30 Maggio 2008

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Il termine piercing viene utilizzato per indicare la pratica di perforare una parte del corpo per ornarla con particolari gioielli; i piercing orali e periorali hanno raggiunto una notevole diffusione tra le giovani generazioni. Le finalità per cui vengono indossati possono essere di ordine sociale, rituale o estetico.
Scopo di questo lavoro è stato quello di fornire un inquadramento sulle origini, i significati storici, etnologici e culturali sulla pratica del piercing; di analizzare e descrivere le varie zone di posizionamento, con particolare riferimento a quelle orali e periorali; di esaminare i rischi e le complicanze associati a questa pratica. Sono stati analizzati tutti gli individui portatori di piercing (44 soggetti tra i 15 e i 29 anni) selezionati tra tutti i pazienti che si sono presentati, per qualsiasi motivo, presso il Dipartimento di Scienze Odontostomatologiche dell’Università di Siena nei mesi fra giugno 2005 e 2006. I soggetti sono stati sottoposti ad anamnesi generale e specifica e a esame obiettivo. 
E'  emerso che nel 96% dei casi i piercing orali e periorali portano almeno a una complicanza subito dopo la loro applicazione a breve termine oppure a lunga distanza di tempo. Le più frequenti complicanze sono: atrofia della mucosa, interferenze nella masticazione e fonazione, apertura accidentale, infezione della regione, recessioni gengivali, abrasioni dentali, chipping, screpolature smaltee, ipersensibilità dentinale, ipersalivazione.
Le complicanze rilevate in questo studio sono del tutto simili a quelle riportate in letteratura. È stata riscontrata una certa proporzionalità fra tempo di permanenza in bocca del piercing e la frequenza delle complicanze.
Implicazioni cliniche: oltre le complicanze descritte in presenza di piercing orale, occorre fare attenzione in caso di anestesia, specie se tronculare, e nell’esecuzione delle radiografie.

Oral piercing: risks and complications
INTRODUCTION. Piercing is a form of art for decorating one’s body with jewels or metal objects. Oral and peri-oral piercing have reached a wide diffusion among youngsters. Piercing may have social, ritual or esthetic reasons.
AIM OF WORK. The aim of this work was to analyze origin of pOral piercing: risks and complications
INTRODUCTION. Piercing is a form of art for decorating one’s body with jewels or metal objects. Oral and peri-oral piercing have reached a wide diffusion among youngsters. Piercing may have social, ritual or esthetic reasons.
AIM OF WORK. The aim of this work was to analyze origin of piercing together with its historical, ethnological and cultural meanings. The Authors described the different piercing sites, with particular reference to oral and perioral tissues. Associated risks and most frequent complications of this practice are also carefully analyzed.
MATERIALS AND METHODS. The sample was composed by all people having a piercing (44 subjects aged between 15 and 29 yrs) who accessed the department of dentistry of the University of Siena between June 2005 and June 2006. Medical and dental history was taken and a full examination was performed for any subject.
RESULTS. In 96% of the sample oral and perioral piercing caused at least one complication soon after its application or after a longer time. Most frequent complications were: mucosal atrophy, functional impairment while chewing or speaking, gingival recessions, dental hard tissue wear, enamel chipping or cracking, dentinal hypersensitivity, excessive salivation. CONCLUSIONS. The complications observed are the same reported in the literature. The Authors observed a relationship between their frequency and permanence of piercing in the mouth. CLINICAL IMPLICATIONS Besides the complications described oral piercing requires caution in case of anesthesia, especially during the inferior alveolar nerve block, and during intraoral x-ray examination.
iercing together with its historical, ethnological and cultural meanings. The Authors described the different piercing sites, with particular reference to oral and perioral tissues. Associated risks and most frequent complications of this practice are also carefully analyzed.
MATERIALS AND METHODS. The sample was composed by all people having a piercing (44 subjects aged between 15 and 29 yrs) who accessed the department of dentistry of the University of Siena between June 2005 and June 2006. Medical and dental history was taken and a full examination was performed for any subject.
RESULTS. In 96% of the sample oral and perioral piercing caused at least one complication soon after its application or after a longer time. Most frequent complications were: mucosal atrophy, functional impairment while chewing or speaking, gingival recessions, dental hard tissue wear, enamel chipping or cracking, dentinal hypersensitivity, excessive salivation. CONCLUSIONS. The complications observed are the same reported in the literature. The Authors observed a relationship between their frequency and permanence of piercing in the mouth. CLINICAL IMPLICATIONS Besides the complications described oral piercing requires caution in case of anesthesia, especially during the inferior alveolar nerve block, and during intraoral x-ray examination.

Qualifiche Autori:
Università degli Studi di Siena - Dipartimento di Scienze Odontostomatologiche
Direttore: prof. E. Bertelli

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