My wife is not into big gaudy jewelry. I had a jewler cut the tips out of a pair of ivories,about like cutting a pea in half,and set them in silver studs for ear rings. Also had two small tear drop shapes cut out and inlaid in a silver toggle bracelet. That turned out really cool. I also did a small round flat pendant with an ivory that was cut. Jewlers can do awesome stuff,and it really looks classy if you keep it small. Elk ivories are like turquoise. Less is more.