The term “permanent grills” most often refers to decorative metal caps permanently bonded to the teeth by a dental professional, functioning similarly to traditional dental crowns. While a true, fixed dental crown allows the wearer to eat normally, decorative overlays introduce significant oral health challenges when worn during meals. Eating with any grill overlay is strongly discouraged by dental experts due to the high risk of damage and bacterial proliferation. The fundamental design of a decorative grill makes it a trap for food debris and plaque.
How Grills Affect Tooth and Gum Structure
Wearing a decorative overlay dramatically increases the risk of dental caries, commonly known as tooth decay. The accessory creates a minute space where food particles and sugars become trapped between the metal and the tooth enamel, which is difficult to access with a toothbrush. Bacteria thrive on this trapped food, producing acids that erode the tooth structure and quickly lead to cavities beneath the grill.
The constant presence of a grill also introduces significant risk to the surrounding gum tissue. Plaque buildup near the gumline can cause inflammation (gingivitis) and, in prolonged cases, contribute to periodontal disease. An improperly fitted grill can continuously rub against the delicate gum tissue, causing chronic irritation, sores, or gum recession over time.
The materials themselves can present problems; some non-precious metals used in lower-quality grills may trigger allergic reactions or irritation. Furthermore, the hard metal of the grill can cause abrasion, slowly wearing away the enamel on the opposing teeth that bite down against it. This enamel wear is irreversible and can lead to increased tooth sensitivity.
Eating Mechanics and Food Limitations
The physical act of chewing with a decorative grill in place is problematic. Many high-karat gold grillz are made from soft metals, such as 18K or 22K gold, which are susceptible to damage from mechanical stress. Chewing hard or crunchy items can easily cause the grill to scratch, bend, or warp its structure.
For grillz that are “iced-out” with diamonds or gemstones, the force of mastication can loosen the settings, leading to the loss of stones. Food is also easily compacted into the tiny crevices around the stone settings, making post-meal cleaning extremely difficult. Consequently, avoiding hard foods like nuts, hard candy, and ice is necessary to protect the integrity of the metalwork.
Sticky foods, such as caramel or chewing gum, are also highly discouraged because they adhere tenaciously to the grill’s surface, potentially causing it to shift. Highly acidic beverages, including sodas and citrus juices, should be avoided as they can accelerate the tarnish of the metal and dull its shine. If eating with the grill is unavoidable, only soft, non-acidic foods should be consumed, and thorough cleaning must follow immediately.
Necessary Cleaning and Care Procedures
Since food debris is the primary mechanism for decay and gum issues, meticulous hygiene is a non-negotiable requirement for all wearers. Cleaning must happen immediately after consuming anything other than water to prevent the rapid multiplication of bacteria beneath the overlay. The grill should be treated like a piece of jewelry, removed and cleaned separately from the natural teeth.
Cleaning the grill typically involves using a soft-bristled toothbrush and a non-abrasive cleaning agent, such as a mild, alcohol-free mouthwash or a gentle soap mixed with warm water. Scrub gently, paying particular attention to the inner surface and any decorative crevices where food particles may lodge. Abrasive products like harsh jewelry cleaners or certain toothpastes should be avoided, as they can scratch the metal or contain chemicals unsafe for ingestion.
After cleaning the grill, the underlying natural teeth must be brushed and flossed thoroughly to remove any lingering debris before the accessory is reinserted. Regular professional check-ups and cleanings with a dentist are vital, often recommended every six months, to manage the increased risk of plaque buildup and monitor the health of the teeth and gums.