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Consequences of Popular Lip and Perioral Jewelry on Periodontal Tissues. Jacqueline Muñoz WLADH 1066 November 29, 2009. History of Lip and Perioral Piercings.

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consequences of popular lip and perioral jewelry on periodontal tissues

Consequences of Popular Lip and Perioral Jewelry on Periodontal Tissues

Jacqueline Muñoz

WLADH 1066

November 29, 2009

history of lip and perioral piercings
History of Lip and Perioral Piercings
  • In ancient times, civilizations wore oral and perioral jewelry to symbolize courage, royalty, virility, or spirituality.
  • Today, these facial adornments are a popular symbol of self expression and have become a fashion statement amongst adolescents and young adults.
lip and perioral piercings are second in popularity following tongue piercing
Lip and perioral piercings are second in popularity, following tongue piercing.
  • The jewelry is made of

non-toxic, hypoallergenic

material such as14-18K gold,

titanium, stainless steel,

niobium, tygon, acrylic, stone,

wood, bone, and ivory.

  • The jewelry is usually a labret stud, magnetic stud (most dangerous-risk of aspiration), unenclosed ring, or a barbell.

http://s.bebo.com/app-image/7933963010/5411656627/PRO

FILE/i.quizzaz.com/img/q/u/08/08/01/Piercing_by_larafairie.jpg

variety of lip and perioral piercings
Variety of Lip and Perioral Piercings

http://images.google.com/imgres?imgurl=http://www.desertsmiles.com/assets/lip.jpg&imgrefurl=http://www.desertsmiles.com/news/piercing.htm&usg=__opSZAOiDa8QJp0SFlPXKSZEMvg=&h=129&w=163&sz=4&hl=en&start=1&um=1&itbs=1&tbnid=O4UYGdFXx4E0SM:&tbnh=78&tbnw=98&prev=/images%3Fq%3Dlip%2Band%2Bperioral%2Bpiercing%2Bjewelry%26hl%3Den%26rlz%3D1T4GZHY_enUS238US240%26sa%3DN%26um%3D1

http://en.academic.ru/pictures/enwiki/66/B7a8e9052925.jpg

images%3Fq%3Dlip%2Band%2Bperioral%2Bpiercing%2Bjewelry%26hl%3

Den%26rlz%3D1T4GZHY_enUS238US240%26sa%3DN%26um%3D1

http://images.pennnet.com/articles/rdh/thm/th_203683.jpg

effects on soft and periodontal tissue
Effects on soft and periodontal tissue:
  • Gingival recession on the facial surfaces of the teeth which can extend into the mucogingival junction
  • Narrow width of attached gingiva
  • Bone dehiscence
  • Soft tissue trauma and lesions
  • Injury to the PDL
  • Localized horizontal bone loss
  • Chipped or broken teeth
  • Temporary or permanent increase in salivation
  • Infection and inflammation
  • Interference with radiographic interpretation

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2606659/

permanent damage
Permanent Damage

http://images.google.com/imgres?imgurl=http://image.listpipe.com/lp_lippiercing.jpg&imgrefurl=http://www

.kochaesthetics.com/blog/%3Fcat%3D7&usg=__SmNWKt0PpffEcI2mon0yQtO7gYM=&h=191&w=235&sz=9&hl=en&

start=49&um=1&itbs=1&tbnid=c2Aeicshcv3VNM:&tbnh=89&tbnw=109&prev=/images%3Fq%3Doral%2Bdamage%2B

caused%2Bby%2Bpiercing%2Bjewelry%26ndsp%3D18%26hl%3Den%26rlz%3D1W1GZHY_en%26sa%3DN%26start%3D36%26um%3D1

http://jada.ada.org/cgi/content/full/134/7/837 2003

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2606659/

http://jada.ada.org/cgi/content/full/134/7/837 2003

://www.desertsmiles.com/assets/recession.jpg&imgrefurl=http://www.desertsmil

es.com/news/piercing.htm&usg=_zUjwlYMANvR1I5y-fZY0sIbPQfY http://images

.google.com/imgres?imgurl=http =&h=129&w=163&sz=5&hl=en&start=2&um=1

&itbs=1&tbnid=mI1aeO2BAroszM:&tbnh=78&tbnw=98&prev=/images%3Fq%3

Dlip%2Band%2Bperioral%2Bpiercings%26hl%3Den%26rlz%3D1W1GZHY_e

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other negative effects of lip and perioral jewelry
Other Negative Effects of Lip and Perioral Jewelry
  • Interfere with chewing food
  • Collect plaque and accumulate calculus
  • Possibility of ingesting jewelry exists
  • Playing with jewelry can cause tissue trauma
  • Tissue pigmentation at piercing site

http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2606659

risk of disease transmission
Risk of Disease Transmission
  • Body piercing is unregulated
  • Infection control standards are not followed
  • Piercing is done by non-medical personnel
  • Hepatitis B & C, Herpes Simplex virus, Epstein-Barr virus, Syphillis, T.B, or Candida albicans can be transmitted
  • HIV transmission has not been documented
recommendations
Recommendations
  • Avoid lip and perioral piercings
  • Educate patients on the negative outcomes of lip and perioral piercings
  • ADA stands against lip and perioral piercings
  • Maintain good oral hygiene habits
  • Regularly remove and clean oral jewelry
  • Routine dental examinations
  • Routine physical examinations
  • To repair periodontal tissue damage, gingival graft surgery is performed
references
References
  • ADA Position and Statements. (2004). ADA statement on intraoral/perioral piercing and tongue

splitting. Retrieved October 12, 2009, from

http://www.ada.org/prof/resources/positions/statements/piercing.asp.

  • Andrian, E., Grenier, D., & Maheu-Robert, L. (2007, May). Overview of complications

secondary to tongue and lip piercings. Journal of the Canadian Dental Association,

73(4), 327-331. Retrieved October 10, 2009, from http://www.cda-adc.ca/jcda/vol-73/issue-4/327.pdf.

  • Bascones-Martinez, A., Campo-Trapero, J., Cano-Sanchez, Escudero-Castaño, N., & Perea-

Garcia, M.A. (2008). Oral and perioral piercing complications. The Open Dentisitry

Journal, 2, 133-136. Retrieved October 2, 2009, from

http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2606659.

  • Brooks, J.K., Hooper, K.A., & Reynolds, M.A. (2003, July). Formation of mucogingival

defects associated with intraoral and perioral piercing: case reports. The Journal of the

American Dental Association, 134, 837-843. Retrieved October 10, 2009, from

http://jada.ada.org/cgi/content/full/134/7/837.

  • Downs, J.S., Gold, M.A., Murray, P.J., & Schorzman, C.M. (2007, October). Body art:

attitudes and practices regarding body piercing among urban undergraduates. Journal

of the American Osteopathic Association, 107(10), 432-438. Retrieved October 10, 2009, from

http://www.jaoa.org/cgi/reprint/107/10/432.pdf.

  • Soileau, K.M. (2005, April). Treatment of mucogingival defect associated with intraoral

piercing. The Journal of the American Dental Association, 136, 490-494. Retrieved October 10, 2009, from

http://jada.ada.org/cgi/content/full/136/4/490.

  • Wikipedia. (2009). Lip piercing. Retrieved October 10, 2009 from

http://en.wikipedia.org/w/index.php?title=Lip_piercing&printable=yes.

  • Wolfe, F.D. (2006, March). The perils of oral piercing. Registered Dental Hygienist

Magazine. Retrieved October 10, 2009 from

http://www.dentaleconomics.com/display_article/250008/56/none/none/Feat/the-perils-of-oral-piercing.