Philips Avent Ultra Soft Pacifiers Orthodontic 6-18 Months, Flexible Shield Silicone BPA-Free 4 Pack Review (2026)
Updated September 14, 2026 · Research-based review
Our verdict
A well-made orthodontic pacifier for babies past the newborn stage, with a flexible silicone shield designed to reduce skin marks and a four pack that keeps spares on hand for an active toddler who drops or loses pacifiers often. Not sized for newborns, so check the age range before buying.

Philips Avent Ultra Soft orthodontic pacifiers for 6-18 months with a flexible silicone shield, BPA-free, 4 pack.
Price range: See on Amazon
What we liked
- + 4 pack gives plenty of spares for an older, pacifier-dropping baby
- + Flexible silicone shield is soft against the skin
- + Orthodontic shape according to the listing title
Trade-offs
- - Not for newborns, since sizing starts at 6 months
- - Replace when worn, since soft silicone eventually shows bite wear
Who this pacifier suits
This pacifier is designed for babies between 6 and 18 months, which puts it past the newborn stage and into the phase where babies are more mobile, teething, and prone to flinging or losing a pacifier mid-nap. The four pack reflects that reality, giving parents enough spares to keep one in the diaper bag, one by the crib, and a couple in reserve without needing to reorder every few weeks. Because it is sized for older infants rather than newborns, parents of a brand new baby should look at Philips Avent's 0-3 or 0-6 month pacifiers instead and switch to this orthodontic 6-18 month version as their baby grows.
Shield design and materials
The nipple is made from 100 percent food-grade silicone and the whole set is BPA-free, with the shield built using a flexible, soft shield design that is meant to follow the natural curves of a baby's face rather than pressing flat against the skin. Philips Avent states this rounded, flexible shield reduces pressure on the cheeks and is intended to leave fewer skin marks than a rigid shield after extended use, and the nipple has an orthodontic, symmetrical shape so it can be inserted either way up without a wrong side. Each pacifier is also part of a set that includes reusable cases that double as a travel case and a microwave sterilizer.
Cleaning and replacing them
The included case can be used to sterilize the pacifiers by adding water and microwaving for a few minutes, which is a convenient way to clean them between uses without a dedicated steam sterilizer. Silicone nipples do not degrade the way natural rubber ones do, but they still wear with repeated biting and sterilizing, and the manufacturer recommends replacing pacifiers after about four weeks of regular use regardless of how they look, since small tears or weak spots are not always visible to the eye. Buying in a four pack makes that replacement schedule easier to keep up with instead of running out mid-cycle.
How it compares with other Philips Avent pacifiers
Within Philips Avent's own lineup, the Soothie one-piece silicone pacifier for 0-3 months and the Soothie orthodontic version for 3-18 months both score slightly higher in our comparison, largely because the one-piece Soothie design has fewer components to trap moisture and is a familiar shape many hospitals send new parents home with. This Ultra Soft version trades that simplicity for a more contoured, cushioned shield aimed at comfort during longer wear, which some babies in the 6-18 month range take to more readily once the simpler newborn shapes stop being accepted. Either family of pacifier is a reasonable choice, and picking between them often comes down to which shape your baby already accepts.
Verdict and who should choose differently
For a baby past six months who needs a soft, comfortable pacifier with a shield designed to be gentle on the face, this four pack is a solid pick backed by a sensible replacement cadence and a useful sterilizing case. It is not the right choice for a newborn, since the sizing starts at six months, and parents who want the simplest possible one-piece shape may still prefer the Soothie line from the same brand. For toddlers and older infants who are hard on their pacifiers, the extra count in this pack and the flexible shield make it worth choosing over a smaller two pack.
Frequently asked questions
Can a newborn use this pacifier?
No, this version is sized for babies 6 to 18 months. Philips Avent sells separate 0-3 and 0-6 month versions for newborns.
How often should these pacifiers be replaced?
The manufacturer recommends replacing pacifiers after about four weeks of regular use, even if they still look intact, since silicone can develop small weak spots from biting and sterilizing.
Do these pacifiers come with a case?
Yes, the set includes reusable cases that work as a travel case and can also be used to sterilize the pacifiers in a microwave with added water.
Is the shield rigid or flexible?
The shield is designed to be flexible so it follows the natural curves of a baby's face, which the manufacturer states is intended to reduce skin marks compared with a rigid shield.
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