Invented and patented by Dr. Trey Fellers, a board certified pediatric dentist from Fairhope, Alabama, the Cutie PAT Smile was designed to help prevent orthodontic issues and support natural oral development. The wide nipple helps prevent crossbite while the patented preformed neck helps prevent open bite. The Cutie PAT Smile 0M+ has a soft orthodontic shaped nipple and was designed to promote natural oral development. It can be used by newborns up until weaning. The bite resistant nipple is safe for babies with and without teeth. The Cutie PAT (Pacifier And Teether) is a multifunctional 2-in-1 patented design. The nipple was created to soothe, while the teether was developed to aid in teething relief. The Cutie PAT is a safe, one-piece design made out of 100% medical-grade silicone. It has a large round shield for teething, and large holes for safe breathing. The teether handle provides comfort for sore gums, and also makes it easy for baby to hold and place in their mouth. PATENTED DESIGN US Patent No. D887,014; D887,566 Click here to learn more about the Cutie PAT Smile. *Ryan & Rose does not guarantee that the Cutie PAT Smile will prevent all orthodontic issues. We know that all babies are different. Please consult with your dentist if you have any questions and/or concerns.