I had an incredibly fussy, colicky baby and I was desperate to find anything to help with the added teething pain. This necklace has been a lifesaver! I can tell the difference on days that I forget to put it on my child.This necklace has held up very well. The beads are all intact and the twist closure is still secure. I love that each bead is knotted so if it ever breaks, I won't have beads flying all over.