Are your gold tooth gems real gold and what is the difference between 18K and 22K gold?
Yes. Our gold tooth gems are made from real gold. Each piece of dental jewelry clearly states whether it is made from 18 karat (18K) or 22 karat (22K) gold.
Karat indicates the proportion of pure gold in the material. 24 karat is almost pure gold. Because pure gold is relatively soft, jewelry is generally made from gold alloys containing other metals to improve strength and workability.
What is 18K gold?
18K gold contains 75% pure gold. The remaining 25% consists of other metals that make the alloy stronger.
18K gold tooth gems are therefore:
- strong and dimensionally stable;
- suitable for small and detailed designs;
- well suited to normal wear;
- slightly less deep yellow than 22K gold;
- generally more affordable than comparable 22K pieces.
18K is therefore a very popular choice for gold dental jewelry.
What is 22K gold?
22K gold contains approximately 91.7% pure gold. This higher gold content gives it a warmer and richer yellow-gold colour.
22K gold tooth gems have a particularly luxurious appearance and contain considerably more pure gold than 18K jewelry.
Because of the higher gold content, however, 22K gold is softer and more malleable than 18K gold. For very small or detailed designs, 18K may therefore sometimes be more practical, while 22K is often chosen for its high gold content and rich colour.
18K or 22K: which should you choose?
Both are real gold tooth gems. The main differences are gold content, colour, hardness and price:
- 18K gold: 75% pure gold, stronger and slightly lighter in colour.
- 22K gold: approximately 91.7% pure gold, softer with a richer yellow colour.
- 24K gold: almost pure gold, but generally too soft for many fine dental jewelry designs.
The best choice depends on the design, desired appearance and your client's budget.
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Gold Tooth Gems: 18K vs 22K Gold | X-treme Smile
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Are our gold tooth gems real gold? Compare 18K and 22K gold by purity, colour, hardness and price and discover which option suits your client.

