Oral Health

What Exactly Is a Tooth Piercing?

HealthEH Team
By HealthEH Team Sep 11, 2026 • 13 min read
What Exactly Is a Tooth Piercing?

You’ve likely heard of ear, body, and even oral piercings. But have you come across a tooth piercing? This fashion involves affixing a gem, stone, or other decorative piece directly onto the surface of a tooth.

While the look can add sparkle to your grin, it isn’t free of potential hazards.

Continue reading to find out how tooth piercings are applied and what complications might arise.

– ADVERTISEMENT –

What is a tooth piercing?

Tooth piercing doesn’t involve drilling all the way through the tooth. Instead, the ornament is adhered to the tooth’s outer surface.

Gems come in a variety of shapes and sizes. Common selections include:

  • diamonds
  • sapphires
  • rubies
  • crystals

Tooth gems are typically attached to a front tooth, positioned away from the gum line.

According to Bang Bang Body Arts in Massachusetts, a temporary tooth gem can remain in place for up to 6 weeks. If you pick a semi-permanent option, it can be kept on for as long as desired.

Close-up of front tooth with two small crystal tooth gems adhered to the surface
(img by Dental 360)

Pictures of tooth piercings

– ADVERTISEMENT –

What’s the procedure like?

The process for placing a tooth gem is fairly simple. You should not feel pain before or after the jewel is fixed.

  • Tooth preparation. Before attaching the jewel, the enamel is cleaned and prepared. An acid etch is typically used to condition the tooth.
  • Composite application. A bonding agent followed by a dental composite (a resin designed for teeth) is applied where the ornament will sit.
  • Jewelry placement. A piercing technician or dentist then uses tools to secure the jewel into the composite.
  • Setting. A special curing lamp hardens the composite. The setting usually takes about 20 to 60 seconds for the gem to bond.
  • Aftercare. Avoid aggressive brushing and steer clear of spicy or sticky foods. Maintaining good oral hygiene is crucial after placement. Also, try not to touch or fidget with the jewel once it’s attached.

In most cases, drilling through the tooth is unnecessary to attach a tooth gem, though some choose to have their tooth drilled by a professional.

Placing a tooth ring involves drilling a hole through the tooth to thread the ring. This practice is not advised because it causes irreversible harm to the tooth.

Who performs the procedure?

Tooth gems can be applied at dental clinics or piercing studios.

As with any piercing, choose a trained professional working in a clean, sterile environment. Some dentists offer this service themselves.

To remove a tooth gem, you can either wait for it to fall off naturally or see a dentist to have it taken off.

– ADVERTISEMENT –

Are there any complications to be aware of?

A major worry with a tooth gem is that it could detach and be swallowed or inhaled.

Other possible risks  and issues include:

  • tooth sensitivity
  • allergic reactions
  • chipped or damaged neighboring teeth
  • enamel wear or abrasion
  • gum irritation or recession around the ornament
  • lip injury if the jewel rubs against them
  • tooth decay from compromised brushing
  • unpleasant mouth odor
  • oral infection

Also, the prepping and conditioning of the tooth for a gem can permanently alter the tooth’s surface.

There’s limited evidence about the long-term safety of wearing tooth jewelry. Not every dentist will perform this procedure.

Why get a tooth piercing?

People choose tooth gems for several reasons. For many, it’s a stylish statement.

A gem — when positioned appropriately — can also conceal a tooth discoloration or a stained area.

It can draw attention away from irregular teeth and is sometimes used to visually close small gaps between teeth.

Many appreciate that a tooth gem can be temporary, minimally invasive, and pain-free.

– ADVERTISEMENT –

How much does it cost?

The price for a tooth gem generally starts at $25, according to Tattoodoo, a global community and booking site for tattoo artists.

Prices do vary, so check with the professional you’re considering for exact rates.

Because it’s cosmetic, it’s unlikely that health insurance will cover the expense.

Key takeaways

Tooth piercing is a trendy option that places decorative jewelry on your teeth.

The procedure involves embedding a gem into composite applied to the tooth surface. It’s typically temporary and carries fewer risks than some other oral piercings.

However, tooth jewelry can still cause complications.

Only people with healthy mouths and solid oral hygiene routines should consider this modification.

Regular dental exams every six months are advised to ensure the jewel isn’t harming teeth or gums.

If you decide to get a tooth gem, be sure to choose a reputable, experienced professional to perform the work.

Frequently Asked Questions

What is a tooth piercing? +

A tooth piercing, often called a tooth gem, is a small decorative stone or jewel adhered to the outer surface of a tooth using dental composite and bonding agents rather than drilling fully through the tooth.

Does getting a tooth piercing hurt? +

The application is usually painless because the gem is bonded to the enamel surface; you should not feel pain during or after placement when done properly, though some may notice temporary sensitivity.

What are the main risks of a tooth piercing? +

Risks include enamel wear, chipped or damaged neighboring teeth, gum irritation or recession, tooth sensitivity, allergic reactions, increased decay from compromised brushing, and possible inhalation or swallowing if the jewel detaches.

How long do tooth gems last? +

Temporary tooth gems can remain for several weeks, while semi-permanent gems may stay indefinitely until removed. Longevity depends on bonding quality, oral habits, and the type of adhesive used.

Who should perform a tooth piercing? +

Choose a trained professional in a sterile setting—either a dentist experienced with tooth gems or a reputable piercing technician. A dentist can safely remove the gem if needed.

Disclaimer: The information provided on this website is for educational and informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare provider regarding any health concerns or before making any changes to your diet, medication, or lifestyle.
– ADVERTISEMENT –