Add a Little Sparkle to Your Smile!
Your smile is one of your most unique features. Why not make it shine? At Pearly Dental Care, we offer professional tooth gem application to help you express your style, from one delicate crystal to a statement-making arrangement. We can also decorate suitable clear retainers or aligners, giving you sparkle without bonding a gem directly to your natural tooth.

Patient example: delicate crystal tooth gems.
What Are Tooth Gems?
Tooth gems are small decorative crystals or jewelry pieces attached to the visible surface of a tooth using professional dental bonding materials. They can create a subtle accent or a more elaborate design. Placement on suitable natural enamel generally does not require drilling, although the surface is conditioned for bonding.
Choose Your Sparkle: Tooth Gems or Decorated Clear Appliances
Tooth Gems Applied to Natural Teeth
Choose a classic single crystal, several gems across different teeth, or a custom cluster. We evaluate your enamel, bite, restorations, and oral hygiene before selecting a placement. Gems are temporary and should be professionally removed.
Tooth Gems on Clear Retainers or Aligners
Want a decorative look without attaching gems directly to your teeth? At Pearly Dental Care, we can also add tooth gems to certain clear retainers or aligners. This option lets you enjoy sparkle on a removable appliance instead of bonding jewelry to tooth enamel.

Patient example: custom statement tooth jewelry.
Why Choose Professional Tooth Gem Application?
- Dental evaluation to identify suitable enamel and healthy placement sites.
- Professional bonding methods, with no drilling typically needed for enamel placement.
- Personalized design informed by tooth shape, smile symmetry, and your preferences.
- Careful assessment of removable retainers or aligners before decoration.
- Professional removal and polishing when you are ready for a different look.
How Long Do Tooth Gems Last?
Tooth gems are temporary. Retention varies with the bonding surface, gem size, bite, oral hygiene, and habits such as chewing hard foods. Gems placed on removable appliances may have different retention and care needs than gems bonded to teeth. We cannot guarantee how long an individual gem will remain attached.
Caring for Your Tooth Gems
- Brush gently and thoroughly around tooth-mounted gems; continue flossing daily.
- Avoid biting hard foods directly with a decorated tooth.
- Do not pick, twist, or attempt to reattach a loose gem with household glue.
- For decorated retainers or aligners, follow our specific cleaning and handling instructions; do not expose them to unapproved heat or chemicals.
- Contact us if a gem loosens, causes irritation, or interferes with appliance fit.
Are Tooth Gems Safe?
Professional placement helps reduce, but cannot eliminate, risks such as plaque accumulation, enamel changes, gum irritation, or accidental detachment. Decoration of clear appliances has additional considerations, including possible interference with fit or function. Your oral health and safe appliance use always come first.
Why Choose Pearly Dental Care?
Dr. Morvarid Khatibian brings a cosmetic and restorative perspective to smile esthetics. Our team considers tooth shape, smile balance, and your personal preferences while prioritizing oral health. With locations in Sunnyvale and San Jose, we welcome patients from across Silicon Valley.
Frequently Asked Questions
Does tooth gem placement hurt?
Application to suitable enamel is generally painless and usually requires no injections or drilling.
Can I put tooth gems on my clear retainer or aligner instead?
Yes, we offer decoration of suitable clear retainers and aligners after evaluating fit, material, and function. Not all appliances are appropriate.
Will gems on an aligner affect my treatment?
They could if improperly positioned or attached. We only recommend decoration when it will not interfere with prescribed wear, seating, or tooth movement.
Can tooth gems be removed?
Yes. Tooth-mounted gems should be removed by a dental professional. Gems on an appliance should not be pried off at home.
Can I brush and floss normally?
Yes. Maintain excellent oral hygiene, especially around bonded gems.
Can I get gems on veneers or crowns?
Bonding to restorations differs from bonding to enamel. We will assess suitability and possible risks to the restoration.
How long does an appointment take?
A simple design may take around 15–30 minutes; more elaborate work or appliance assessment may require longer.
Does dental insurance cover tooth gems?
Tooth gems are generally elective cosmetic accessories and are not typically covered.
Make Your Smile Sparkle
Small detail. Big personality. Beautiful smile. Whether you prefer gems on your teeth or on a suitable clear retainer or aligner, we can help you explore a design that fits your style.
Schedule a tooth gem consultation at Pearly Dental Care in Sunnyvale or San Jose. www.pearlydentalcare.com
Tooth gems are elective cosmetic accessories. Suitability, retention, and risks vary. Appliance decoration requires professional evaluation and must not compromise orthodontic treatment.