Tongue Piercing

There has been an upsurge in the amount of teenagers getting tongue piercings.  Teenagers often view these piercings as a harmless expression of their growing individuality.  Oftentimes, parents allow teens to pierce their tongues because the metal bar is impermanent.  In addition, tongue bars are not as visually apparent as a tattoo or eyebrow piercing might be.

Unfortunately, tongue piercings can have a serious (even deadly) impact on health.  Dentists routinely advise adolescents to avoid intraoral or perioral piercings for a number of good reasons.

Why is tongue piercing harmful?

First, there are a growing number of unlicensed piercing parlors in throughout the country.  Such parlors have been recognized as potential transmission vectors for tetanus, tuberculosis, and most commonly, hepatitis.  Second, a great number of painful conditions can result from getting a tongue piercing – even in a licensed parlor.  These conditions include:

  • Bacterial infections
  • Blood clots
  • Blood poisoning
  • Brain abscess
  • Chronic pain
  • Damaged nerves (trigeminal neuralgia)
  • Fractured/cracked teeth
  • Heart infections
  • Hypersensitivity reactions (to the metal bar)
  • Periodontal disease/gum recession
  • Problems enunciating
  • Scarring

What are the most common tongue piercing problems?

To pierce a tongue, the body piercer must first hold it steady with a clamp.  Next, a hollowed, pointed metal needle is driven through the tongue.  Finally, the piercer attaches the tongue bar to the bottom end of the needle, and then drags it upwards through the tongue.  Two metal screw-on balls are then used to secure the tongue bar.

Most commonly, severe pain and swelling are experienced for several days after the piercing episode.  Moreover, the new holes in the tongue are especially infection-prone, because the oral cavity is home to many bacteria colonies.  In the medium term, saliva production may increase as the body responds to a completely unnatural entity in the mouth.

Are there long-term problems associated with tongue piercing?

Long-term problems with tongue piercings are very common.  The screw-on balls constantly scrape against tooth enamel, making teeth susceptible to decay and gums susceptible to periodontal disease.  Soft tissue can also become infected in specific areas, as the tongue bar continues to rub against it.

If the tongue bar is inappropriately long, it can get tangled around the tongue or teeth.  In a similar way to an earring getting ripped out of the ear, a tongue bar can be ripped out of the tongue.  This is extremely painful, as well as difficult to repair.

In sum, the American Dental Association (ADA) advises against any type of oral piercing, and so does the dentist.

If you are a concerned parent, or would like the dentist to speak with your teen about tongue piercing, please contact our office.

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I have been a patient of Dr. Jeffrey Weiner since 1981. His work is impeccable. He is meticulous and results focused. He is not happy unless you are happy. I have referred many patients over the year to his office. His staff is always accommodating and friendly. I have had to call him and his son Dr. Jason Weiner on weekends and holidays over the years for a dental emergency and they have both responded to me quickly and with concern and advice. I receive compliments every day about my smile and it is because of Weiner Dental.

Mary P., Bensalem, PA

I know from experience that patients at Weiner Dental are very fortunate in knowing that "the apple doesn't fall far from the tree." Dr. Jason Weiner is my primary dentist. He is not only adept in the painless and creative cosmetic work that he has performed on me, his easy manner and confident professionalism allays any anxiety that I may have about any dental problems. Having also been treated by Jason's father, Dr. Jeffrey Weiner, it is evident that a caring attitude and a healing aptitude has been passed on from father to son. That same demeanor seems to be instilled in everyone at Weiner Dental. I sincerely recommend the doctors and staff at Weiner Dental. I believe that they really care.

Edward M., Huntingdon Valley, PA

I have been going to Doctor Weiner for 30 years along with my wife and children. He has always given us the best of care. I do not know t oo many doctors who care so much that they call you at home to check on you. He cares about all people. When Dr. Weiner heard we were going to visit our daughter (who is a missionary in Jaraboca, in the Dominican Republic), he sent dental supplies for the folks down there. Most of them do not have the money for toothbrushes and toothpaste. If you could have seen the look of joy on their faces...it's hard to describe. And his son Jason is following in his father's footsteps. I not only feel like I have a great dentist but a good friend! Thanks Docs.

Robert B., Philadelphia, PA

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