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Gingival recessions caused by lip piercing: case report
Leandro Chambrone1, Luiz Armando Chambrone
1Department of Orthodontics, Faculty of Dentistry, Methodist University of São Paulo, São Bernardo do Campo, Brazil. chambras@bol.com.br
Journal (Canadian Dental Association)
|September 5, 2003
Summary
Lip piercings can cause unusual gum recession, leading to tooth loss fears. Treatment involving piercing removal and periodontal therapy successfully restored gum health and tooth sensitivity.
Area of Science:
- Periodontology
- Oral Surgery
Background:
- Gingival recession is a common dental concern, often linked to fear of tooth loss.
- Lip piercings are increasingly prevalent, with potential oral health complications.
- Understanding the etiology of unusual gingival recession is crucial for effective treatment.
Observation:
- A case study identified lip piercing as the cause of severe, unusual gingival recession.
- The patient presented with significant gum recession and potential risk of tooth loss.
- The piercing acted as a direct mechanical irritant and etiological factor.
Findings:
- Periodontal treatment included removing the lip piercing, professional cleaning (scaling and root planing), and patient hygiene education.
- A subepithelial connective tissue graft was used to cover the exposed tooth roots.
- The treatment resulted in satisfactory root coverage and increased keratinized gingiva width.
Implications:
- This case highlights the importance of considering oral piercings as a potential cause of iatrogenic periodontal issues.
- Effective management involves identifying and removing the etiological factor (the piercing).
- Surgical intervention, such as connective tissue grafting, can successfully restore periodontal tissues and alleviate symptoms like tooth hypersensitivity.