of room for their nose, chin, and cheeks.
- BREATHABLE DESIGN. Holes in the shield provide airflow to help reduce irritation on baby’s sensitive skin.
- SOOTHER SHAPE. Open back lets you place your finger into the nipple to better bond with and soothe fussy baby.
- SOFT YET DURABLE. Soft silicone is gentle on gums, but durable enough to withstand biting.
- EASY TO CLEAN. The one-piece construction makes the silicone pacifier easy to clean, and water won’t get trapped inside the bulb. Dishwasher (top rack) and sterilizer safe.
- SAFE FOR BABY. BPA and phthalate-free.
The Dr. Brown’s HappyPaci Silicone Pacifier is designed for infants. It features a lightweight, soft silicone material that is easy to hold. This design helps soothe babies effectively. However, it is specifically made for a younger age group, making it less suitable for toddlers aged 18 months and up.
Pros
- Soft silicone for comfort.
- Lightweight and easy for babies to hold.
- Easy to clean and maintain.
Cons
- Only suitable for babies up to 6 months.
- Limited size options.
Best for: Newborns needing comfort. Not ideal for: Children older than 6 months.
Dr. Brown’s HappyPaci is a convenient choice for infants.
Pacifiers Compared Side by Side
In the table below, you’ll find a comparison of the best pacifiers for 18 months and up. The columns show the brand, material, and unique features. Look for the row that best fits your child’s needs.
| # | Product | Best for | Brand | Price | Link |
|---|---|---|---|---|---|
| 1 | Philips Avent Soothie Baby Pacifier for 0-3 Months | Editor's Choice | Philips Avent | $9.51 | Check |
| 2 | Dr. Brown's HappyPaci Silicone Pacifier | Best for 18 Months and Up | Dr. Brown's | $6.99 | Check |
| 3 | NUK Timeless Comfy Orthodontic Pacifier | Most Versatile | Graco Children's Products | $9.49 | Check |
| 4 | Philips Avent Soothie Baby Pacifier for 0-3 Months | Best Premium | Philips Avent | $11.86 | Check |
| 5 | NUK First Choice Comfy Orthodontic Baby Pacifier | Best Heavy-Duty | NUK | $9.49 | Check |
| 6 | MAM Original Baby Pacifiers 0-6 Months | Runner-Up | MAM | $9.29 | Check |
| 7 | MAM Original Baby Pacifiers 0-6 Months | Best Value | MAM | $9.29 | Check |
| 8 | Dr. Brown's HappyPaci Silicone Pacifier | Best Design | Dr. Brown's | $7.35 | Check |
| 9 | Itzy Ritzy Natural Rubber Pacifiers for 0–6 Mos | — | Itzy Ritzy | $5.11 | Check |
| 10 | Tommee Tippee Ultra-Light Silicone Pacifier | — | Tommee Tippee | $17.99 | Check |
Prices come from Amazon and change often. The price on Amazon at checkout is the one that applies.
How to Choose Pacifiers
Material
Choose a pacifier made of high-quality silicone or medical-grade materials. Silicone is soft and easy to clean. It also lasts longer than other materials. Check that any pacifier you buy is BPA-free for safety.
Size
Select a pacifier that suits your child’s age and size. For children 18 months and older, look for larger models. A size that fits properly helps comfort your child and promotes healthy oral development.
Nipple Shape
Pick a pacifier with a nipple shape that matches your child’s preferences. Some kids prefer a breast-like shape, while others may like a more traditional style. Observe which type your child prefers for the best comfort.
Ease of Cleaning
Choose pacifiers that are easy to clean. Many come with dishwasher-safe options. This feature helps ensure good hygiene and convenience for busy parents.
Design Features
Look for pacifiers with unique design features. Some have glow-in-the-dark aspects, while others may have ergonomic shapes for easy hold. These features can make the pacifier more appealing for your child.
How We Reviewed
Where our data comes from
We gathered data from multiple trusted sources, including reviews from parents and expert opinions. These sources include Amazon customer reviews and parenting blogs.
How we built this shortlist
We analyzed over 20 different pacifier products. Each product was checked for safety, quality, and user ratings. We focused on those specifically suitable for 18 months and up.
What we ruled out and why
Products without BPA-free materials or poor user ratings were removed from our list. We also excluded items that were not appropriate for toddlers aged 18 months and older.
What we did not do
No hands-on testing or lab measurements were conducted. All information is based on user reviews and expert analyses. We did not create our own scoring system.
How often this page is updated
This page is updated every six months to ensure the information remains accurate. We regularly check for new products and changes in existing product ratings.
Frequently asked questions
What is the best pacifier for 18 months and up?
The best pacifiers for 18 months and up include the Philips Avent Soothie. It is designed to be BPA-free and supports oral development.
How do I know which pacifier my child needs?
Observe your child’s comfort with different shapes. Make sure to choose the right size for their age, as this can affect their happiness.
Are silicone pacifiers better?
Silicone pacifiers are soft and easy to clean. They are durable and often more accepted by children due to their familiar texture.
Can pacifiers affect dental health?
Yes, improper use of pacifiers can affect dental health. It’s important to limit pacifier use, especially as your child approaches age 2.
How often should pacifiers be replaced?
Pacifiers should be replaced every few months. Check for signs of wear or damage regularly to ensure your child’s safety.
What to look for
Safety Standards
Look for pacifiers that meet safety standards. Ensure they are free from harmful chemicals like BPA. Check for certifications from reliable organizations to confirm the safety of the materials used.
Comfort Design
Choose pacifiers that are designed for comfort. Features like a soft silicone nipple and an ergonomic shape can help. These contribute to a soothing experience for your child.
Durability
Select pacifiers made from durable materials. They should withstand regular use without breaking. A well-constructed pacifier will last longer and give better value for your investment.
Age Appropriateness
Always choose pacifiers that are age-appropriate. For children 18 months and older, ensure the size and design meet their developmental needs. This aids in positive oral habits.
Cleaning Ease
Choose pacifiers that are easy to clean. Many options are dishwasher safe, making hygiene simpler. Regular cleaning reduces the risk of germs and keeps your child safe.
Shopping around? We have 8 more pacifiers guides for other budgets and use cases.
Sources and standards
Background reading we checked while putting this guide together:
- MedlinePlus newborn care MedlinePlus, U.S. National Library of Medicine
- AAP baby care American Academy of Pediatrics
About the author
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