The Tooth Gem procedure is a relatively new cosmetic dental procedure that involves the application of a small gemstone to the surface of a tooth. While this procedure is generally considered safe, some risks are associated. The most common risk associated with the Tooth Gem procedure is the potential for the gemstone to become dislodged or fall off. This can occur if the gemstone is not adequately secured to the tooth or if it is subjected to excessive force or pressure. In some cases, the gemstone may also cause irritation or inflammation of the gums and surrounding tissue.