Piercing The piercer will check the underside of the tongue for large blood vessels, sometimes with a bright light, and mark a safe placement for the piercing. The tongue is then clamped with
forceps, and pierced with a needle, usually from top to bottom with a piercing needle or from bottom to top with a
cannula needle. Initial jewelry should always be considerably longer than will ultimately be required to allow for the swelling, which is common following the piercing. Within two days of getting the piercing the tongue can swell up to double its original size. This can lead to pain when speaking and eating, but this is not permanent. Piercers often recommend drinking cold beverages, and sucking on crushed ice to help reduce the swelling. Some people find that taking
Ibuprofen or similar anti-inflammatory drugs can greatly reduce the swelling associated with a tongue piercing. It is advisable not to drink
alcohol, smoke or eat spicy food until the piercing is at least partially healed (around two weeks), and alcohol-free mouthwash should be used after eating or smoking. After the swelling calms down, a period of mild tongue and oral mucosa irritation can follow, sometimes discouraging the recently pierced person from keeping the piercing. Appropriate mouth washing, care during meals, and some patience will usually be sufficient to come to a sufficiently healed state. After full healing the person is advised to replace the initial long barbell (to accommodate the initial swelling) with a shorter barbell. This second barbell is sometimes included in the price of the initial piercing procedure. It can be difficult for an inexperienced recently pierced person to replace the barbell with a shorter version, so often the help of the piercer is asked for. The second barbell is usually 2 mm – 4 mm shorter than the initial barbell, but should be adapted to the individual anatomy. After this replacement a second (short) healing period is observed. In case of absence of irritation, the further stretching procedure can be started. Because of the tongue's exceptional healing ability, piercings can close very fast. Even completely healed holes can close up in a matter of hours, and larger-stretched holes can close in just a few days. The length of time for the hole to heal varies greatly from person to person – some people with larger-stretched holes (greater than 4 g (5 mm)) can still fit jewelry (albeit smaller) in their piercing after months or even years. It is generally recommended to avoid piercing in bodies under development or in people not capable of taking care of a recent piercing.
Placement of the tongue piercing The traditional placement for a tongue piercing is along the midline of the tongue, in the center of the mouth. It is often approximately or so back from the tip of the tongue. It is placed with the top a little further back than the bottom, which allows the top of the jewelry to lean slightly back, away from the teeth, and toward the higher part of the upper palate where there is more room in the mouth. It is also usually positioned just in front of the attachment of the
lingual frenulum. A
tongue frenulum piercing is a piercing through the frenulum underneath the tongue, known as the
frenulum linguae, and commonly the tongue web piercing. "Venom bites" is the term given to two tongue piercings placed side by side on the tongue, which are considered to be more painful than a regular tongue piercing through the tongue's center. Although the term "angel bite" is sometimes referred to as two piercings in the tongue with one placed right in front of another, the term is much more common for two
Monroe piercings on either side of the face. There is also the "snake-eyes" which is one curved bar going horizontally through the tip of the tongue, it is mostly painless other than a mild amount of pressure. It is possible to use a (stretched) tongue piercing as a first step to tongue splitting.
Risks Documented complications of tongue piercings have included blood-borne infections causing brain and heart abscesses (with some deaths); hepatitis B and C, HIV, tuberculosis, and tetanus infections; swelling of the tongue causing airway obstruction, swallowing or choking on loose jewelry, damage to gums and broken teeth. Common complaints include pain, scars, excessive
salivation and damage to tooth enamel. Tongue piercings may cause speech impediments, such as a double tongue piercing restricting independent tongue mobility. There is also a risk of sensation loss.
Adverse effects •
Oral trauma, i.e. dental fracture and wear, affects 11% to 41% of subjects with tongue ornaments. • Recession of
gingival tissue affects 19% to 68% of subjects with tongue ornaments. The
alveolar tooth-bearing bone may also be involved, jeopardizing the stability and durability of the
teeth in place and requiring a periodontal regeneration surgery. • Higher
prevalence of
colonization of
Candida albicans was reported in young individuals with tongue piercing, in comparison to non-tongue-pierced matched individuals. ==See also==