The best replacement for freshwater pearls is saltwater pearls.

The best alternatives to freshwater pearls are rated as following:
★★★★★  saltwater pearls
★★★★★  cultured pearls
★★★  cultured
★★  saltwater
★★  akoya
★★  akoya pearls
★  south sea pearls
★  swarovski pearls
★  ocean pearls
  mother of pearl
  sea pearls
  salt water pearls
  glass pearls
  salt water
  tahitian pearls
  pearls
  culture pearls
  oyster pearls

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Google Trends

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freshwater pearls
saltwater pearls
cultured pearls