Are Tooth Gems Safe? Procedure, Cost & Aftercare Guide

By Author: Dr Rekha
Total Articles: 22
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If you are curious about whether they are safe, how the procedure works, what they cost, and how to care for them, this guide covers it all. At Eve Dental Centre, we want every patient to feel confident and fully informed before making any decision about their dental health.

What Are Tooth Gems?
Tooth gems are small decorative crystals or jewels bonded to the surface of a tooth using dental-grade adhesive — the same material used to attach orthodontic braces. They are lightweight, sit flat against the tooth, and do not interfere with your bite or speech.

Common materials used for tooth gems include:

Swarovski crystals for a classic, subtle sparkle
Genuine diamonds for a premium finish
Gold studs or 18k and 24k gold designs for a bold, modern look

How Tooth Gems Are Applied
The tooth gem application process is quick, straightforward, and completely painless when carried out by a qualified dental professional. From start to finish, the procedure typically takes between 15 and 30 minutes.

Here is what happens during the procedure:

Surface Preparation:The dentist ...
... thoroughly cleans and dries the specific area of the tooth where the gem will be placed. This step ensures the adhesive bonds properly and that the gem stays secure.
Professional Bonding:A high-quality, dental-grade adhesive is applied to the tooth surface. This is the same safe material used in orthodontic treatment.
Precision Placement:The gem is carefully positioned so it sits flush against the tooth without affecting your bite or comfort.
Curing:A special curing light is used to harden the adhesive instantly, securing the gem in place for everyday wear.
Once the procedure is done, you can leave the clinic with your new look right away. There is no recovery time and no discomfort involved.

Are Tooth Gems Safe for Your Teeth?
When applied by a qualified dentist using dental-grade materials, tooth gems are generally safe. The procedure does not involve drilling, so your enamel is not damaged. The adhesive used is medically approved and non-toxic. However, problems can occur if tooth gems are applied incorrectly, especially with DIY kits or by untrained providers.

Risks of improper application include:

Plaque and bacteria getting trapped around the gem
Irritation to the surrounding gums
Staining or discolouration around the bonded area
The gem becoming loose and being accidentally swallowed
Professional application by an experienced dentist greatly reduces these risks. Your dentist will check your teeth, use safe materials, and place the gem correctly to protect your long-term oral health.

How Long Do Tooth Gems Last?
Professionally applied tooth gems can last from several months to a few years, depending on how well you care for them. DIY or temporary gems typically fall off within weeks. Key factors that affect longevity include your oral hygiene routine, eating habits, and the placement position on the tooth. With proper care and regular check-ups, many patients enjoy their gem for a year or more.

Can You Eat and Drink With Tooth Gems?
Yes, you can eat and drink normally after getting a tooth gem. Avoid eating or drinking for at least one hour after the procedure to allow the adhesive to fully set. Stick to soft foods for the first 24 hours. Ongoing, avoid biting down on hard foods like ice, boiled lollies, or crusty bread, as these can dislodge the gem. Beyond these small adjustments, your everyday diet remains unaffected.

Tooth Gem Aftercare and Maintenance
Good oral hygiene is the key to keeping your gem secure and your teeth healthy. Follow these simple steps:

Brush gently:Use a soft-bristled toothbrush and avoid scrubbing directly on the gem.
Floss regularly:Flossing prevents plaque buildup around the bonded area, reducing the risk of decay.
Avoid using teeth as tools:Opening packaging or chewing on pens puts unnecessary pressure on the gem.
Attend regular check-ups:Your dentist can check the gem is secure and clean during routine visits.
How Much Do Tooth Gems Cost?
The cost of tooth gems varies depending on a number of factors. While DIY kits can be purchased cheaply online, these come with significantly higher risks and rarely last more than a few weeks. Professional application at a dental clinic costs more, but it offers far better safety, durability, and peace of mind.

The key factors that influence the price of a professionally applied tooth gem include:

Type of gem:
Crystal glass gems sit at the lower end of the price range, while genuine diamonds and solid gold designs cost considerably more.
Dentist’s experience and expertise:
A qualified dentist will use sterilised instruments, medical-grade adhesive, and a proper curing process — all of which contribute to a safer, longer-lasting result.
Customisation:
The number of gems you choose and the complexity of the design will also affect the overall cost.
When weighing up the cost, it’s worth considering the value of having the procedure done correctly the first time. Professional treatment reduces the risk of enamel damage, provides a longer-lasting bond, and gives you ongoing dental support should anything need adjusting.

How to Remove a Tooth Gem Safely
Temporary gems may fall off on their own over time. For professionally bonded gems, removal should always be performed by a dentist. Your dentist uses specialist tools to detach the gem without damaging the enamel, then polishes the surface to remove any adhesive residue. Attempting to remove a gem at home risks chipping the enamel, scratching the tooth, or leaving behind adhesive that can attract bacteria and lead to cavities.

Who Should Avoid Getting Tooth Gems?
While tooth gems are suitable for many people, they are not the right choice for everyone. It is important to be aware of situations where getting a tooth gem may not be advisable.

Existing oral health issues:If you have active tooth decay, gum disease, or weakened enamel, these conditions should be treated and resolved before considering any cosmetic dental procedure. Applying a gem over compromised teeth can worsen existing problems and make cleaning more difficult.
Current orthodontic treatment:
If you are currently wearing braces or clear aligners, tooth gems may not be suitable at this time. The presence of orthodontic appliances can interfere with the placement and stability of a gem.
A dental consultation before the procedure is always essential. Your dentist will examine your teeth, review your oral health history, and give you an honest assessment of whether tooth gems are the right option for you.

Benefits and Limitations of Tooth Gems
Benefits
Non-invasive and painless — no drilling or permanent changes to your natural tooth
Quick procedure with immediate, visible results in just 15 to 30 minutes
Highly customisable to suit your personal style and preferences
Limitations
Requires consistent oral hygiene maintenance to stay secure and keep teeth healthy
Not a permanent fixture — gems will need to be replaced or removed over time
Not suitable for people with certain dental conditions or current orthodontic treatment
Frequently Asked Questions
Do tooth gems damage your enamel?
No. When applied by a qualified dentist, the procedure is non-invasive and does not damage enamel. There is no drilling involved. The risk to enamel arises mainly from improper DIY application or at-home removal attempts.

How long does a tooth gem procedure take?
The full process, from cleaning the tooth through to curing the adhesive, takes between 15 and 30 minutes. There is no downtime, so you can continue your day straight afterwards.

Can I brush my teeth normally with a tooth gem?
Yes. Continue your normal brushing routine, but use a soft-bristled toothbrush and brush gently around the gem. Avoid pressing directly onto it or scrubbing too hard, as this can weaken the adhesive bond over time.