Tooth Gems: Read the Shade First, Then Bond the Gem
A tooth gem is glued onto the colour your teeth are today, so whiten first, and in one trial the in-office arm needed just over three cycles where drugstore strips needed nearly thirty-two.
On this page
You saw the gem on somebody else’s tooth and you want one. Before anyone etches your enamel, look at the colour the stone will sit on. A gem is a fixed sparkle on a tooth whose colour is not fixed. Whiten first, then bond the gem.
One trial ran thirty-nine volunteers through three routes to the same finish, six grades of whitening. The in-office arm got there in just over three cycles. Drugstore strips took nearly thirty-two.[1] Those cycles are not the same length, so count them as appointments rather than hours.
Predictive Whitening™ is how UpWhiten whitens. NanoChroma™ reads the shade you are starting from in the chair, before any gel is opened, then reads it again at the end. You are buying a shade, not sessions.
A drugstore kit never reads the colour it is working on, so it cannot tell you when the gem should go on. You buy another box and guess again.
What a tooth gem is, and what it sits on
A tooth gem is a small crystal or metal ornament bonded to the front of a tooth with dental adhesive. It sits on the enamel. Nothing is drilled, and no hole is made.
The bond is the one orthodontics has used for decades. Somebody etches the enamel, lays down a composite pad, and sets it with a curing light.
No trial has measured that bond on a gem the way it has been measured on brackets. Researchers bonded brackets to acid-etched enamel, pulled them off, and scored the adhesive left behind on the tooth.[2]
So picture a gem as a bracket you picked yourself, in a shape you like, on one tooth. The stones and settings change how it looks, and the chemistry under it stays the same.
How a gem goes on, and how it comes off
A gem goes on in minutes and comes off in minutes, both times in a chair. The person placing it cleans and dries the tooth, etches the enamel, sets the stone and cures the pad.
Removal is the half nobody plans for. A professional lifts the stone and polishes the pad away, and the polishing is the skilled part. Do it yourself with a fingernail and you are guessing where the composite stops and your enamel starts.
A gem is not permanent. It comes off when somebody takes it off, and it can come loose on its own, usually while you are eating.
Are tooth gems bad for your teeth?
A gem is not bad for a tooth by itself. The edge where it meets enamel is the risk, because plaque collects there and a brush skates over it.
The measured version of that risk comes from brackets, which sit on teeth for a year or two. Researchers sampled the biofilm beside brackets bonded with composite resin and counted a rising number of Streptococcus mutans across seven weeks.[4]
Gum scores also got worse by six months around bonded brackets, in both arms of a randomised trial of thirty patients.[5] Bonded hardware asks more of your brushing.
Marks can outlast the hardware. A follow-up twelve years after the braces came off scanned the same front surfaces. The white areas had shrunk, and still had not returned to where they started.[3]
The aftercare is dull. Brush that edge on purpose, and have a dentist look at it at your next check-up.
Whiten first, then bond the gem
Whiten first. A gem is bonded onto the colour beneath it, and that colour is the only part of this you can still change.
A professional treatment lifts colour out of natural enamel and the dentine under it. It does nothing to a composite pad or to the stone sitting on top. Bond a gem to a yellow tooth and that patch keeps its colour for as long as the stone is there.
“My teeth are crazy yellow.” — Lorainne G.
A gem does not answer that sentence. A reading does. NanoChroma™ puts a number on the shade you have before any gel is opened, and the specialist sets your target against it.
What you buy is the Ideal Shade Package. Unlimited sessions until you reach your ideal shade or your genetic limit, at no extra cost. One number covers the lot, told to you at the free Complimentary Shade Consultation after the reading, with monthly payment plans.
Seven in ten buyers decided in the chair, on the day they saw their reading, on the studio’s own records to 12 September 2026.
Then the stone goes onto a finished shade. You can see how a session in Ottawa runs before you decide anything.
Colour still drifts afterwards. In a trial followed for four and a half years, colour rebounded by just over two shade-guide units.[8] The stone does not drift with it, so a shade is kept up, not bought once.
Who reads the colour your gem will sit on
Somebody has to read the colour under that stone, and the three routes read it three different ways. An instrument reads it, a person squints at a plastic tab, or nobody looks at all.
Across six studies in living mouths, pooled in a systematic review, instrument readings came out more accurate than the eye.[6] The NanoChroma™ scale runs thirty-eight steps, from S40, the most yellow, to S2, the whitest.
The eye also gets fooled on the day. After half an hour of dry teeth, 85% of them had moved past the point where the eye calls the colour unacceptable.[7] A day later, nearly all of them were back under that line.[7]
A dental office whitens between fillings, by eye, against a plastic tab held up to your face. The studio does nothing else, and reads the colour on an instrument. A strip habit sits at the other end: a box every few months, for years, and nobody ever reads the shade.
A dental office’s real product is the tray, not the chair visit. The chair visit is the opener, the tray of nights is the homework, and the quote arrives after a paid exam.
The table below lists three ways people arrive at a gem, and who sets and reads the colour underneath it.
| Route | Who sets the colour under the gem | How many times you pay | How the colour is read |
|---|---|---|---|
| Whiten at the studio first, Predictive Whitening™ | A whitening specialist, in the chair, before the stone goes on. | Once for the whitening, inside the Ideal Shade Package; the gem placement is billed separately, wherever you have it done. | NanoChroma™ reads it before any gel, and again after. |
| A dental office session, then a tray of nights | You do, about eight hours a night for about fourteen nights.[9] | Per session, then again per tray. | A shade guide, matched by eye. Someone looks and decides. |
| Drugstore strips, on and off for years | You do, every evening, and nobody checks. | Per box, forever. | Nothing is read. You judge it in the mirror. |
An old injury that darkened a tooth from the inside is not a stain a gel can reach. A crown, a veneer or a bonded front surface holds the colour it was manufactured in. A stone placed on one of those sits on that colour for good. The reading in the chair says so before you pay for anything.
Where to compare gem styles and costs
Styles and costs sit on their own pages. Both move with the stone, the setting and the hands doing the work. What the different stones and settings cost is a different question from which one suits your tooth.
When you are choosing who places it, what to ask a provider in Ottawa sorts the shortlist for you.
Where this answer stops
This page stops at the stone and the shade under it. How a session runs and how far a shade moves are settled on how whitening itself works. What puts the yellow back sits on what stains teeth. Bring both questions to your reading.
Questions people ask us
Can I whiten after the gem is on?
You can whiten the rest of the tooth, and the enamel under the pad keeps the colour it had. When the stone comes off, that patch can read darker than everything around it. Read the shade first, finish the whitening, then bond the gem onto a shade that is already where you want it.
Will whitening before a gem hurt?
You are probably remembering strips left on too long, then a week of wincing at cold water. Whitening stings for some people, and with Predictive Whitening™ that is uncommon, temporary, and gone within hours. Across three routes in seventy-five volunteers, the in-office technique had the lowest tooth sensitivity, and the tray arms had more gum irritation.[10] We stop at the first zing.
Are the gem kits sold online safe to use at home?
The kit sends you a stone and a glue. It leaves out everything that makes the bond behave: a clean dry field, a controlled etch, the right volume of composite. In the laboratory work on bracket bonds, the adhesive left on the enamel had to be scored tooth by tooth.[2] That is not a fingernail job.
Do tooth gems ruin your enamel?
The stone sits on a composite pad, not on the enamel. The pad comes off. What builds up is at the edge: beside brackets bonded with composite resin, the count of Streptococcus mutans in the biofilm rose across seven weeks.[4] Brush that edge like you mean it, and have a dentist check it at your next visit.
Next step
Whitening sessions at the Ottawa studio, and how the shade is read
The package itself: The Ideal Shade Package
Sources
- Efficacy, side-effects and patients' acceptance of different bleaching techniques (OTC, in-office, at-home).
- Bond strengths of brackets bonded to enamel surfaces conditioned with femtosecond and Er:YAG laser systems.
- Orthodontic treatment-related white spot lesions: a 14-year prospective quantitative follow-up, including bonding material assessment.
- Influence of resin-modified glass ionomer and topical fluoride on levels of Streptococcus mutans in saliva and biofilm adjacent to metallic brackets.
- Effects of adhesive flash-free brackets on enamel demineralization and periodontal status.
- Color difference for shade determination with visual and instrumental methods: a systematic review and meta-analysis.
- Clinical effects of dehydration on tooth color: How much and how long?
- In-office Bleaching After a Desensitizing Protocol: a 4.5-Year Follow-up of a Randomized Controlled Trial.
- Guidelines for the selection of tooth whitening products amongst those available on the market.
- At-home, in-office and combined dental bleaching techniques using hydrogen peroxide: Randomized clinical trial evaluation of effectiveness, clinical parameters and enamel mineral content.
We are not a dental clinic and do not provide dental diagnosis or treatment.

Wahid Baitul · Co-founder, UpWhiten
Wahid Baitul is the co-founder of UpWhiten, the Ottawa teeth-whitening studio, and has run its in-studio Predictive Whitening™ sessions since 2024; he writes the pages about how the studio works and what its own records show.
Clinical review: Dr. Hafsa Cherid, DMD, is a dentist who reviews the clinical statements on UpWhiten pages for accuracy against the studies they cite; UpWhiten is a studio, not a dental clinic, and her review does not make it one. Her record on the RCDSO public register.