If your teen is considering a tongue or lip piercing, make dental risks part of the conversation. The American Academy of Pediatric Dentistry (AAPD) advises against oral piercings and oral jewelry because of possible harm.
🦷 How can oral jewelry affect teeth and gums?
- Tooth damage: Jewelry can contribute to chipped, fractured or worn teeth.
- Gum problems: Irritation, inflammation and gum recession have been reported.
- Plaque buildup: Oral jewelry can retain plaque and increase cavity risk.
🔎 Which changes need attention?
Piercings can cause infection, bleeding and swelling. Watch for pain, tenderness or unusual, foul-smelling discharge.
Seek medical care if complications develop after a piercing. Severe swelling that affects breathing is an emergency.
💡 What should families discuss?
Tell the dentist about existing oral jewelry and any symptoms. Discuss tooth or gum changes and how jewelry may interfere with a sports mouthguard.
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📚 AAPD source
Based on the AAPD’s Policy on Oral Piercing and Oral Jewelry/Accessories (2025 revision). General education, not an individual treatment plan or AAPD endorsement.