The U.S. Food and Drug Administration sent out a warning about teething necklaces and bracelets.
The agency said the jewelry poses a choking and strangulation hazard and should not be used to relieve teething pain in children or to provide sensory stimulation to persons with special needs, such as autism or attention-deficit/hyperactivity disorder (ADHD).
The FDA said it has received reports of death and serious injuries to infants and children, including strangulation and choking, caused by teething jewelry, such as amber teething necklaces.
One report involved a 7-month old child who choked on the beads of a wooden teething bracelet while under parental supervision and was taken to the hospital, and another involved an 18-month old child who was strangled to death by his amber teething necklace during a nap.
Teething jewelry can come in various forms, including a necklace, bracelet or anklet, and can be worn by either an adult or child. Such products are produced and sold by a large number of manufacturers and individuals.
The FDA said choking can happen if the jewelry breaks and a small bead enters the child’s throat or airway. Strangulation can occur if a necklace is wrapped too tightly around the child’s neck or if the necklace catches an object such as a crib. Other concerns include injury to the mouth or infection if a piece of the jewelry irritates or pierces the child’s gums.
In addition to choking and strangulation concerns, the FDA said amber teething necklaces contain a substance called succinic acid, which allegedly may be released into an infant’s bloodstream in unknown quantities. Manufacturers of these products often claim succinic acid acts as an anti-inflammatory and relieves teething and joint pain. The FDA has not evaluated these claims for safety or effectiveness and recommends parents not use these products.
In addition to avoiding using jewelry to relieve teething pain, the FDA continues to recommend that caregivers avoid using teething creams, benzocaine gels, sprays, ointments, solutions and lozenges for mouth and gum pain.
The agency encourages consumers and health care professionals to report injuries or adverse events that occur from using teething jewelry by filing a report at 1-800-FDA-1088 or online at MedWatch, the FDA Safety Information and Adverse Event Reporting program.