The concept of the "tooth fairy" in theoretical physics is an intriguing metaphor that highlights the importance of simplicity and creativity in our understanding of the universe. In the realm of physics, the "tooth fairy" represents the idea of introducing new concepts or modifications to existing theories, but with a crucial caveat: one must be cautious not to invoke the tooth fairy too many times. This idea is rooted in the principle of Occam's razor, which suggests that the simplest explanation is often the best, and in physics, this is quantified by the number of free parameters required by a theory to describe a given phenomenon. The author argues that while it is acceptable to introduce one "tooth fairy" to extend or modify a theory, invoking two or more tooth fairies leads to an unscientific fantasy, as it introduces too many novel entities, modifications, or free parameters without providing a correspondingly large number of successfully explained phenomena. This concept is illustrated through various examples, including the evolution of our understanding of the universe from special relativity to general relativity and the hot Big Bang, and the ongoing debate between dark matter and modified gravity. The author emphasizes the importance of critically evaluating new ideas and ensuring that they provide quantitatively different predictions that can be tested against existing data. In summary, the "tooth fairy" metaphor serves as a reminder of the delicate balance between creativity and simplicity in physics, and the need to exercise caution when introducing new concepts to our understanding of the universe.