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Comprehensive assessment of dental behaviour and oral status in patients with tongue piercing—results of a cross-sectional study

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Comprehensive assessment of dental behaviour and oral status in patients with tongue piercing—results of a cross-sectional study

10$

Dirk Ziebolz, Felix Söder, Jan Felix Hartl, Tanja Kottmann, Sven Rinke & Gerhard Schmalz 

Abstract

Objectives

Aim of this cross-sectional case-control study was the comprehensive examination of oral health, oral behaviour and oral health-related quality of life of patients with tongue piercing. Furthermore, different piercing related factors and the presence of habits should be considered regarding their potential association to piercing-related complications.

Material and methods

Participants with tongue piercing (n = 50) and a matched control (n = 50) were included. Dental examination included decayed-, missing- and filled-teeth-index (DMF-T) and the presence of non-carious tooth defects. Periodontal examination contained of periodontal probing depth (PPD), bleeding on probing (BOP) and recession. Piercing-related factors, oral behaviour as well as oral health-related quality of life [German short form of oral health impact profile (OHIP G14)] were assessed based on questionnaires. Statistics: Man-Whitney U test, chi-square and Fisher’s exact test (significance level p < 0.05).

Results

Participants with tongue piercing suffered from worse DMF-T, PPD, BOP and recession (pi < 0.01). Higher prevalence of enamel cracks and trough-shaped abrasions were found in piercing-group (pi < 0.01). Additionally, participants with tongue piercing showed worse oral behaviour, insufficient cleaning of piercing and in majority of cases (80%) calculus formation at piercing surface as well as comparable OHIP-G14 to control (p = 0.39). While piercing design was associated to both, recession and non-carious tooth defects (pi < 0.05), only infractures of enamel were associated to the presence habits (p = 0.04).

Conclusions

Patients with tongue piercing show insufficient dental and periodontal health as well as reduced oral behaviour. Thereby, piercing design and wearing period is associated to recessions and non-carious tooth defects.

Clinical relevance

Increased attention of patients wearing tongue piercing in dental practice is necessary.

Only units of this product remain
Year 2020
Language English
Format PDF
DOI 10.1007/s00784-019-03002-y