Tooth Jewellery

Aesthetics has become an important aspect of dentistry over the past few years and has led to the development of new materials and techniques []. Everybody wishes to create their own visual style which makes them unique and yet identifiable among the crowd. Body decoration has also gained influence with the wearing of jewellery at unconventional sites is being referred to as body art. In the developed world, the expression of individualism through such kind of body art like tooth jewellery has become most popular. Specially, younger generations follow their self made rules for looking fashionable and it applies to dentistry as well []. Adolescence is a period of tremendous transformation in the appearance of body and the evolution of adult’s mind. The child’s transformation to a teenager becomes a means of communication and a language to express self individualism. Body art is one such way of self expression. Therefore, being the latest trend, tooth jewellery becomes an indication in increasing the standard of living of the individual in the society [].

A case report given by Vazhiyodan A et al., in the year 2013 describes that tooth jewellery is not a new concept as native Americans also added bling to their teeth as far back as 2500 years ago []. According to a recent study, that examined thousands of teeth from collection in Mexico’s National Institute of Anthropology and History showed that the Skyce and Sapphire are the high quality tooth jewels that were most commonly used by practicing dentists across the globe.

Tooth jewellery, a cosmetic dental procedure where a diamond or a stone is attached to the teeth is gaining utmost importance with increasing awareness among people [].

Tooth Gems and Dazzlers are the different types of tooth jewel available in the market []. Tooth Gems include Skyce and Sapphire crystals, both are high quality tooth jewels, but Skyce put an extra sparkle into every smile with its clear crystals whereas Sapphire possesses white or blue crystals. Dazzlers are the tooth jewels which are specially designed to be bonded to the tooth with its patented backside like an orthothontic bracket which makes them lasts longer. Twinkles are pure gold with precious stones like diamond, sapphires and rubies []. Dental crystals are glass mounted on a thin foil of aluminium to establish an attractive smile although the bonding here is not as durable as in tooth gems, but can easily last for six months. A variety of shapes are available in the market like diamond, star, triangle, droplet, heart and round shape.

People belonging to all age groups are being attracted to this kind of body art but most commonly, it is worn by 18-35 year old hip-hop artists and disc jockeys in order to add on to the extravagance of their performance and to get an extra spark to their smile while interacting with the audience [].

Moreover, tooth sensitivity, plaque accumulation, aspiration, allergy, or chronic injury to the adjacent teeth/ mucosa, including tooth fracture and gum recession are few complications associated with tooth jewellery which sometimes can lead to tooth loss in an individual []. However, if proper oral hygiene has been maintained by the individual, these complications can be minimised and the tooth jewel shall remain on the tooth for a longer duration [].

There is a scarcity of data regarding the knowledge and practice of tooth jewellery among dentists and to the best of our knowledge, no studies associated with tooth jewellery were found. Therefore, this study was conducted to assess the knowledge and practice regarding tooth jewellery among dental practitioners of Tricity, India.

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