The slightly longer answer is that how they're applied and what materials are used makes a big difference. Let me walk you through everything so you can make an informed decision.
Do tooth gems damage your teeth?
No, and this is probably the thing people worry about most. When applied correctly using dental-grade adhesive, tooth gems sit on the surface of your enamel without drilling, filing, or permanently altering your tooth in any way.
The same bonding technique has been used by orthodontists for decades to attach braces brackets. It's well-established, well-researched, and when it's done right, it's completely reversible.
The gem bonds to the enamel. It doesn't penetrate it.
What about when they come off?
This is where technique really matters. A properly applied gem should release cleanly from the tooth when it comes off naturally, leaving the enamel exactly as it was. The adhesive is designed to give way before the enamel does.
The risks come from:
- Using the wrong adhesive - non-dental-grade glues can bond too aggressively and cause damage on removal
- Improper removal - trying to pick or pry a gem off yourself can damage enamel
If yours needs to be removed, book in for a scale and polish with your dentist or hygienist and let them know in advance that you have some dental composite to be removed. I don't offer removal myself, and I'd be wary of any technician who does unless they're qualified to do so. There is a real risk to your enamel if it's not handled properly.
I use dental-grade bonding adhesive for every single application, the same products used in orthodontic practices. I've never had a client experience enamel damage from an application.
Are the gems themselves safe?
The gems I use are:
- Swarovski crystals - precision-cut, lead-free
- Preciosa crystals - Czech-made, also lead-free
- Solid 18k gold charms - genuine gold, not plated
None of these contain harmful materials. I specifically use lead-free crystals because that matters.
What's not safe is low-quality gems with unknown coatings, which is one of the reasons it's worth knowing what you're actually getting before you book.
Is the process painful?
Not at all. There's no drilling, no needles, no discomfort. You sit back, I clean and prepare the surface, the gem is bonded in place, and it's set with a curing light. The whole thing usually takes 30-45 minutes (sometimes a little longer) and most clients tell me they barely feel anything. The curing light can make your gums feel a little warm, but that's about it.
Can anyone get tooth gems?
Most people can, yes. There are a few situations where I'd advise waiting or reconsidering:
- Active tooth decay or gum disease - you want your dental health sorted first
- Orthodontic treatment - worth checking with your orthodontist first
- Very worn or weakened enamel - I'd be honest with you about this at your appointment
If you're unsure, just drop me a message before booking and I'll give you a straight answer.
The bottom line
Tooth gems applied with proper materials and technique are safe, non-invasive, and completely reversible. The risks people hear about almost always come down to poor-quality products or someone who hasn't been properly trained.
I take every application seriously (prep, placement, aftercare advice). When you leave my chair, I want your gems to look amazing and your teeth to be exactly as healthy as when you walked in.
Book your appointment here and if you have any questions first, I'm always happy to chat.
More questions? Check the FAQ on my homepage or message me on WhatsApp.