Zadik Y, Becker T, Levin L
Zrifin Central Dental Institute, Medical Corps, Israel Defense Forces.
Refuat Hapeh Vehashinayim (1993). 2007 Jan;24(1):29-34, 83.
Oral Piercing is a practice that is gaining acceptance in the western world as a sign of individuality, marginality, decoration, or group membership. In a recent large-scale survey among Israeli young adults, more than half of the study population was not aware of any of the complications of oral piercing. Pain, bleeding, edema, inhalation, dental and gingival trauma, allergic reaction, contact lesions, impaired mastication, deglutition, and speech, are all potential complications of intra-oral and peri-oral piercing. Piercing can induce local as well as distant site infection and inflammation such as Ludwig's angina, endocarditis and cerebellar abscess. Moreover, Piercing is recognized as a potential vector of viral transmitting. Nevertheless, not all piercers have adequate knowledge in infection control techniques. With the increase number of patients with pierced intra and peri-oral sites, dentists should be prepared to address issues, such as potential damage to the teeth and gingival, and risk of oral infection that could arise as a result of Piercing, as well as provide appropriate guidance to patients contemplating body piercing that involve the oral sites. Since common knowledge is poor, patients should be educated regarding the dangers that may follow Piercing of the oral cavity.
口腔穿刺作为一种体现个性、边缘化、装饰或群体归属的行为,在西方世界正逐渐被接受。在最近一项针对以色列年轻人的大规模调查中,超过一半的研究对象对口腔穿刺的任何并发症都一无所知。疼痛、出血、水肿、吸入、牙齿和牙龈创伤、过敏反应、接触性病变、咀嚼、吞咽及言语功能受损,都是口腔内及口腔周围穿刺的潜在并发症。穿刺可引发局部以及远处部位的感染和炎症,如路德维希咽峡炎、心内膜炎和小脑脓肿。此外,穿刺被认为是病毒传播的潜在载体。然而,并非所有穿刺者都具备足够的感染控制技术知识。随着口腔内和口腔周围穿刺患者数量的增加,牙医应准备好处理诸如牙齿和牙龈的潜在损伤以及穿刺可能导致的口腔感染风险等问题,并为考虑进行涉及口腔部位的身体穿刺的患者提供适当指导。由于大众对此普遍了解不足,应告知患者口腔穿刺可能带来的危险。