The necklace is made of cotton fabric which has been knotted over wooden beads. The size and shape of the beads are perfect for teething, and there have been many times when I have given this to Ava to chew when she has been fussy about teething pain. The necklace has a satin/polyester ribbon on each end which you can tie to achieve whatever length you desire. I like to leave mine tied long so that I can slip it over my head easily if Ava starts begging to wear it herself! This necklace has held up really well to Ava's "love" of it. The craftsmanship is just lovely and I can tell that this will continue to hold up for a long time.
I really like the huge selection at KristalCraftsShop: there is truly something for everyone. Kristal also makes beautiful infinity scarves and pacifier clips with the knotted beads built in as a teether! I've had my eyes on this yellow and grey necklace for a while, as well as this elegant white lace one, and I just ordered this brown lace necklace for myself! Check her shop out, and I'm sure you'll find something you like too!