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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
Summary
Lip piercings can cause unusual gingival recession, leading to tooth loss fears. Prompt periodontal treatment, including graft procedures, effectively restored gum health and prevented tooth loss.
Area of Science:
- Dentistry
- Periodontology
- Oral Surgery
Background:
- Gingival recession is a common dental concern, often linked to various etiological factors.
- Patient anxiety regarding tooth loss is frequently associated with progressive gingival recession.
Observation:
- This case report details unusual gingival recession attributed to lip piercing.
- The piercing acted as a direct mechanical irritant, causing localized periodontal damage.
Findings:
- Periodontal treatment involved removing the lip piercing, providing hygiene instructions, and performing scaling and root planing.
- A subepithelial connective tissue graft was utilized for root coverage, successfully addressing the recession.
- The intervention resulted in satisfactory root coverage, increased keratinized gingiva width, improved oral hygiene, and eliminated dental hypersensitivity.
Implications:
- Lip piercings represent a potential iatrogenic cause of gingival recession that clinicians should consider.
- Surgical intervention with connective tissue grafts can effectively manage severe gingival recession caused by oral piercings.
- This case highlights the importance of patient counseling regarding the oral health risks associated with body modifications.