Amber necklaces are an extreme strangulation risk for young children. They have become almost common place among children in our practice. I am constantly reminding parents to take them off for fear of their young child choking on one of the beads or strangulating on the necklace itself. There is no proven benefit for the amber working against teething. I have 3 children and I use Tylenol or Motrin for pain relief from teething. Cold teething rings are also beneficial. The remainder of marketed items are, in my opinion, dangerous or ineffective. I found the following informative article in the New York Times. Please read for more information on amber teething necklaces.