![]() ![]() 1 There are two primary forms of oral piercing: the term intraoral piercing describes a piercing in which both ends of the oral jewelry (device or apparatus) reside in the oral cavity, as seen with tongue piercings. 3-5 Oral piercings are more typically seen in adolescents and young adults, and the tongue is considered the most common site for oral-piercing placement. 1, 2 Oral piercings may be placed intraorally (most commonly on the tongue) or periorally on the lips, cheeks or a combination of sites. Oral piercing is an ancient practice of body modification and self-expression that is also common in modern society. The ADA advises against the practices of cosmetic intraoral/perioral piercing and tongue splitting, and views these as invasive procedures with negative health sequelae that outweigh any potential benefit. ![]() The procedure is inherently invasive and dangerous, with significant risks of severe bleeding, infection, inflammation, lingual nerve damage, or other complications. By definition, the tongue-splitting process is one in which an individual’s tongue is severed into two pieces using various techniques. Tongue splitting is a less common form of body modification within the oral cavity.Complications associated with oral piercing include: swelling, bleeding, infection, chipped or damaged teeth, gingival recession, lacerations/scarring, embedded oral jewelry (requiring surgical removal), airway obstruction, hypersalivation, palatal erythema, oral lichenoid lesions, keloid formation, and purulent or unusual discharge from the pierced region.Oral piercings are more typically seen in adolescents and young adults, and the tongue is considered the most common site for oral-piercing placement. ![]()
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