Teethers and Pacifier Clips: What's Safe, and When to Start

Teething can bring drooling, chewing and discomfort. A few checks help you choose an appropriate teether and use a pacifier clip with care.

Wooden and silicone fox teething toy

Fox Teething Toy

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What is actually happening

Teeth gradually emerge through the gums; some babies notice little discomfort. For relief, try a clean washcloth soaked in cold water or gently rub the gums with a clean finger. A teething ring may be cooled in the refrigerator, but do not freeze it: it could injure the mouth. See INSPQ's teething guidance.

Choosing a material

Choose a teether labelled for your baby's age, large enough that it cannot lodge in the throat, without small parts that can come loose. Inspect the whole item, including seams and joints. A description such as wood or food-grade silicone does not tell you whether the assembled product is suitable. INSPQ explains what to check in baby toys and teething rings.

Minimalist wooden rattle in oat colour

Minimalist Wooden Rattle - Oat

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The pacifier clip rule

Keep clip use to awake, supervised time and remove it before sleep. Never put a cord around the baby's neck. If using a clip, fasten it securely to clothing with a short ribbon; do not add a longer cord. New Brunswick Public Health specifies a ribbon under 22 cm and no clip during sleep.

Avoid silicone-bead clips: broken beads can become choking hazards. Also avoid teething necklaces, including amber necklaces, which can strangle a baby or release small parts. Health Canada describes the risks from clips, cords and teething necklaces.

When to retire a teether

Stop using a teether with cracks, splinters, loose pieces or other damage. Follow the manufacturer's replacement instructions. Check it regularly; a damaged item can release small parts.

Frequently asked questions

When does teething start?

The first teeth commonly appear around 6 months, but can arrive earlier or later. Offer a teether according to its age label and your baby's needs, rather than a fixed starting date. Do not assume fever or diarrhea comes from teething. Contact a health professional if your baby is very uncomfortable. See INSPQ's advice.

Silicone, wood or fabric?

Check the particular product's intended use, age label, condition and care instructions. Do not assume every silicone item can go in the dishwasher or that a wooden teether is antibacterial.

Is a pacifier clip safe for sleep?

No. Remove the clip before putting your baby down to sleep, including naps. A pacifier and a clip are separate items; advice about using a pacifier for sleep does not mean leaving the clip attached. See the public-health pacifier handout.

How do I clean them?

Follow the maker's instructions for the specific item. Do not boil, soak or put it in a dishwasher unless those instructions permit it. Check its condition again after cleaning.

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