Teenagers are always finding new ways to express themselves, and one of the latest trends is tooth gems. These tiny decorative crystals or charms are bonded to the surface of a tooth to add sparkle to a smile. While tooth gems may look fun and fashionable, many parents wonder: Are tooth gems safe for teens?
Dental organizations such as the American Dental Association (ADA) generally do not recommend cosmetic accessories that are bonded to teeth, as they can increase the risk of enamel damage, plaque buildup, and other oral health concerns. However, teens may still encounter tooth gems through social media trends, friends, or online kits.
Understanding what tooth gems are, the potential risks, and why DIY application is unsafe can help parents make informed decisions and protect their child’s oral health.
What Are Tooth Gems?
Tooth gems are small decorative pieces, such as crystals, gemstones, or tiny metal charms, that are bonded to the surface of a tooth. They are usually placed on the front teeth, such as the canines or incisors, to ensure they are easily visible.
Tooth gems are considered cosmetic accessories, not dental treatments. They do not improve oral health and serve no functional purpose.
While tooth gems have long existed, social media and celebrity trends have driven a renewed surge in popularity, particularly among teens.
What Are Tooth Gems Made Of?
Tooth gems sold online or through cosmetic vendors may be made from:
- Crystals or rhinestones
- Gold- or silver-colored metals
- Gemstone-style materials
Quality varies widely between manufacturers. Some products are marketed as “non-toxic,” but there is no universal regulation for cosmetic tooth jewelry materials.
This lack of standardization is one reason dental professionals urge caution with tooth gems.
How Long Do Tooth Gems Last?
Tooth gems are not permanent.
Depending on the type of adhesive used and oral habits, they may stay in place for several weeks to several months. Some may fall off much sooner.
Because longevity is unpredictable, repeated reapplication is common, increasing the risk of enamel wear over time.
Are Tooth Gems the Same as Dental Jewelry or Grillz?
Tooth gems are part of the broader category of dental jewelry, which refers to decorative accessories worn on or over teeth.
- Tooth gems are small decorations bonded to a single tooth.
- Dental jewelry is a general term that includes tooth gems and similar bonded decorations.
- Grillz are removable covers that fit over multiple teeth and are not bonded in place.
All of these are cosmetic in nature and differ from professional dental treatments.
Are Tooth Gems Safe?
Dental organizations generally advise against attaching cosmetic accessories to teeth.
Even when placed carefully, tooth gems can increase the risk of:
- Enamel surface damage
- Plaque buildup around the gem
- Gum irritation
- Tooth sensitivity
Risks are significantly higher with at-home kits or non-dental adhesives.
What Are the Risks of Tooth Gems for Teens?
Potential risks include:
- Weakening of enamel from improper surface preparation
- Increased chance of cavities around the gem
- Gum inflammation near the placement area
- A loose gem that could be swallowed or inhaled
Teens are still developing long-term oral habits, which can make managing these risks more challenging.
Why DIY Tooth Gems Are Especially Risky
Many online kits include adhesives or instructions that are not appropriate for dental use. Some may even suggest using nail glue or craft glue. These products are not intended for oral use and may damage enamel and irritate soft tissues.
Additional concerns with DIY placement include:
- Overuse of acidic materials that weaken enamel
- Poor bonding that allows gems to detach easily
- Difficulty removing hardened adhesive without damaging the tooth
For these reasons, cosmetic tooth accessories should never be applied using household or cosmetic adhesives.
What to Know About Tooth Surface Preparation
Bonding materials adhere best when enamel has microscopic roughness.
In dental settings, surface preparation is carefully controlled. Outside of a professional environment, improper use of etching or bonding materials can permanently alter enamel.
This is one of the biggest reasons dentists caution against cosmetic bonding procedures performed outside of dental offices.
Can Tooth Gems Damage Enamel?
Tooth gems can contribute to enamel changes, especially if they are:
- Applied improperly
- Reapplied multiple times
- Removed without professional tools
Some enamel changes may be minor, while others can be permanent.
Oral Hygiene Concerns With Tooth Gems
Plaque can collect around the edges of a tooth gem, increasing the risk of cavities and gum irritation.
If a teen has a tooth gem, they should:
- Brush twice daily with a soft-bristled toothbrush
- Floss once per day
- Pay extra attention to the area around the gem
- Maintain regular dental checkups
Even with good hygiene, plaque retention around a bonded accessory can still be higher than normal.
What Happens If a Tooth Gem Falls Off?
If a gem becomes loose, it should not be reattached at home.
If swallowed, a small object will often pass through the digestive system naturally, but contacting a healthcare provider for guidance is recommended.
If inhaled, seek immediate medical attention.
How Are Tooth Gems Removed?
Only a dentist should remove bonded tooth jewelry.
Professional removal involves carefully polishing away bonding material and smoothing the enamel surface.
Who Should Avoid Tooth Gems?
Tooth gems may be especially problematic for:
- Young children
- Individuals with cavities
- People with weakened or thin enamel
- Those with gum inflammation
- Anyone undergoing orthodontic treatment
Frequently Asked Questions About Tooth Gems
Do you have more questions about losing and getting teeth? Here are a few we’ve heard and can answer for you.
Are tooth gems recommended by dentists?
Dental organizations generally do not recommend cosmetic accessories bonded to teeth because they can increase the risk of enamel damage, plaque buildup, and other oral health issues.
Can tooth gems be applied at home?
No. DIY tooth gem kits can damage enamel, interfere with proper bonding, and increase the risk of infection or decay.
Are tooth gems permanent?
No. Tooth gems are temporary and may fall off unexpectedly. Removal or rebonding should always be handled by a dental professional.
Do tooth gems hurt?
The placement process itself may not be painful, but complications such as irritation, enamel damage, or sensitivity can occur.
Can tooth gems cause cavities?
Yes. Tooth gems can create areas where plaque and bacteria collect more easily, which increases the risk of cavities.
Pediatric Dentist in Sicklerville, NJ
Any alteration to teeth should be performed by a qualified dentist. Your teeth are strong, but any damage is usually permanent. That’s why it’s vital to speak with a dentist before doing anything to your teeth at home besides brushing and flossing.
If you have questions about dental care for your kids in Sicklerville, NJ, Mount Laurel, NJ, or Woolrich Township, NJ, schedule an appointment with the Center for Pediatric Dental Health. We want to ensure your child’s teeth stay healthy and their smiles keep sparkling!
