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

The American Dental Association and the American Academy of Pediatric Dentistry have officially recommended against intraoral/perioral piercing and tongue splitting because of the potential for numerous negative sequelae.

Procedure-Related Risks

  • Swelling
  • Infection
    • Oral piercing carries a risk for infection due to trauma of the skin or oral tissues and the vast amount of bacteria in the mouth.  
    • Blood-borne disease transmission - Possible transmission of Hepatitis B, C, D, or G if the procedure is performed in non-sterile manner.
    • Endocarditis
      Endocarditis: Inflammation of the lining of the heart and its valves.
      • Oral piercing is a route of entry of bacteria into the bloodstream
      • May result in endocarditis for patients with cardiac abnormalities
  • Prolonged bleeding and possible nerve damage
 
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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