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舌钉对口腔健康的影响:一项叙述性文献综述

Impact of Tongue Piercings on Oral Health: A Narrative Literature Review.

作者信息

Rojas-Rueda Silvia, Citrin Nechama S, Antal Mark Adam, Garcia-Contreras Rene, Jurado Carlos A, Azpiazu-Flores Francisco X

机构信息

Division of Dental Biomaterials, School of Dentistry, The University of Alabama at Birmingham, Birmingham, AL 35233, USA.

Division of Operative Dentistry, Department of General Dentistry, College of Dentistry, The University of Tennessee Health Science Center, Memphis, TN 38104, USA.

出版信息

Clin Pract. 2025 Sep 18;15(9):171. doi: 10.3390/clinpract15090171.

DOI:10.3390/clinpract15090171
PMID:41002786
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12468940/
Abstract

BACKGROUND

Tongue piercing has gained popularity among teenagers and young adults as a form of self-expression, cultural identity, and fashion. However, patients are often unaware of the harmful effects tongue piercings can have on their oral health. Despite its popularity, this form of body modification carries considerable risk, particularly when performed or maintained without proper care. This review summarizes findings from clinical case reports, observational studies, and previous literature reviews, with a focus on the clinical outcomes of tongue piercings and their appropriate management.

METHODS

An internet-based literature review was conducted to evaluate the short- and long-term oral health implications of tongue piercings. Only articles published between January 1990 and April 2025 were included. The databases searched were PubMed, Google Scholar, Scopus, and Web of Science, using keywords such as "tongue piercing," "oral piercing," "oral complications," and "dental trauma."

RESULTS

The literature revealed that tongue piercings can lead to numerous adverse effects on oral health, including dental fractures, gingival recession, enamel wear, and localized tissue overgrowth, in addition to localized and systemic infections. The presence of foreign objects in the oral cavity, combined with poor oral hygiene, habitual trauma, and long-term contact with oral tissues, often worsens these complications.

CONCLUSIONS

The results of this literature review suggest that tongue piercings pose significant and often underestimated risks to oral health. Clinicians should remain vigilant, educate patients on potential complications, and be well-equipped to prevent, monitor, and manage associated dental problems effectively in clinical practice.

摘要

背景

舌穿刺作为一种自我表达、文化认同和时尚的形式,在青少年和年轻人中越来越流行。然而,患者往往没有意识到舌穿刺对口腔健康可能产生的有害影响。尽管这种形式很受欢迎,但这种身体修饰方式存在相当大的风险,尤其是在操作或维护不当的情况下。本综述总结了临床病例报告、观察性研究和以往文献综述的结果,重点关注舌穿刺的临床结局及其适当管理。

方法

进行了一项基于互联网的文献综述,以评估舌穿刺对口腔健康的短期和长期影响。仅纳入1990年1月至2025年4月发表的文章。检索的数据库包括PubMed、谷歌学术、Scopus和科学网,使用了“舌穿刺”、“口腔穿刺”、“口腔并发症”和“牙外伤”等关键词。

结果

文献显示,舌穿刺除了会导致局部和全身感染外,还会对口腔健康造成许多不良影响,包括牙齿骨折、牙龈退缩、牙釉质磨损和局部组织过度生长。口腔中异物的存在,加上口腔卫生不良、习惯性创伤以及与口腔组织的长期接触,往往会使这些并发症恶化。

结论

本文献综述的结果表明,舌穿刺对口腔健康构成重大且常常被低估的风险。临床医生应保持警惕,对患者进行潜在并发症的教育,并做好充分准备,以便在临床实践中有效预防、监测和管理相关的牙齿问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb5f/12468940/c63ec9ff3b1d/clinpract-15-00171-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb5f/12468940/c63ec9ff3b1d/clinpract-15-00171-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb5f/12468940/c63ec9ff3b1d/clinpract-15-00171-g001.jpg

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本文引用的文献

1
Hypersensitivity in Orthodontics: A Systematic Review of Oral and Extra-Oral Reactions.正畸治疗中的超敏反应:口腔及口外反应的系统评价
J Clin Med. 2025 Jul 5;14(13):4766. doi: 10.3390/jcm14134766.
2
Oral and Extra-Oral Manifestations of Hypersensitivity Reactions in Orthodontics: A Comprehensive Review.正畸治疗中过敏反应的口腔和口外表现:综述
J Funct Biomater. 2024 Jun 27;15(7):175. doi: 10.3390/jfb15070175.
3
Successful Regenerative Therapy of Periodontal Defects Associated With Tongue Piercing: A Clinical Report.成功再生治疗与舌钉相关的牙周缺损:一份临床报告。
Compend Contin Educ Dent. 2024 Apr;45(4):204-208.
4
Oral complications associated with metal ion release from oral piercings: a systematic review.口腔穿刺金属离子释放相关的口腔并发症:系统综述。
Eur Arch Paediatr Dent. 2023 Dec;24(6):677-690. doi: 10.1007/s40368-023-00831-0. Epub 2023 Aug 15.
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Appendiceal Foreign Bodies in Adults: A Systematic Review of Case Reports.成人阑尾异物:病例报告的系统评价
Cureus. 2023 Jun 8;15(6):e40133. doi: 10.7759/cureus.40133. eCollection 2023 Jun.
6
Oral Piercing: A Pretty Risk-A Scoping Review of Local and Systemic Complications of This Current Widespread Fashion.口腔穿刺:当前广泛流行的时尚风险——局部和全身并发症的系统评价。
Int J Environ Res Public Health. 2023 May 8;20(9):5744. doi: 10.3390/ijerph20095744.
7
Do oral piercings cause problems in the mouth?口腔穿环会引发口腔问题吗?
Evid Based Dent. 2022 Sep;23(3):126-127. doi: 10.1038/s41432-022-0816-z. Epub 2022 Sep 23.
8
Tattoos and Piercings in Female Adolescents and Young Adults.女性青少年和年轻成年人的纹身和穿孔。
J Pediatr Adolesc Gynecol. 2023 Feb;36(1):14-17. doi: 10.1016/j.jpag.2022.08.007. Epub 2022 Aug 20.
9
A case report of foreign body appendicitis caused by tongue piercing ingestion.一例因吞食舌钉导致的异物性阑尾炎病例报告。
Int J Surg Case Rep. 2021 Apr;81:105808. doi: 10.1016/j.ijscr.2021.105808. Epub 2021 Mar 26.
10
Effect of tongue piercing on periodontal and peri-implant health: A cross-sectional case-control study in adults.舌穿孔对牙周和种植体周围健康的影响:一项针对成年人的横断面病例对照研究。
Int J Dent Hyg. 2022 May;20(2):282-290. doi: 10.1111/idh.12499. Epub 2021 Apr 4.