When NOT to Use Tooth Gems: Medical Considerations

Tooth gems may be one of the hottest beauty trends on social media—seen on TikTok, Instagram, and even celebrity red carpets—but they are not safe for everyone.
While a well-done tooth gem can make your smile shine, the truth is simple:

👉 Some people should NEVER get tooth gems due to certain medical, dental, or lifestyle risks.

If your mouth is not healthy, if your enamel is weak, or if you have certain medical conditions, tooth gems can lead to serious damage.

This guide explains exactly when tooth gems are unsafe, why you should avoid them, and the safest alternatives.

What Are Tooth Gems & How the Procedure Works

A tooth gem is a small crystal, rhinestone, or gold charm that is bonded to the front surface of a tooth. The application usually involves:

·       Professional tooth cleaning

·       Light etching to prepare enamel

·       Dental adhesive or composite bonding

·       A curing light to harden the gem

·       Final polishing

Although this cosmetic process looks simple, it is still a dental bonding procedure—meaning certain conditions make it unsafe.

When You SHOULD NOT Use Tooth Gems (Medical & Dental Contraindications)

If you fall into any of the categories below, avoid tooth gems until a dentist clears you.

1. Active Dental Problems

Untreated Cavities

Applying a gem over a cavity can:

·       Trap more bacteria

·       Speed up tooth decay

·       Hide worsening damage

·       Make future dental treatment harder

Weakened enamel + adhesive = high risk of cracks and infection.

Gum Disease (Gingivitis / Periodontitis)

If you have swollen, bleeding, or infected gums, tooth gems may:

·       Irritate gum tissue

·       Prevent proper bonding

·       Increase infection risk

·       Make cleaning more difficult

Healthy gums are non-negotiable.

👉 Upgrade your smile safely — Shop Our Professional Tooth Gem Kit

2. Weak or Compromised Immune System

People with reduced immunity have a higher risk of oral infections.

Avoid tooth gems if you have:

·       Chemotherapy or radiation treatment

·       HIV/AIDS

·       Autoimmune diseases (Lupus, RA, Crohn's, etc.)

·       Chronic infections

·       Delayed healing

Even minor irritation can become a serious infection in these cases.

3. Recent Dental Procedures (Wait 6–8 Weeks)

Your mouth needs full recovery after procedures like:

·       Fillings

·       Veneers or crowns

·       Root canals

·       Tooth extractions

·       Gum surgery

Applying a gem too soon can reopen wounds or damage healing tissues.

4. Orthodontic Treatment (Braces, Aligners, Expanders)

If you are currently straightening your teeth:

·       Gems interfere with tooth movement

·       They can break brackets or wires

·       Adhesive may bind incorrectly

·       Cleaning becomes extremely difficult

Most orthodontists recommend waiting until treatment is complete.

5. Age Limitations

Under 16 Years Old

Avoid tooth gems for minors because:

·       Teeth and bite are still developing

·       Higher risk of swallowing the gem

·       Enamel is still softer

·       Hygiene habits are inconsistent

Older Adults

Seniors may experience:

·       Gum recession

·       Weaker enamel

·       Dry mouth from medications

These conditions increase gem-related complications.

👉 Safe, dentist-approved gems — Shop Our Professional Tooth Gem Kit

6. Medical Conditions That Make Tooth Gems Unsafe

Diabetes

Especially uncontrolled diabetes increases:

·       Slow healing

·       Infection risk

·       Gum sensitivity

·       Higher complications

Heart Conditions Requiring Antibiotics

Avoid tooth gems if you require antibiotic pre-medication due to:

·       Artificial heart valves

·       Past infective endocarditis

·       Certain congenital heart issues

·       Heart transplant history

Blood Disorders

If you have:

·       Hemophilia

·       Low platelets

·       Leukemia/lymphoma

·       Are using blood thinners

Even small injuries can become dangerous.

Pregnancy & Breastfeeding

Hormones make gums more sensitive and prone to irritation—so avoid cosmetic oral procedures until later.

Potential Risks & Side Effects of Tooth Gems

If gems are applied incorrectly—or on someone who shouldn’t have them—they can cause:

Infections

·       Gum infection

·       Tooth infection

·       Bacterial growth

·       Abscess

Dental Damage

·       Enamel erosion

·       Sensitivity

·       Gum recession

·       Permanent discoloration

Choking Hazard

Loose gems may be:

·       Swallowed

·       Choked on

·       Accidentally inhaled

When You MUST Remove an Existing Tooth Gem

Seek removal immediately if you notice:

·       Pain or sensitivity

·       Gum swelling or bleeding

·       Infection signs

·       A cracked or damaged tooth

·       New medical/dental conditions

·       Starting braces or orthodontics

·       Pregnancy

·       The gem becomes loose

Safer Alternatives If Tooth Gems Aren’t Right for You

Temporary Options

·       Removable tooth jewels

·       Safe tooth decal stickers

·       Professional teeth whitening

Long-Term Cosmetic Alternatives

·       Sparkle-accent veneers

·       Cosmetic bonding

·       Gold inlays

·       Custom enamel shaping

These provide a shine without risking your oral health.

Always Get a Dental Checkup Before Applying Tooth Gems

A dentist should evaluate:

·       Gum health

·       Enamel strength

·       Cavity presence

·       Medical history

·       Oral hygiene habits

This step ensures safe long-lasting results.

Conclusion

Tooth gems are fun, stylish, and popular—but they are NOT safe for everyone.
If you have dental issues, certain medical conditions, or recent dental treatments, tooth gems can lead to serious complications.

Your oral health always comes first.

For the safest at-home option, choose a high-quality, dentist-approved kit designed for beginners.

👉 Shop Our Professional Tooth Gem Kit — Safe, tested, beginner-friendly, and built for long-lasting sparkle