Background: Oral piercings, including tongue, lip, and cheek piercings, are popular forms of body modification. These piercings, while culturally significant and a means of self-expression, pose various health risks that necessitate informed management by dental professionals. Objectives: This study aims to assess the knowledge, attitudes, and practices (KAP) related to oral piercings among dental undergraduates, postgraduates, and practicing dentists. Methods: A cross-sectional questionnaire-based study was conducted among 300 participants, comprising dental undergraduates, postgraduates, and practicing dentists. The questionnaire covered demographics, knowledge of oral piercings, attitudes towards these modifications, and clinical practices in managing complications. Data were analyzed using SPSS software, with descriptive statistics and comparative tests (Chi-square and ANOVA) applied to evaluate KAP differences among the groups. Results: Significant variations in knowledge levels were observed, with practicing dentists displaying the highest understanding of oral piercings and their complications. Postgraduates demonstrated a more comprehensive knowledge compared to undergraduates, who showed a basic understanding. Attitudes towards oral piercings varied, with undergraduates and postgraduates viewing them more favorably compared to the cautious stance of practicing dentists. Clinical practices also differed, with experienced dentists more proactive in patient education and management strategies. Conclusion: The study highlights the need for enhanced education on oral piercings across all levels of dental training. Integrating comprehensive curricula and continuous professional development programs can bridge knowledge gaps and improve clinical practices. Gender-wise analysis highlights that both male and female dental professionals show comparable levels of awareness and engagement regarding oral piercings, with responses indicating a shared commitment to patient education and proactive care practices in managing associated risks and complications KEYWORDS: Oral piercings, dental education, knowledge, attitudes, clinical practice, complications.