this teether have work wonder for my daughter ! she never take a pacifier , but love this . she chew all over this thing and we have never have a problem with she choke or gag herself . we try so many different thing to help she with she teething pain , and this seem to be the only thing that really help . I 'll put in it the fridge for about 15 minute to get cool and then its all hers . also , when we first introduce this to she , she reject it for a few day . so do not give up on you little one , give they some time to get use to it . I would just set it on she high chair tray and let she decide what she want to do with it .