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Protecting All Children's Teeth (PACT): A Pediatric Oral Health Training Program
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Oral Piercing and Grills, continued

Jewelry-Related Complications

  • Injury to the gums. 
  • Chipped (fractured) teeth
  • Interference with normal oral function.
  • Allergic reaction/hypersensitivity to metal (eg, nickel). 
  • Interference with oral health evaluation.
  • Aspiration or ingestion possible if jewelry becomes loose.

No studies show that grills are harmful to the mouth. However, there is at least one case report of a grill accelerating the caries process in an adolescent.

Grill wearers should be counseled to:

  • Remove the grill when eating.
  • Limit the amount of time that the grill is worn.
  • Brush and floss carefully.
  • Watch for symptoms of allergy to the grill's metal.
Fast Facts
The American Dental Association and the American Academy of Pediatric Dentistry recommend against all oral piercings.
The most common procedure-related risks are swelling, bleeding, and infection.
Oral piercings commonly injure the gums, tongue, or teeth.
Allergic reactions to the metal in piercings and grills may be delayed.
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