Kapferer I, Benesch T, Gregoric N, Ulm C, Hienz S A
Department of Periodontology, Bernhard-Gottlieb Dental School, Medical University of Vienna, Austria.
J Periodontal Res. 2007 Apr;42(2):177-83. doi: 10.1111/j.1600-0765.2006.00931.x.
Body piercings have increased tremendously in popularity in recent years. For oral piercing, late complications include gingival trauma and localized periodontitis. The purpose of this cross-sectional study was to investigate the prevalence and contributing factors of gingival recession associated with labial piercing.
The test group included 50 subjects with lower-lip studs. Nonpierced controls were matched according to gender, age and smoking status. Clinical examination included plaque and bleeding indices, probing depth, recession, clinical attachment level, width of keratinized gingiva, periodontal biotype, insertion of frenula, evaluation of hard tissues, trauma of occlusion, characteristics of the stud, radiographs and photographs.
Gingival recessions were noted on teeth opposite the stud in 68% of the test group compared with 4% of the controls. Localized periodontitis was recorded in 4% of test subjects. Time since piercing and the position of the stud in relation to the cemento-enamel junction were significantly associated with the prevalence of buccal recessions. There were no significant associations between piercing and abnormal tooth wear.
The prevalence of gingival recessions is associated with labial piercing. The position of the intra-oral disc and time since piercing are associated with a greater prevalence of gingival recession. A narrow width of keratinized gingiva is associated with increased buccal recessions.
近年来，身体穿刺的流行程度大幅上升。对于口腔穿刺而言，晚期并发症包括牙龈创伤和局限性牙周炎。本横断面研究的目的是调查与唇穿刺相关的牙龈退缩的患病率及相关因素。
试验组包括50名下唇有穿孔饰钮的受试者。未穿孔的对照组根据性别、年龄和吸烟状况进行匹配。临床检查包括菌斑和出血指数、探诊深度、退缩、临床附着水平、角化龈宽度、牙周生物型、系带插入情况、硬组织评估、咬合创伤、饰钮特征、X线片和照片。
试验组中68%的受试者在饰钮相对的牙齿上出现牙龈退缩，而对照组为4%。4%的试验对象记录有局限性牙周炎。穿刺后的时间以及饰钮相对于牙骨质 - 釉质界的位置与颊侧退缩的患病率显著相关。穿刺与异常牙齿磨损之间无显著关联。
牙龈退缩的患病率与唇穿刺有关。口腔内圆盘的位置以及穿刺后的时间与牙龈退缩患病率较高有关。角化龈宽度狭窄与颊侧退缩增加有关。
