Ibraheem Wael I, S Preethanath Reghunathan, Devang Divakar Darshan, Al-Askar Mansour, Al-Kheraif Abdulaziz A
Department of Preventive Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia.
Dental Biomaterials Research Chair, Dental Health Department, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.
Int J Dent Hyg. 2022 May;20(2):282-290. doi: 10.1111/idh.12499. Epub 2021 Apr 4.
The authors hypothesize that periodontal and peri-implant inflammatory parameters are poorer in adult patients with tongue piercing compared with controls. The aim was to assess the influence of tongue piercing on periodontal and peri-implant health status in adults.
Test and control groups comprised of individuals with and without tongue piercing, respectively. A questionnaire was used to collect information about gender, age, duration of tongue piercing and implants in function, jaw location of the implant, reasoning for wearing the tongue ornament, and oral hygiene and ornament cleaning habits. Full-mouth and peri-implant plaque index (PI), gingival index (GI), clinical attachment loss (CAL), probing depth (PD) and marginal/crestal bone loss (MBL and CBL, respectively) on mesial and distal surfaces of teeth/implants were recorded. The material (plastic or metal) from which, the bar and ball-ends of the ornament were fabricated was also recorded. A p < 0.01 was considered statistically significant.
Forty-eight and 49 individuals were included in the test and control groups, respectively. There was no difference in PI, GI, PD, CAL and MBL (mesial and distal) among individuals in the test and control groups. In the test group, peri-implant PI (p < 0.01), GI (p < 0.01), PD (p < 0.01) and mesial (p < 0.01) and distal (p < 0.01) CBL were significantly higher in the anterior mandible compared with implants in other jaw locations. In the control group, there was no difference in peri-implant PI, GI, PD and CBL around implants placed in both jaws.
Wearing tongue piercings could increase the risks of periodontal and peri-implant diseases particularly in the mandibular anterior segment.
作者推测，与对照组相比，成年舌穿刺患者的牙周和种植体周围炎症参数更差。目的是评估舌穿刺对成人牙周和种植体周围健康状况的影响。
试验组和对照组分别由有和无舌穿刺的个体组成。使用问卷收集有关性别、年龄、舌穿刺持续时间和功能植入体、植入体的颌骨位置、佩戴舌饰的原因以及口腔卫生和饰品清洁习惯的信息。记录牙齿/植入体近中和远中表面的全口和种植体周围菌斑指数（PI）、牙龈指数（GI）、临床附着丧失（CAL）、探诊深度（PD）以及边缘/嵴顶骨丧失（分别为MBL和CBL）。还记录了饰品杆部和球端的制作材料（塑料或金属）。p < 0.01被认为具有统计学意义。
试验组和对照组分别纳入48例和49例个体。试验组和对照组个体之间的PI、GI、PD、CAL和MBL（近中和远中）没有差异。在试验组中，与其他颌骨位置的植入体相比，下颌前部种植体周围的PI（p < 0.01）、GI（p < 0.01）、PD（p < 0.01）以及近中（p < 0.01）和远中（p < 0.01）CBL显著更高。在对照组中，两颌植入体周围的种植体周围PI、GI、PD和CBL没有差异。
佩戴舌穿刺可能会增加牙周和种植体周围疾病的风险，尤其是在下颌前部区域。
