Tongue Piercing Research Articles

KNOWLEDGE, ATTITUDE AND PRACTICE AMONG DIFFERENT DENTISTS REGARDING ORAL PIERCING DELETERIOUS EFFECT: A QUESTIONNAIRE BASED STUDY

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.

Management and Retrieval of An Accidental Postoperative Ingestion of Tongue Piercing

Management and Retrieval of An Accidental Postoperative Ingestion of Tongue Piercing

Oral Complications Associated with the Piercing of Oral and Perioral Tissues and the Corresponding Degree of Awareness among Public and Professionals: A Systematic Review.

This study systematically reviews the literature to evaluate the potential relationships between oral/perioral piercing and consequent oral complications in the corresponding society. The second objective was determining public/professional sectors' awareness of the subject. This research followed PRISMA and Cochrane guidelines for conducting systematic reviews and searching scientific databases, including PubMed, Scopus, Cochrane, and Google Scholar, until April 2023. Cross-sectional, cohort, and case-control studies in English were deemed eligible. The methodological quality of the included studies was assessed using proper quality assessment guidelines. Of the 965 initial articles retrieved, 34 were considered suitable for qualitative synthesis after screening procedures and removing duplicates and irrelevant records. There appears to be an imbalance between the general public's low and dentists' high awareness. This draws attention to the shortage of professional and societal knowledge-sharing and education initiatives. Women were more than twice as likely as men to have oral piercings. Piercing usage had a low incidence among a cohort of students with a mean age of 16. Merely circumstantial evidence has indicated a plausible correlation between oral and perioral piercings and the emergence of secondary bacterial and fungal colonization, particularly periodontopathogenic bacteria and Candida albicans. Furthermore, several adverse consequences have been observed linked to various piercings-such as lip and tongue piercings. These include caries, gingivitis/periodontitis, dental fractures, enamel chipping/cracks, plaque buildup, bone loss, bleeding, inflammation, and swelling. Given the risks involved and the complications that might impair oral health, the prevalence of oral piercings is alarming. As a result, public health authorities need to firmly support initiatives to raise awareness of the risks associated with oral/perioral piercings. For piercers to enhance their expertise in this field, professional training is necessary because there is a shortage of knowledge on the possible adverse effects of piercings.

Infectious Disease

Infectious Disease

Theatricality of the Body in Bode Jatra: A Study of the Tongue-Piercing Culture

The present paper attempts to explore the body in relation to theatricality in Bode Jatra, the tongue-piercing festival of the Newar community in Bode, Bhaktapur. The study treats body as the territorial site to foreground how body performance becomes theatrical, taking the performance of Bode Jatra, the performativity of the tongue-piercing, as its text. The raving performance of tongue piercing generates an expression of cosmogonic consciousness. It encompasses the movement of the body both from micro and macro facet which constitutes the theatrical culmination. Therefore, performativity of the body becomes a trope that necessitates in studying the conception and evolution of theatre with the view that bodily performance is the epitome of theatricality which has hitherto remained veiled. The body which performs liminal in Bode Jatra exerts cosmogonic force that subverts the traditional hierarchy — the mundane world and the world of spirit.

Tongue and lip piercings may damage teeth and gums

Tongue and lip piercings may damage teeth and gums

Tongue and lip piercings may damage teeth and gums

Tongue and lip piercings may damage teeth and gums

Candida Carriers among Individuals with Tongue Piercing-A Real-Time PCR Study.

Among the local factors for oral candidiasis, the piercing of the tongue is recognized by some authors as a risk factor for the colonization of Candida albicans. There are few case reports in which Candida spp. colonization and infection are associated with tongue piercing but only one microbiological study supports this hypothesis in general. The aim of this study was to examine this possible association between the presence of both tongue piercing and Candida spp. in healthy individuals. Positive results for tongue colonization with Candida spp. were found in four (12.9%) of the tongue-pierced subjects and in three (9.67%) subjects of the control group (p = 0.550). All samples were identified as Candida albicans. The univariate and logistic regression analyses of possible risk factors for tongue colonization revealed that gender (p = 0.024), smoking more than 10 cigarettes per day (p = 0.021), and improper hygiene (p = 0.028) were statistically significant influencing factors in the multivariate analysis. The results suggest that the piercing of the tongue is not a risk factor for colonization of Candida spp.

A novel surgical technique for prevention of self-sucking in cattle and buffaloes: tongue piercing

BackgroundSelf-sucking is an abnormal behavior lead to important economic losses for dairy farms. The objective of this study was to evaluate tongue piercing as a novel technique to prevent self-sucking in cattle and buffaloes. The study was carried out on 26 cows and 4 buffaloes suffered from self-sucking. Tongue piercing was achieved by the application of an implant in the midline of the tongue and anterior to the frenulum linguae. With a follow up period of 6 months.ResultsThis implant produced mechanical disruption of the affected animals ability to curl their tongues, in a U- shape manner, subsequently it was impossible for these animals to cup their tongues and suck its own teats. Slight swelling around the piercing site of the tongue was observed among all animals on the first 3 days after surgery. No other complications have been reported.ConclusionTongue piercing is an effective, rapid, easy, minimally invasive technique to prevent self-sucking among cattle and buffaloes, moreover, the technique was more widely acceptable by the owners than other traditional and surgical methods.

Oral and peri-oral piercings: impact on the gingival tissues

##Introduction Oral and peri-oral piercings have increased in popularity in recent years. As a result, general dental practitioners are more frequently seeing the destructive effects within the oral cavity. In this paper we will discuss two cases of gingival injury as a result of lip and tongue piercings, and their management. ##Discussion The purpose of this paper is to highlight the potential negative effects of oral and peri-oral piercings, and the possible treatment options available, so that the dental team can discuss these with patients. ##Conclusion These cases highlight the destructive effect of oral and peri-oral piercings on the gingival tissues, while demonstrating a treatment option to deal with gingival recession.

Effect of tongue piercing on periodontal and peri-implant health: A cross-sectional case-control study in adults.

The authors hypothesize that periodontal and peri-implant inflammatory parameters are poorer in adult patients with tongue piercing compared with controls. The aim was to assess the influence of tongue piercing on periodontal and peri-implant health status in adults. Test and control groups comprised of individuals with and without tongue piercing, respectively. A questionnaire was used to collect information about gender, age, duration of tongue piercing and implants in function, jaw location of the implant, reasoning for wearing the tongue ornament, and oral hygiene and ornament cleaning habits. Full-mouth and peri-implant plaque index (PI), gingival index (GI), clinical attachment loss (CAL), probing depth (PD) and marginal/crestal bone loss (MBL and CBL, respectively) on mesial and distal surfaces of teeth/implants were recorded. The material (plastic or metal) from which, the bar and ball-ends of the ornament were fabricated was also recorded. A p<0.01 was considered statistically significant. Forty-eight and 49 individuals were included in the test and control groups, respectively. There was no difference in PI, GI, PD, CAL and MBL (mesial and distal) among individuals in the test and control groups. In the test group, peri-implant PI (p<0.01), GI (p<0.01), PD (p<0.01) and mesial (p<0.01) and distal (p<0.01) CBL were significantly higher in the anterior mandible compared with implants in other jaw locations. In the control group, there was no difference in peri-implant PI, GI, PD and CBL around implants placed in both jaws. Wearing tongue piercings could increase the risks of periodontal and peri-implant diseases particularly in the mandibular anterior segment.

Knowledge and attitude of dental postgraduate students towards oral and peri-oral piercing in Davanagere city: A cross-sectional survey

Background: Oral and perioral piercing when performed under unhygienic conditions, can cause certain complications. Hence, a study was conducted in dental colleges of Davanagere city among postgraduate students with the aim to assess their knowledge and attitude towards oral and peri-oral piercing.Methods: Across-sectional survey involved 212 dental postgraduate students of dental colleges in Davanagere city who consented to participate. A pretested, validated, self-administered questionnaire containing 15 multiple-choice items assessing the postgraduate students’ knowledge and attitude towards oral and peri-oral piercing practices was used for data collection. Data was presented in the form of frequencies and percentages.Results: Participants had fair knowledge regarding oral and perioral piercing. Majority of participants (75%) felt oral and peri-oral piercing practices as a sign of style /fashion statement. Around 45-50% felt tongue piercing and nose piercing (66%) as most prevalent type among oral and perioral piercing practices and canine was the most preferred tooth for piercing (43%). Majority (55%) felt that piercing practices were performed by unlicensed people. Many (79%) were aware of complications associated with piercing and suggested removal of pierced metal in such conditions (58%). Around 76.7% said they preferred Cosmetic dentist for piercing and 94% felt that dentists with oral and perioral piercing strongly influence the perception of their patients towards oral piercing.Conclusion: Dental postgraduates had fair knowledge regarding oral and peri-oral piercing practice and its possible complications. However, the attitude towards the practice which is highly prevalent in the society was affirmative and positive among postgraduates which is a cause of concern.

Colonization of Candida After the Placement of a Tongue Piercing, a Case Report

Abstract The practice of piercing the body’s different areas is a commonly observed form of body modification. It implies puncturing the skin tissue resulted in an opening, in which specific jewellery or an intradermal implant could be inserted. The tongue piercing is a highly popular form of this practice, but can be followed by multiple acute and chronic complications, such as bacterial and fungal infections. Our case describes the clinical situation of a 25 year old immunocompetent woman, who sought medical help after observing tissue abnormalities, following a newly inserted tongue piercing. We identified a correctly and professionally placed tongue jewellery associated with all clinical hallmarks of oral Candidiasis. Our aim was to microbiologically identify and treat the present yeast colonies.

Associations and risk factors for dental trauma: A systematic review of systematic reviews.

We sought to revise, qualify and summarize the body of evidence based on current information on the known associations and risk factors for traumatic dental injury (TDI) occurrence with an overview of systematic reviews. Electronic searches were performed with no language nor date restrictions.According to the PECO strategy, systematic reviews that investigated participants (P) with (E) and without (O) the presentation of factors relating to TDI and these factors' association with TDI episodes (O) as primary or secondary outcomes were included. Quality assessment and bias control were carried out according to the AMSTAR 2 checklist. In cases of systematic review results of discordance, the Jadad decision algorithm was applied. After titles, abstracts and full texts were read, 19 systematic reviews were included in this overview. Four were classified with critically low, eleven with low and four with moderate methodological quality, respectively. In all studies, 249 cross-sectional, 34 epidemiological surveys, 22 cohort, 9 case-control, 4 longitudinal, 3 ecological and 30 unspecified studies were included. Male gender, child age, greater overjet, inadequate lip coverage, anterior open bite, caries in the permanent dentition, overweight, a previous history of TDI, tongue piercing, the use of alcoholic beverages and participation in sports were all associated with a greater chance of suffering TDI. Sociodemographic, clinical and environmental factors are associated with a greater chance of TDI occurrence. However, most of the systematic reviews included were of a low quality and may not provide an accurate and comprehensive summary of the available research that addresses the question of interest. Well-designed primary studies on different aspects of TDI are encouraged to provide higher quality scientific evidence.

Saúde bucal na escola: uma experiência extensionista

A educação em saúde é um dos eixos da Política Nacional de Saúde Bucal. O objetivo deste texto é descrever o Evento de Extensão Universitária Promoção de Saúde Bucal na Escola, realizado em outubro de 2018, que abordou temas como escovação, uso do fio dental e também a utilização de piercing labial e lingual, com discussão crítica e participativa de escolares de 12 a 14 anos de um colégio público estadual de Curitiba. O evento foi realizado no formato de aula expositiva dialogada por acadêmicos do Curso Técnico em Agente Comunitário de Saúde da Universidade Federal do Paraná. No instrumento avaliativo utilizou-se a mensuração de competências desmembradas em conhecimentos, habilidades e atitudes em relação aos temas abordados. Verificaram-se atitudes positivas dos escolares em termos das competências avaliadas, porém, pouca modificação dos mesmos para discutir assuntos relacionados à saúde, indicando a necessidade de propiciar mais momentos como o aqui relatado.

Tongue Piercing: a Current Trend with High-risk Effects

Oral and facial piercing as a form of body art are being observed more frequently in medical and dental practices [1]. The use of oral piercings and especially the piercing of the tongue is mainly related to a series of local complications and individuals who decide to use piercings should be aware of such complications [2]. This article presents the dental complications produced by an unusual association between a tongue piercing and tic behavior, along with the implications associated with such a practice.

Prevalence of periodontal pathogenic bacteria at different oral sites of patients with tongue piercing — results of a cross sectional study

Aim of this cross-sectional study was to investigate the prevalence of selected potentially periodontal pathogenic bacteria in different sites of patients with tongue piercing (TP) in comparison to a control group (C).Fifty participants in each group were recruited. Samples from the biofilm originating from the piercing surface (TP group), periodontal pocket, tongue as well as cheek surface were examined regarding presence of 11 selected potentially periodontal pathogenic bacteria based on polymerase-chain reaction (PCR).In the periodontal pocket of the participants, the majority of examined bacteria were more frequently detected in TP compared to C group (pi < 0.05). At tongue and cheek surface, the prevalence of Treponema denticola (P < 0.01) and Prevotella intermedia (P < 0.01) was significantly higher in TP. For the majority of bacteria, a significant correlation between TP surface and periodontal pocket was detected (P < 0.05).In conclusion TP must be considered as potentially important ecological niche and reservoir for periodontal pathogens.

Comprehensive assessment of dental behaviour and oral status in patients with tongue piercing-results of a cross-sectional study.

Aim of this cross-sectional case-control study was the comprehensive examination of oral health, oral behaviour and oral health-related quality of life of patients with tongue piercing. Furthermore, different piercing related factors and the presence of habits should be considered regarding their potential association to piercing-related complications. Participants with tongue piercing (n = 50) and a matched control (n = 50) were included. Dental examination included decayed-, missing- and filled-teeth-index (DMF-T) and the presence of non-carious tooth defects. Periodontal examination contained of periodontal probing depth (PPD), bleeding on probing (BOP) and recession. Piercing-related factors, oral behaviour as well as oral health-related quality of life [German short form of oral health impact profile (OHIP G14)] were assessed based on questionnaires. Man-Whitney U test, chi-square and Fisher's exact test (significance level p < 0.05). Participants with tongue piercing suffered from worse DMF-T, PPD, BOP and recession (pi < 0.01). Higher prevalence of enamel cracks and trough-shaped abrasions were found in piercing-group (pi < 0.01). Additionally, participants with tongue piercing showed worse oral behaviour, insufficient cleaning of piercing and in majority of cases (80%) calculus formation at piercing surface as well as comparable OHIP-G14 to control (p = 0.39). While piercing design was associated to both, recession and non-carious tooth defects (pi < 0.05), only infractures of enamel were associated to the presence habits (p = 0.04). Patients with tongue piercing show insufficient dental and periodontal health as well as reduced oral behaviour. Thereby, piercing design and wearing period is associated to recessions and non-carious tooth defects. Increased attention of patients wearing tongue piercing in dental practice is necessary.

On the association between oral piercings and periodontal conditions-A case series.

To investigate the association between oral piercings and periodontal health or inflammation in patients seeking treatment at the University of Basel, Switzerland. Records of patients from the pool of patients at the Department of Periodontology, Endodontology and Cariology were consecutively screened between November 2016 and January 2017. Eighteen patients with a tongue and/or a lip piercing were included. Three out of 18 patients wore both piercings, that is 14 tongue piercings and seven lip piercings were assessed. Epidemiologic, socio-economic, piercing characteristics and clinical parameters were recorded. Periodontal findings in teeth close to the piercing were compared to the parameters of the total dentition. In patients with a tongue piercing (n=14), percentages of sites with bleeding on probing, probing pocket depths ≥6mm, clinical attachment loss ≥6mm and gingival recessions ≥2mm were more frequently increased in teeth close to the piercing compared to teeth not affected by the piercing. In patients with a lip piercing (n=7), periodontal findings did not differ markedly in teeth close to the piercing compared to teeth not affected by the piercing. Tongue piercings may negatively affect periodontal conditions of teeth with close proximity to the piercing.

Ludwig’s Angina Caused by Tongue Piercing

Ludwig’s Angina Caused by Tongue Piercing