Jewelry, Eyewear and Watch Design Tooth Fairy Earrings by Chiaki Miyauchi 18K Gold Pearl and Diamond Stud Earrings. Inspired by the Tooth Fairy tale. They show a child’s tooth exchange as seen by X ray. On the left, a boy figure is comprised of a primary tooth made of 18K gold with Florentine Finish. A heart shaped pearl beneath represents the incoming adult tooth. On the right, a female figure portrays the Tooth Fairy with heart shaped pearl as wings and an orange Freshwater pearl with a Bezel set RBC diamond depicting the coin she brings in exchange for the tooth.