In recent decades, dental jewelry and oral piercings have surged in popularity among young adults worldwide. From diamond-studded tooth gems to tongue and lip piercings, these forms of self-expression are often viewed as fashion statements or cultural identifiers.
In this issue, we will discuss, despite the popularity of sparkle, there are important oral health implications that must be considered before opting for these adornments.
The Allure of Oral Bling
Dental jewelry—often referred to as “grillz” or tooth gems—has become a symbol of status, individuality, and style, popularized by celebrities and social media influencers. Tongue and lip piercings similarly appeal to those seeking unique ways to express themselves. For many, these forms of “bling” are empowering and a part of their identity.
Potential Benefits
Advocates argue that oral jewelry enhances personal confidence, fosters creativity, and, when applied professionally, can be a safe cosmetic addition. Certain high-quality materials like gold, platinum, or surgical-grade steel can be biocompatible and reduce allergic reactions. In cases where dental jewelry is temporarily bonded to the enamel, there may be minimal structural impact—assuming proper hygiene is maintained.
The Hidden Risks
Despite the esthetic appeal, as dental professionals we warn of significant oral health risks associated with these trends. One of the most concerning complications is enamel and gingival damage. Adhesives used to bond gems to the tooth surface can erode enamel or cause discoloration. Worse still, grillz—especially if poorly fitted—can trap food and bacteria, leading to decay or gum disease. Even worse, I have seen severe damage to the gum tissue resulting in in the need for a gum graft to correct.
Tongue and lip piercings present a different set of dangers. Repeated contact of metal jewelry with teeth can cause chips, cracks, or wear on enamel. Tongue piercings, in particular, can result in nerve damage, excessive salivation, or speech impediments. Pierced sites are also vulnerable to infection, especially if aftercare is inadequate.
Moreover, the mouth is a highly vascular environment, increasing the risk of bleeding and transmission of bacteria. Infections can spread quickly and, in severe cases, cause systemic issues such as endocarditis—a life-threatening infection of the heart’s inner lining.
Dental Hygiene and Professional Oversight
If one chooses to wear oral jewelry or get piercings, strict oral hygiene is non-negotiable. Daily brushing, flossing, and the use of antimicrobial mouth rinses are essential. Regular dental checkups can help detect early signs of complications. It’s also crucial to ensure that any procedure is performed by a certified professional using sterilized equipment.
Oral bling may shine on the surface, but its long-term impact on dental health warrants serious thought.
Before making a fashionable statement, individuals—especially young people—should weigh the sparkle against the possible smile-threatening consequences. As with all trends, informed choices make all the difference.
Dr. Kendal V. O. Major is Founder and CEO of Center for Specialized Dentistry which is a comprehensive family dental practice operating in Nassau. He is the first Bahamian Specialist in gum diseases and dental implants since 1989. He also is a certified Fastbraces provider. His practice is located at 89 Collins Avenue, Nassau at (242)325-5165 or [email protected].
Oral Bling, Piercing
Damaged Gums (Recession) from lip piercing
