When Beauty Bites Back: The Impact of Harmful Beauty Trends on Oral Health 

In the age of social media, beauty trends evolve rapidly, often influencing individuals to attempt do-it-yourself (DIY) procedures in pursuit of aesthetic perfection. Unfortunately, many of these trends pose significant risks to oral health, leading to irreversible damage. Dental hygienists play a crucial role in educating patients about these risks, emphasizing the importance of professional dental care. This article examines five popular beauty trends—DIY teeth whitening, teeth shaving, oral piercings, teeth grills, and tooth gem kits—highlighting their dangers, the role of dental hygienists in prevention, and strategies for patient education. 

5 Harmful Beauty Trends and Their Oral Health Risks 

1. DIY Teeth Whitening 

DIY teeth whitening has surged in popularity due to social media, with individuals using hydrogen peroxide, lemon juice, baking soda, and even activated charcoal as whitening agents. While these substances may provide a temporary whitening effect, they often lead to enamel erosion, dentin exposure, and increased tooth sensitivity (Kwon & Wertz, 2015). Hydrogen peroxide, when used improperly, can irritate the gums and lead to chemical burns (Li et al., 2019). Lemon juice, due to its acidic nature, decalcifies enamel, increasing the risk of cavities and irreversible tooth damage. Dental professionals should inform patients that safe, effective alternatives include dentist-supervised whitening treatments and over-the-counter whitening products approved by the American Dental Association (ADA). 

2. Teeth Shaving 

An exceptionally alarming trend on platforms like TikTok involves individuals using nail files or sandpaper to reshape their teeth in an attempt to achieve a more uniform appearance. However, this act removes protective enamel, making teeth more susceptible to decay, hypersensitivity, and fractures (Hattab, 2014). Unlike dental professionals who use precise instruments to contour teeth safely, DIY teeth shaving results in irregular tooth surfaces that promote bacterial adhesion and decay. Furthermore, once enamel is lost, it cannot regenerate, requiring restorative procedures such as veneers or crowns. Patients considering altering their tooth shape should be encouraged to seek professional cosmetic dentistry options rather than irreversible self-treatment. 

3. Oral Piercings 

Lip, tongue, and cheek piercings remain popular body modifications, yet they pose serious oral health risks. Studies have shown that oral piercings can lead to gum recession, enamel fractures, chronic inflammation, and bacterial infections (Lombardi et al., 2008). Tongue piercings, in particular, increase the risk of tooth fracture as the jewelry repeatedly impacts the teeth (Leichter et al., 2011). Additionally, oral piercings introduce bacteria into the bloodstream, increasing the risk of systemic infections such as endocarditis in at-risk individuals (Park & Mirdamadi, 2020). Dental hygienists should

advise patients about these risks and recommend safer alternatives such as removable, biocompatible jewelry if they insist on body modifications. 

4. Teeth Grills 

Teeth grills, often made of gold, silver, or jewel-encrusted metals, have been a long-standing fashion statement in various communities. However, their improper use can lead to plaque buildup, enamel wear, and gum irritation due to prolonged exposure to non-custom metal alloys (ADA, 2021). Additionally, ill-fitting grills may cause pressure sores and tooth shifting over time. Because bacteria and food debris can become trapped beneath the grill, the risk of cavities and periodontal disease increases (Kostadinov et al., 2017). Dental professionals should advise patients on maintaining proper oral hygiene and ensuring that grills are custom-fitted by a dental professional. 

5. Tooth Gem Kits 

Tooth gems, typically rhinestones or decorative crystals applied using adhesive bonding agents, have become a viral beauty trend. While professionally applied gems are less harmful, DIY kits pose several risks, including plaque accumulation, enamel damage, and accidental ingestion (Bertossi et al., 2015). Adhesives in these kits may contain cyanoacrylate-based glue (commonly found in super glue), which is toxic and unsuitable for oral use. Furthermore, improper removal can result in surface enamel scratches and increased susceptibility to staining. Patients should be educated about the importance of seeking professional dental application and removal services to minimize risks. 

The Role of the Dental Hygienist in Patient Education and Prevention 

Dental hygienists are responsible for educating, advocating, and preventing oral health complications related to beauty trends. Effective communication with patients and parents (for minor patients) is essential in preventing irreversible damage. 

Educational Strategies for Patients and Parents 

1. Ask Discovery Questions: Engaging patients in conversation using open-ended questions (e.g., “Have you heard of DIY teeth whitening?” or “What do you know about tooth gems?”) can help assess their knowledge and concerns.
2. Explain Long-Term Consequences: Using visual aids, including before-and-after images of enamel erosion and decay, enhances patient understanding. 
3. Offer Safe Alternatives: Instead of dismissing cosmetic desires, offer safe professional treatments such as whitening by a licensed dental professional, orthodontic aligners, or custom-fitted solutions. 

Dental Hygienist as an Oral Health Advocate 

Beyond patient interactions, dental hygienists can expand their influence by integrating oral health awareness into community outreach programs and digital platforms. By leveraging social media, school programs, and dental office education, hygienists can combat misinformation and promote safer beauty practices (Wright et al., 2020). 

Conclusion 

The influence of social media on beauty trends has led to a rise in harmful DIY dental practices. As oral health professionals, dental hygienists must proactively educate patients about the risks of DIY teeth whitening, teeth shaving, oral piercings, grills, and tooth gem kits. By using compassionate communication, patient-centered education, and evidence-based recommendations, hygienists can prevent irreversible oral health damage. Additionally, leveraging visual aids, discovery questions, and alternative solutions can help patients make informed, safer decisions regarding their dental aesthetics. As the field of dental hygiene continues to evolve, professionals must remain mindful in addressing emerging beauty trends that threaten oral health. 

References 

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4. Lombardi T, Koka S, Wanschura P. Complications associated with oral piercings: A case series. J Can Dent Assoc. 2008;74(6):523-527. 
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