I was the first person ever to take a mah jongg tile and convert it into skulls and crosses.
I came up with the idea by the need to do something with an incomplete set.  I was already
into skulls and carving them out of moose antler.  This incomplete set that I had was from
an 85 year old game set.  Not all the pieces were there, and really unusable in that state.
I was converting them into cuff pieces as they were.  That is, dots, flowers, and red dragons.
The other pieces were useless, until I started carving skulls and crosses out of them.  They were too beautiful, and I needed to make something worth while out of them.  I took mah jongg jewelry (eastern) into the Bone Dust west. COPYRIGHT, 2006.

Mah jongg tiles.  Ivory, bone, and bakelite.  Some over 100 years old and some young as 60.
I turn some of the bone and ivory into little dead Okies (skulls).   I call this series my "Dead or
Alive", which I match up with skulls and crosses.  This goes back to the choices that we make.  Each one so unique and never  duplicated.  Also, I make them into earrings and pendants.  I also put skulls on chokers.   Bone Dust has hundreds to choose from.   We also take antique mj tiles and carve a set of six-shooter earrings out of them with sterling wire and rings.
BDC OKC.