Do amber necklaces work for teething?
No, amber teething necklaces do not have proven pain-relieving effects, and pediatric groups warn they carry serious choking and strangulation risks.
Lab testing found the beads do not release succinic acid onto skin in a way that could work as claimed.
Good
Based on consistent pediatric guideline statements (AAP, CPS) plus laboratory/mechanistic research and case reports; there are no clinical trials proving pain relief, but the safety concerns are well documented.
What the evidence says
There's no good evidence that amber necklaces relieve teething pain. A laboratory study that tested real amber beads found no evidence that succinic acid (the ingredient claimed to work) could leach out into a baby's skin, and even if it did, researchers found no evidence it has anti-inflammatory or pain-relieving properties.
More importantly, both the American Academy of Pediatrics and the Canadian Paediatric Society advise against using these necklaces at all because of safety risks, not just lack of benefit. Case reports describe infants strangled or nearly strangled by these necklaces, especially during sleep, and beads can break off and cause choking.
For teething discomfort, pediatric groups suggest gum massage or a firm rubber teething ring (not frozen) instead. If you're already using one, remove it during sleep and any unsupervised time, though the safest option is to avoid it altogether.
Sources
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Guideline
Teething Necklaces and Beads: A Caution for Parents
HealthyChildren.org (AAP), 2018
AAP explains lack of benefit and choking/strangulation risks.
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Guideline
FDA: Teething necklaces can lead to choking, strangulation
AAP News, 2018
FDA and AAP recommend gum massage or rubber teethers instead.
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Systematic review
Teething necklaces and bracelets pose significant danger to infants and toddlers
Canadian Paediatric Society Surveillance Program (PMC), 2019
CPS report; no evidence of pain relief, documents strangulation cases.
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Randomised trial
Baltic amber teething necklaces: could succinic acid leaching from beads provide anti-inflammatory effects?
PubMed, 2019
Lab testing found no evidence succinic acid releases from beads onto skin.
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Systematic review
Fad over fatality? The hazards of amber teething necklaces
PMC, 2018
Reviews lack of analgesic evidence and strangulation case reports.
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Systematic review
Use of the amber teething necklace by the child population: risks versus benefits
PMC, 2022
Evidence review concluding no proven benefit, notable infection risk.
✓Reviewed by CH, MD, FRCPC
Reviewed by a specialist physician certified by the Royal College of Physicians and Surgeons of Canada, who has read this answer against the sources listed above and confirmed it reflects them. That is not medical advice about your child. How we review
Answer checked July 26, 2026