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Oral Jewelry May Be Appealing But Just How Safe Is It?

Piercing the tongue, lip or cheeks has become a popular form of self-expression. People interested in this trend should be aware that it is not without health risks.

What do you think are the possible risks or complications that can developing following making an incision or puncture wound in a bacteria-ridden mouth? In the shirt term, immediately following initial placement, oral piercings put people at risk of developing pain, swelling and infection. In the long term, however infection is still a risk and may be a serious one if it develops in the tongue, for example.

Sometimes, the damage done is not reversible and may require corrective and invasive surgery to treat the problem.
 
The following information will help you and/or your child make an informed and safe decision.

Risks Associated with the Procedure

  • Infection – When the skin is penetrated for surgical or cosmetic procedures there is always a risk of infection developing, and the potential for infection is higher especially for treatment involving the oral tissues because the mouth is full of bacteria.
  • Bleeding – Any procedure that involves piercing the oral tissues may result in prolonged bleeding due the constant wet environment, which drastically slows the clotting process. Piercings invovling the floor of the mouth, under the tongue, carries the greatest risk of severe bleeding.
  • Swelling – The risk of swelling and delayed healing is especially high for tongue piercing because the tongue is constantly in motion. Since the tongue can swell significantly, there is a risk of airway blockage.
  • Nerve Damage – The tongue is filled with nerves that control movement (for speech and chewing) and taste. A piercing can damage these nerves permanently.
  • Allergy – some jewelry contains nickel which you may be allergic to.
  • Blood-borne disease transmission – It is no surprise that the process of getting a piercing always carries the risk of being exposed to bacteria, such as those that cause tetanus infections, or viruses, such as those responsible for Hepatitis B, C and D.
  • Endocarditis – The wound created during a piercing provides the opportunity for oral bacteria to enter the bloodstream, where they can easily travel to the heart. For people who have specific heart conditions, the bacteria can potentially cause inflammation and infection of the heart valves or tissues.

Complications Associated with the Jewelry

  • Gum and Bone Loss – The risk of gum and bone loss around teeth is a significant concern for those with lip piercings. The fasteners used to hold a piercing in place continually rub and irritate the gums and bone, which always result in a localized thinning of these tissues. With extensive bone loss there is also the potential for tooth loss.
  • Tooth Fracture – The risk of fracturing a tooth is always a concern for those with tongue piercings. Accidentally biting down onto the stud can result in chipping or severe fractures of tooth structure, and in some cases the tooth cannot be restored with a filling and would then require extraction and replacement.
  • Interference with normal oral function – Oral jewellery can stimulate excessive saliva production, can interfere with the ability to pronounce words clearly, and may cause problems with chewing and swallowing food.
  • Interference with oral health evaluation – Jewellery in the mouth can block the transmission of x-ray radiographs. Clear and unobstructed radiographs are essential to a complete oral health evaluation. Jewellery may prevent the x-ray from revealing conditions like cysts, abscesses or tumours.
  • Aspiration and Ingestion – There is always the possibility that the fasteners can loosen and become undone. These components are a choking hazard if it obstructs the airway, and they can lead to injury if they are aspirated into the lungs or ingested into the digestive tract. Always check the tightness of the components.

 

Your Dental Professional’s Final Thoughts …

Always assess the infection-control protocols of the piercing/tattoo parlour. Many parlours have come under incredible scrutiny in the past few years after determining that many did not follow appropriate sterilization and disinfection techniques.  Your safety should always be paramount.

Ensure that you receive detailed post-operative instructions outlining cleaning and how to manage adverse outcomes.
Have a plan in place in case you require emergency care and lastly, routinely visit your dentist to assess for possible damage to oral tissues.

Our office offers appointments throughout the week including evenings, Saturdays and Sundays (by appointment as days and times vary). We always welcome ne patients, emergencies and offer free consultations. And we rely on your referrals for our growth.

Our dentists provide a full range of treatment all under one roof to minimize the need for outside referrals. Some of the treatment we provide includes the full service and placement of dental implants, root canal therapy, wisdom tooth surgery, sedation, invisalign orthodontics, and cosmetic treatments. Most importantly, our preventive dental care program aims to reduce the risk of you and your family requiring more invasive and costly treatment.

Our office is located in the heart of Thornhill in Vaughan. Call today to schedule your appointment.

About the Author
Dr. Mark Buzaglo is a graduate of the University of Western Ontario where he completed his Doctor of Dental Surgery Degree, receiving the Pierre Fauchard Academy Award for outstanding academic achievement. He completed his undergraduate degree at the University of Toronto where he earned a Bachelor of Science degree with Honours. Dr. Buzaglo is an avid believer in ongoing continuing education and has completed many certified courses in all aspects of dentistry with particular focus in the fields of Cosmetic, Invisalign Orthodontics, and Implant Dentistry. He is a contributing writer and editor for the oral health programs at AdvancingIn.com and mdBriefCase.com, Canada’s foremost on-line continuing medical education websites for Medical Doctors in Canada. Dr. Buzaglo has a creative passion that is evident throughout your experience in his office, Westmount Dental. He has personally designed the layout and features of the office to provide an esthetic appeal to the flow of the working space. His creative ability is truly reflected in the dental treatment he provides to his patients.

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