
The desire for self-expression through body art has led many people to consider oral piercings as a unique way to showcase their personality and style. From tongue piercings that create conversation starters to lip rings that add edge to your smile, these modifications have become increasingly popular among teens and young adults seeking to make a bold statement with their appearance.
At Imagine Dentistry in Charlotte, North Carolina, we understand that personal expression is important, but we also want to ensure you’re fully informed about how oral piercings can impact your dental health. Dr. Ann Blaine Coambs, with over 20 years of experience and recipient of the Charlotte Magazine Top Dentists Award every year since 2016, along with her colleague Dr. Shelli Boucher, who brings over 15 years of experience including extensive continuing education from The Dawson Academy, provide comprehensive periodontal care to help patients maintain healthy teeth and gums regardless of their lifestyle choices.
Immediate Risks and Potential Complications
The mouth provides an ideal environment for bacteria to thrive, making any oral piercing susceptible to infection during the healing process. The warm, moist conditions combined with constant exposure to food particles and saliva can create challenges that don’t exist with other body piercings. Swelling, pain, and difficulty eating or speaking are common immediate side effects that can persist for weeks while the piercing heals, and some people experience excessive bleeding or allergic reactions to the metal jewelry.
Beyond the initial healing concerns, oral piercings can cause immediate damage to your teeth and gums through constant contact with the jewelry. The hard metal or acrylic materials used in most oral jewelry can chip or crack teeth when they repeatedly strike against tooth surfaces during normal activities like eating, drinking, or talking. This type of damage often happens gradually, so you might not notice the problem until significant harm has occurred to your dental work or natural teeth.
Long-Term Dental and Gum Complications
Long-term wear from oral piercings can lead to serious dental complications that require extensive treatment to repair. Constant contact between jewelry and teeth can cause enamel erosion, creating rough surfaces that trap bacteria and increase your risk of decay. The repetitive trauma can also lead to tooth sensitivity, as the protective enamel layer becomes worn down and exposes the more sensitive inner layers of your teeth.
Gum disease treatment becomes necessary for many people with oral piercings due to the chronic irritation caused by jewelry rubbing against gum tissue. This constant friction can cause gum recession, where the tissue pulls away from the teeth and creates pockets where bacteria can accumulate. Once gum recession occurs, it’s difficult to reverse without professional intervention, and severe cases may require surgical treatment to restore healthy gum tissue.
Location-Specific Risks and Considerations
Tongue piercings present unique challenges because the tongue moves constantly during speaking, eating, and swallowing, causing the jewelry to repeatedly contact teeth and gums. The location also makes proper cleaning more difficult, as reaching all areas around the piercing site requires careful attention to oral hygiene. Additionally, tongue swelling after piercing can affect speech and eating patterns, potentially lasting several weeks while healing occurs.
Lip and cheek piercings create different but equally concerning risks, as they can interfere with normal lip function and create constant pressure against the teeth and gums. The jewelry can rub against the inside of your mouth, causing tissue irritation and increasing the likelihood of developing painful sores or infections. These piercings also make routine teeth cleaning appointments more challenging, as dental instruments must work around the jewelry.
Prevention and Maintenance Strategies
If you choose to get an oral piercing despite the risks, taking proper precautions can help minimize potential damage to your teeth and gums. Working with a reputable, experienced piercer who follows strict sanitation protocols is essential for reducing infection risk and ensuring proper placement. Choosing appropriate jewelry materials like surgical steel or titanium can help prevent allergic reactions and reduce the likelihood of complications.
Maintaining excellent oral hygiene becomes even more critical when you have an oral piercing, as bacteria can easily accumulate around the jewelry site. Consider these important care strategies:
- Rinse with antimicrobial mouthwash after every meal and snack
 - Clean the piercing site gently with saline solution as recommended by your piercer
 - Remove jewelry before engaging in sports or physical activities
 - Avoid playing with the jewelry using your tongue or teeth
 - Schedule more frequent dental checkups to monitor for early signs of damage
 
Regular professional cleanings and examinations allow your dental team to catch problems early, before they develop into more serious complications requiring extensive treatment.
Protecting Your Oral Health with Expert Care at Imagine Dentistry
Understanding the potential risks associated with oral piercings empowers you to make informed decisions about your body art while taking steps to protect your dental health. At Imagine Dentistry, Dr. Coambs and Dr. Boucher provide comprehensive evaluations to assess any damage from oral piercings and develop treatment plans to address existing problems or prevent future complications. Dr. Coambs’ Fellowship Award from the Academy of General Dentistry, earned by only 6% of general dentists, demonstrates our commitment to advanced oral health care.
Whether you currently have oral piercings or are considering getting one, our team can help you maintain optimal oral health through preventive care and early intervention when problems arise. Don’t let preventable dental complications compromise your smile or lead to emergency dental situations that could have been avoided with proper care and monitoring. Take control of your oral health today by requesting an appointment for a comprehensive evaluation.

LEGALLY REVIEWED BY:
Dr. Ann Blaine Coambs, DDS, FAGD
Dr. Ann Blaine Coambs is a general dentist practicing in Charlotte, NC, with over a decade of clinical experience. A graduate of Rice University and the University of Texas School of Dentistry, she completed her residency at CMC Hospital (Atrium Health) and has served the Charlotte community since 2012. Earned the Fellowship Award from the Academy of General Dentistry – an honor held by fewer than 6% of general dentists nationwide.
Dr. Coambs is known for her patient-focused approach, blending advanced dental techniques with warmth and precision.
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