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The ultra thin stem is actually two times thinner than other pacifiers for minimal impact on baby's teeth and mouth and the hollow silicone bulb promotes proper tongue placement and reduces jaw pressure. Dr Brown's orthodontic pacifiers come in packs of two with a protective 'clean' case. There are four color schemes and they include: orange, red, white and yellow, green, blue and white, purple, pink and green, and blue and white (clinical colors). There are three stages of pacifiers available (all three come with handles).