Grillz and gold teeth modifications: aesthetics, ethics, and clinical implications. Literature review
DOI:
https://doi.org/10.24265/kiru.2025.v22n3.07Keywords:
Dental aesthetics; Éthics; Gold; Psychosocial ImpactAbstract
Dental aesthetics have evolved to include adornments such as grillz and gold teeth. Its popularity of which has raised significant clinical and ethical questions within the dental community. The objective of the review was to analyze the aesthetic, ethical, and clinical implications of dental modifications with grillz and gold teeth in contemporary dental practice. A narrative review was conducted by searching and selecting articles in electronic databases, such as PubMed, and Google Scholar. An advanced search was used with keywords and operators AND and OR. A total of 38 studies were evaluated for this literature review. Most studies indicated that while dental adornments like grillz and gold teeth can have a positive impact on aesthetic perception and self-esteem, they come with adverse consequences for oral health, including cavities, periodontal diseases, complications related to oral hygiene, enamel wear, and allergic reactions to the materials used in these adornments. The findings from this study suggest the importance of a detailed evaluation by dentists before applying dental adornments such as grillz and gold teeth. It is required professionals to inform patients about the potential risks and maintenance associated with these aesthetic devices.
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Ramtekkar S, Baghla S, Warhadpande M, Dakshindas D, Raina S. Sparkling smile with tooth jewellery; ornamental dentistry: A case report. Int J Appl Dent Sci. 2021;7(1):101-3. doi: 10.22271/oral.2021.v7.i1b.1123
Rangelov S, Dimova-Gabrovska M. Dental Grillz - Critical Analysis and Patient Opinions. J IMAB. 2022;28(2):4366-70. doi: 10.5272/jimab.2022282.4366
Mtolo TM, Motloba PD. Grillz and Gold Teeth–Esthetic, Economics and Ethics. SADJ. 2021;76(8):498-500. doi: 10.17159/2519-0105/2021/v76no8a9
Blatz MB, Chiche G, Bahat O, Roblee R, Coachman C, Heymann HO. Evolution of Aesthetic Dentistry. J Dent Res. 2019;98(12):1294-304. doi: 10.1177/0022034519875450
Zúñiga R, Ortiz M, Uribe R, Goldaracena M, Romo G. Restorative Rehabilitation of a Patient with Generalized Non-Carious Cervical Lesions: Case Report. Odovtos Int J Dent Sci. 2019;21(2):1-20. doi: 10.15517/ijds.v0i0.36347
Arrais Campos L, Andrade Costa M, Sampaio Bonafé FS, Marôco J, Duarte Bonini Campos JA. Psychosocial impact of dental aesthetics on dental patients. Int Dent J. 2020;70(5):321-7. doi: 10.1111/idj.12574
Padilla-Alvear P, Fernández-Montecinos E. Variaciones histórico-culturales de la estética dental. Rev Fac Odontol Univ Antioq. 2021;33(2):64-74. doi: 10.17533/udea.rfo.v33n2a10
Al-Shorman HM, Abu-Naba’a LA, Sghaireen MG, Alam MK. The Effect of Various Preparation and Cementation Techniques of Dental Veneers on Periodontal Status: A Systematic Review and Meta-Analysis. Eur J Dent. 2024;1-10. doi: 10.1055/s-0043-1776120
Rodríguez-Cuellar Y, Borja-Chiriboga A, Imbacuán-Jiménez L, Paredes-Cabrera J. Materiales de restauración dental. Rev Arbitr Interdiscip Cienc Salud Salud Vida. 2022;6(1):329-37. doi: 10.35381/s.v.v6i1.1738
Närhi L, Mattila M, Tolvanen M, Pirttiniemi P, Silvola AS. The associations of dental aesthetics, oral health-related quality of life and satisfaction with aesthetics in an adult population. Eur J Orthod. 2023;45(3):287-94. doi: 10.1093/ejo/cjac075
Stojilković M, Gušić I, Berić J, Prodanović D, Pecikozić N, Veljović T, et al. Evaluating the influence of dental aesthetics on psychosocial well-being and self-esteem among students of the University of Novi Sad, Serbia: a cross-sectional study. BMC Oral Health. 2024;24(277):1-11. doi: 10.1186/s12903-024-04002-5
Abbasi MS, Lal A, Das G, Salman F, Akram A, Ahmed AR, et al. Impact of Social Media on Aesthetic Dentistry: General Practitioners’ Perspectives. Healthcare. 2022;10(10:2055). doi: 10.3390/healthcare10102055
Batsford H, Shah S, Wilson GJ. A changing climate and the dental profession. Br Dent J. 2022;232(9):603-6. doi: 10.1038/s41415-022-4202-1
Arrais Campos L, Duarte Bonini Campos JA, Marôco J, Peltomäki T. Aesthetic dental treatment, orofacial appearance, and life satisfaction of Finnish and Brazilian adults. PloS One. 2023;18(6:e0287235):1-20. doi: 10.1371/journal.pone.0287235
Monisha J, Peter E, Ani GS. Is Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ) Valid for the Indian Population?—A Psychometric Study. J Int Soc Prev Community Dent. 2021;11(2):207-15. doi: 10.4103/jispcd.JISPCD_443_20
Zakyah AD, Laviana A. Psychosocial impact of dental aesthetics questionnaire (PIDAQ) as a subjective diagnostic instrument in orthodontic: A literature review. Int Public Health J. 2020;12(2):109-19.
Almutairi M, McKenna G, Alsumaih I, Alhazzaa R, O’Neill C. Factors influencing the likelihood of dental service checkup: results from a survey in Saudi Arabia. Front Oral Health. 2023;4(1208929):1-13. doi: 10.3389/froh.2023.1208929
Kinaston R, Koesbardiati T, Suriyanto R, Buckley H, Halcrow S, Foster A, et al. Ritual tooth ablation and the Austronesian expansion: Evidence from eastern Indonesia and the Pacific Islands. J Isl Coast Archaeol. 2020;1-32. doi: 10.1080/15564894.2020.1754971
Osuh ME, Oyaniran OH, Tunde-Alao TS, Lawal FB, Oke GA, Osuh JI, et al. Tooth adornment among siblings living in an urban slum in Nigeria: Health implications for a vulnerable population. Clin Case Rep. 2023;11(1:e6563):1-5. doi: 10.1002/ccr3.6563
Takács A, Marada G, Turzó K, Nagy Á, Németh O, Mijiritsky E, et al. Does implant drill design influence the accuracy of dental implant placement using static computer-assisted implant surgery? An in vitro study. BMC Oral Health. 2023;23(575):1-8. doi: 10.1186/s12903-023-03297-0
Parimoo R, Singh B, Sharma D, Sharma V, Javaid A. Oral Ornaments: An Overview. Int Healthc Res J. 2020;4(6):143-7. doi: 10.26440/IHRJ/0406.09359
Soyoye OA, Abegunde OO, Otuyemi OD. Adorning with Oral Ornaments and its Implication on Orthodontic Treatment: A Review of the Literature and Case Reports. West Afr J Orthod. 2019;8(2):22-30.
Mudgal A, Mishra P, Nagpal AK. Luxurious Tooth: An Ornamental Dentistry. Int J Sci Res IJSR. 2022;11(8):223-9.
Hakami Z, Chung HS, Moafa S, Nasser H, Sowadi H, Saheb S, et al. Impact of fashion braces on oral health related quality of life: a web-based cross-sectional study. BMC Oral Health. 2020;20(236):1-9. doi: 10.1186/s12903-020-01224-1
Touyz L, Touyz S. Gold in Medicine and Dentistry. Dent Oral Health Care. 2023;2(3):1-7. doi: 10.59657/2993-0863.brs.23.017
Bolunduț IL. Gold: Properties, Minerals, Alloys, Uses and Recycling. Rev Min – Min Rev. 2022;28(2):42-8.
Astekar D, Vagarali H, Pujar M, Uppin V, Kittur M. Indirect Restorations - A Review. Al Am Een J Med Sci. 2020;13(2):67-71.
Anegundi RT, Miskin N. Sparkling smiles: The style of young generation. Int J Appl Dent Sci. 2024;10(2):115-8. doi: 10.22271/oral.2024.v10.i2b.1933
Buragohain A. Tooth Jewellery – Brightening Smiles the World Over. J Appl Dent Med Sci. 2020;6(1):107-10.
Shegar S, Wilson NH. Dental Grillz. Dent Update. 2024;51(1):61-5. doi: 10.12968/denu.2024.51.1.61
Townend GC, Misra S. ‘DIY orthodontics’ – ‘don’t do it yourself’! Dent Update. 2021;48(6):451-6. doi: 10.12968/denu.2021.48.6.451
Fróis A, Santos AC, Louro CS. Corrosion of Fixed Orthodontic Appliances: Causes, Concerns, and Mitigation Strategies. Metals. 2023;13(22:1955):1-87. doi: 10.3390/met13121955
Dziuban Z. Atopic objects: The afterlives of gold teeth stolen from Holocaust dead. J Mater Cult. 2020;25(4):408-27. doi: 10.1177/1359183520954462
Duggal I, Tripathi T. Ethical principles in dental healthcare: Relevance in the current technological era of artificial intelligence. J Oral Biol Craniofacial Resd. 2024;14(3):317-21. doi: 10.1016/j.jobcr.2024.04.003
Kontaxis KL, Esfandiari S. Social Justice Education in Dentistry: A Qualitative Analysis and Conceptual Framework. JDR Clin Transl Res. 2023;8(2):123-30. doi: 10.1177/23800844211072778
Jhandi NK. Oral Ornaments: A Sparkling and Blinging Smile. J Adv Med Dent Sci Res. 2023;11(10):14-6. doi: 10.21276/jamdsr
Hitesh H. How Much Are Diamond Grillz? [Internet]. RRP Diamond. 2022. [citado el 10 de setiembre del 2024]. Disponible en: https://www.rrpdiamonds.com/how-much-are-diamond-grillz/
Pavitra S, Aneesh S, Shetty N, Naik P, Manipal S, Hasan N. Ornamental dentistry: Adding glitz to your smile. Int J Health Sci. 2022;6(S4):7489-96. doi: 10.53730/ijhs.v6nS4.11704
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