No. The custom made teeth jewellery is designed specifically for use in dentistry and will not damage your teeth. The jewel will bond to the enamel, like an orthodontic bracket, without any drilling or pain. The procedure and removal are similar to the placement and removal of orthodontic brackets. The tooth gem will not leave any markings even after having gone on for years and years. During the removal procedure, the gem can be removed by simply popped off, and then the tooth will be polished to remove any remaining bonding material.