Gingival recession due to trauma caused by a lower lip stud

Dental and oral complications of lip and tongue piercings

Piercing of the tongue and perioral regions is an increasingly popular expression of body art, with more patients coming in for a routine check-up with tongue and/or lip piercings. Several complications of oral piercing have been reported, some of which are life-threatening. In the present clinical survey the prevalence of both tongue and lip piercing complications in oral health was assessed in a group of 50 patients. The most common dental problem registered was chipping of the teeth, especially in association with tongue piercing. Gingival recession was seen as a result of lip piercing with studs. Post-procedural complications included oedema, haemorrhage and infection. Therefore, dentists and oral and maxillofacial surgeons should be given more authority to advise patients with oral and facial piercings or those who plan to acquire this type of body art.

Treatment of a mucogingival defect associated with intraoral piercing

BACKGROUND

In the previous decade, a notable increase in body adornment through tattooing and piercing has been a cause for concern among both dental and medical professionals. The author reports on the clinical consequences of wearing oral jewelry, specifically periodontal injury that requires surgical intervention. She also presents a general literature review of dental and medical consequences of wearing oral jewelry.

CASE DESCRIPTION

A 20-year-old woman with a tongue piercing had severe periodontal recession in lingual aspect of the mandibular incisal area proximal to the location of the oral jewelry. The author used a connective tissue graft to correct the defect via root coverage and an addition to the gingival width.

CLINICAL IMPLICATIONS

Wearing intraoral jewelry can lead to the development of severe mucogingival defects and necessitates careful and comprehensive periodontal evaluations on a regular basis to monitor attachment loss and damage to dental structures. Patients must be educated about these risks through counseling, patient information brochures and individual case documentation.

Lip and Tongue Piercing: Experiences and Views of General Dental Practitioners in South Lancashire

Purpose of the study

To ascertain the numbers of patients with pierced lips or tongues seen by dentists during routine consultations. The study also examined the provision of advice by dentists, and the nature of piercing-related complications.

Basic procedure

A postal questionnaire was sent to dentists in two Primary Care Trust areas in South Lancashire.

Main findings

Sixty-four of the 106 questionnaires were returned, giving a response rate of 60%. Sixty-two dentists (96.9%) reported that they had seen patients with lip or tongue piercings during the previous 12 months and that they had seen a mean number of 2.8 patients with lip piercing and a mean of 9.0 patients with tongue piercing. A total of 56.5% of the dentists gave advice on oral hygiene and 79.0% on possible damage to the oral structures. Twenty-seven dentists (43.5%) said that their patients had oral health problems as a result of lip or tongue piercing.

Principal conclusions

The dentists who responded to the questionnaire commonly saw lip and tongue piercings. All dentists should therefore be prepared to offer appropriate advice. A public health information leaflet available in all medical and dental practices would help to ensure that patients were better informed about body piercing and its complications.

Body piercing: a growing problem for clinicians

Until recently body piercing was mainly confined to the ears and/or nose. In the last few years there has been a significant increase in the prevalence of body piercing which, in some instances, has had serious health consequences. This industry has the potential to significantly damage or interfere with health care. Urgent legislation is needed to remedy this situation.

Formation of mucogingival defects associated with intraoral and perioral piercing: case reports

BACKGROUND

The authors provide clinical findings in five patients wearing oral jewelry to illustrate the risks of experiencing periodontal injury associated with body piercing involving intraoral and perioral sites. They also present a literature review of other adverse dental and medical consequences attributed to oral piercing.

CASE DESCRIPTIONS

Five young adult patients with tongue and lip piercing sought dental care. Each patient exhibited some degree of gingival recession and mucogingival defects in proximity of their oral jewelry. Three of these patients had probing depths ranging from 5 to 8 millimeters in the affected areas.

CLINICAL IMPLICATIONS

Intraoral and perioral jewelry may be associated with the development of significant mucogingival deformities. Because severe attachment loss can develop even when gingival recession is minimal, it is critical that patients with oral piercing routinely undergo comprehensive periodontal assessment. The authors urge clinicians to educate patients about the potential risks regarding the practice of oral piercing.