Cutie PAT Smile (0m+) Pacifier + Teether

# Cutie PAT Smile (0m+) Pacifier + Teether Color: Mauve Brand: Ryan & Rose Category: Feeding > Pacifiers Age: 0-3m, 3-6m, 6-9m The Cutie PAT Smile is a pacifier and teether for babies from newborn up until weaning, designed for use with or without teeth. It was invented by Dr. Trey Fellers, a board certified pediatric dentist, with a wide nipple intended to help prevent crossbite and a patented preformed neck intended to help prevent open bite. The design also includes a round shield for teething and large holes intended for safe breathing. It is made as a one-piece design from 100% medical-grade silicone, which avoids trapped moisture between layers. It is CPSIA compliant and free of BPA, PFAS, phthalates, and latex. The teether handle is meant to provide comfort for sore gums while also making it easier for a baby to hold and bring to their mouth. Ryan & Rose recommends washing with warm water and mild soap, and it is dishwasher safe on the top rack. The design is intended to help reduce the risk of certain orthodontic issues, but Ryan & Rose does not guarantee that the Cutie PAT Smile will prevent all orthodontic issues, noting that all babies are different and recommending parents consult a dentist with questions or concerns. For safety and hygiene, the maker recommends replacing the pacifier after 4 weeks of continued use, and instructs a pull test before each use to check for damage. ## Key features - Orthodontic nipple shape developed with a pediatric dentist - Wide nipple shape intended to help prevent crossbite - Patented preformed neck intended to help prevent open bite - Bite-resistant nipple safe for babies with or without teeth - Large round shield sized for teething - Large shield holes to support airflow - Beaded handle doubles as a teether for sore gums - Handle shape designed to be easy for baby to hold and place in mouth - Suitable from newborn through weaning (0M+) - Top-rack dishwasher safe for easy cleaning ## TrustScore: 88/100 TrustScore is Birch's proprietary rating, from 0 to 100, built from 50+ signals that reflect what actually matters to parents — safety, materials, recalls, certifications and quality. We don't take paid placements or sponsored rankings, so a score is never influenced by who pays to be seen. This product's TrustScore: 88/100, weighted across 8 criteria. - Mouthing Material Purity: 91/100. The pacifier-teether is one solid piece of 100% medical-grade silicone, named free of BPA, PFAS, phthalates and latex; independent legacy lab testing on the related Cutie Teether silicone reported a non-detect for lead, corroborating the material claim. - Breakage Resistance: 86/100. This pacifier-teether is a seamless one-piece silicone design, and Consumer Reports' structural test on the sibling Flat pacifier found no parts broke or detached under heavy applied force, though a reviewer separately reported a related product cracking after two weeks. - Toy Safety Compliance: 92/100. This pacifier-teether is stated to be US CPSIA compliant and FDA approved, and a retailer independently states it is US CPSC compliant in its own product listing, repeating the brand's compliance claim for this product line. - Age Grading & Choking Safety: 79/100. The Smile teether is graded from birth and the named toy-safety standards for this line cover it. The warning wording carried on this shape's own packaging is not published, the one gap in an otherwise complete set of safety disclosures for the product. - Hygiene by Design: 85/100. The one-piece design is dishwasher-safe (top rack) with no seams to trap water, and a reviewer confirms repeated bottle-sterilizer use with no issues, though the brand gives no boil-time or temperature specifics for its cleaning claim. - Recall History: 92/100. We queried the complete CPSC recall registry (9,969 records, 1973-2026) and found one entry for this brand: a 2021 voluntary recall of a children's eating utensil, not a teether, for a handle-breakage choking hazard. The brand cooperated with CPSC and issued the recall itself after receiving reports. - Certification Credibility: 92/100. The pacifier-teether is named as CPSIA compliant and FDA approved for the finished product, and independent legacy XRF testing on the related Cutie Teether reports a non-detect result for lead, corroborating the brand's chemical-safety claims without a published certificate number. - Transparency & Support: 84/100. It is made in the USA and promises to "guarantee all products for the suggested lifespan," but the warranty has no stated duration or claim process, and a full materials list beyond the silicone claim is not published. ## Specifications - Age Range: 0 months and up (Stage 2) - Material: 100% medical-grade silicone - Design: Patented one-piece design - Patent Numbers: US Patent No. D887,014; D887,566 - Compliance: CPSIA compliant - Free Of: BPA, PFAS, phthalates, latex - Recommended Replacement: Every 4 weeks of continued use - Design Origin: Designed in the USA, made in China ## Caution - To avoid a choking hazard, complete a pull test inspection before each use, by pulling the nipple in all directions. Check for damages such as cracks, tears, and/or excessive wear. If damaged, discard immediately. Nipple should be sucked on as a means to soothe, not chewed. - For safety and hygiene, it is recommended to replace after 4 weeks of continued use. Do not use without adult supervision. Do not tie around a child's neck. Only use with pacifier clips that are CPSC compliant. If the entire pacifier becomes lodged in the mouth, do not panic; it cannot be swallowed. - Remove gently and do a pull test inspection. ## Care - Wash with warm water and mild soap. Dishwasher safe, top rack only.