Puckerings has dated this piece to the 1910s.
The bell of course rattles around and is beautifully engraved.

The teething ring which also acts as handle is made from creamy Ivory with a good glossy patina.
Excellent condition with a couple of tiny dings to the bell (mentioned purely for accuracy); measuring 2 3/4" x 1 5/8" (Ivory ring diameter).
Item ID: 32236
FREE Worldwide Registered Airmail Directly From London, England
Puckerings has dated this piece to the 1910s.
A quality online collection of fine english antique smalls with free worldwide shipping from london, england
You can view the stock and full dealer information on the Puckerings Profile Page