By Dr. Phil
Grillz and Tooth Gems: Everything You Should Know Before You Get Them
Grillz and tooth gems are having a real moment right now. Between social media, music videos, and everyday street style, more and more Brisbane patients are asking us about them here at Vital Dental Care in Camp Hill. And we get it. They’re a fun, easy way to add some sparkle to your smile and show off your personality.
But before you book in for either one, it’s worth understanding what you’re actually putting on, or near, your teeth. A little knowledge now can save you from enamel damage, gum irritation, or a costly trip back to the dentist later. Here’s what our Camp Hill team wants you to know.
What Are Grillz, Exactly?
Grillz are decorative covers that sit over your teeth. They can cover just one tooth, a few, or a full arch, depending on the look you’re after. You’ll usually see them made from gold, silver, or platinum, and sometimes dressed up with gemstones for extra shine.
There are two very different ways grillz can be made, and the difference matters more than people expect.
Custom-fitted grillz are made from a dental impression of your own teeth, so they’re shaped specifically for your mouth.
Generic or online grillz are mass-produced in standard sizes and aren’t made for any particular person’s teeth.
Grillz can also be removable or permanently fixed, and each option comes with its own trade-offs around comfort, cleaning, and how long they’ll last you.
What Are Tooth Gems?
Tooth gems are much smaller and more subtle than grillz. Think of a tiny crystal bonded onto the surface of a front tooth, rather than a cover that sits over the whole tooth.
Getting one usually involves two simple steps: your dentist cleans and preps the tooth surface, then bonds the gem in place using an adhesive similar to what’s used in regular dental bonding.
Tooth gems don’t last forever, and how long yours sticks around really depends on the bonding method and your day-to-day habits. Some patients keep theirs for months, others longer. The good news is they can generally be removed without trouble, as long as it’s done carefully so your enamel isn’t damaged in the process.
Are Grillz Safe?
Here’s the honest answer: it depends. Safety comes down to how well your grillz are made, how well they fit, and how you look after them day to day.
The Risks of Poorly Fitted Grillz
If your grillz don’t fit properly, or they’re made from low-quality materials, you’re opening the door to a few problems:
- Enamel wear or surface damage
- Gum irritation or inflammation
- Bacteria buildup if plaque gets trapped underneath
- Allergic reactions, especially with cheaper metals
These risks tend to build up over time, particularly if you’re wearing your grillz constantly or eating meals with them still in.
What Makes Grillz Safer
You can’t make any dental accessory completely risk-free, but a few things go a long way toward keeping your smile healthy:
- Custom dental impressions instead of a generic, one-size-fits-all fit
- Materials that are less likely to trigger allergic reactions
- Professional fitting rather than DIY adjustments at home
- A consistent hygiene routine, including taking them out regularly to clean
Even when you tick every one of these boxes, grillz still need ongoing care and a bit of attention from your dentist.
Are Tooth Gems Safe?
Tooth gems are generally considered the lower-risk option between the two, but that doesn’t mean there’s nothing to think about.
The bonding process itself doesn’t usually involve any drilling, which is reassuring. That said, a few things can still go wrong:
- Improper application can affect your enamel
- Poor removal technique can leave surface damage behind
- DIY kits raise the risk of enamel etching or leftover bonding material
The safest path is understanding exactly how your tooth gem will be applied and removed, and what’s being used to bond it, before you say yes to the appointment.
Questions Worth Asking Before You Book
Whether you’re leaning toward grillz or a tooth gem, a good Brisbane practice will welcome these questions and answer them clearly:
- Are dental-grade materials being used?
- If impressions are needed, how are they taken?
- What aftercare should I be doing at home?
- What happens if it causes discomfort or damage down the track?
These are the kinds of questions we’d expect you to ask us at your Camp Hill consultation, and we’ll always talk you through the answers before you go ahead.
Looking After Your Grillz or Tooth Gems
Once you’ve got your grillz or gem in, a little ongoing care keeps your teeth and gums happy:
- Clean your teeth and your grillz separately
- Take your grillz out daily rather than wearing them around the clock
- Avoid eating with grillz in place
- Keep an eye out for irritation, swelling, or sensitivity
Regular dental check-ups matter here too, even if everything feels fine. They give your dentist a chance to spot early wear or irritation before it turns into a bigger issue.
The Bottom Line
Grillz and tooth gems are a personal choice, and a great way to express yourself. Just go in with your eyes open about fit, materials, and hygiene, because those three things make all the difference between a fun accessory and an unnecessary trip to the dentist.
Quick recap:
- Grillz and tooth gems are popular, but their safety depends on fit, materials, and hygiene
- Poorly fitted or low-quality accessories can lead to enamel damage, gum irritation, or bacterial buildup
- Tooth gems are typically lower risk than grillz, but still need careful application and removal
- A proper consultation with your dentist helps you make an informed decision and avoid surprises
If you’re in Brisbane and thinking about grillz or a tooth gem, our team at Vital Dental Care in Camp Hill is happy to talk you through your options and make sure your smile stays healthy while you enjoy the sparkle. Book a consultation with us today, and let’s chat about what’s right for you.

