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ORAL ORNAMENTS S. YASMIN FATHIMA , III B.D.S , SRI RAMAKRISHNA DENTAL COLLEGE & HOSPITAL.
INTRODUCTION • Increasingly popular. • -Oral mucosa is pierced (mostly tongue and lips). • -Highly risky to the users. • -Causes complications like • -Infection , • -Injury to the gums and teeth, • -Bleeding, • -Swelling and various others.
ORAL ORNAMENTS – A WINDOW SHOPPING • Various types of jewelleries that are used in the oral region are… • studs, • rings, • barbells, • hooks • plugs.
People show a special interest on tooth gems also. Forked tongue latest fashion craze……
WHY PIERCING ? • Ancient days – piercing was done for various reasons like : • -Expressing royalty, Sign of courage, and for spiritual reasons. • Today ? FASHION ! • Oral piercing is a fad these days. • Teen`s desire to go for something different .
COMPLICATIONS OF ORAL ORNAMENTS • The risks are tooooooo high for this medically unnecessary procedure. These are : • INFECTIONS • GINGIVAL RECESSION • DAMAGE TO TEETH • DAMAGE TO BONE • MINI TONGUE • ASPIRATION • BLEEDING,NERVE DAMAGE, PAIN • INTERFERENCE WITH NORMAL ORAL FUNCTION AND ORAL HEALTH EVALUATION
INFECTION – A FATAL FAD • Results in the risk of a fatal infection. • Allows bacteria to travel through the bloodstream. • Results in ENDOCARDITIS. • A BRAIN INFECTION reported by Dr. RICHARD MARTINELLO ,Yale (25 Dec 2001). • BRITISH DENTAL JOURNAL (Oct 2004) reported LUDWIG’S ANGINA. • THE NATIONAL INSTITUTE OF HEALTH- America reports • “ A possible vector for blood borne HEPATITS and transmission of HIV”.
GINGIVAL RECESSION • Lip piercing is strongly associated with severe gingival recession. • JADA reports • “- the average recession depth was double in those with piercing than those without piercing” • The metal of the lip stud is physically rubbing over the gum causing the gum to recede . • This is irreversible
DAMAGE TO TEETH • Contact of the jewellery with teeth can chip or crack the teeth , especially the anteriors. • CRACKED TOOTH SYNDROME. • JADA reports the loose teeth and tooth loss due to oral piercing.
DAMAGE TO BONE • Radiogaraphically detectable alvoelar bone abnormalities surrounding the mandibular anteriors are reported in people with tongue studs • – JOURNAL OF DENTAL HYGIENE.
MINI TONGUE • January/February 2006 issue of GENERAL DENTISTRY reports a women with pierced tongue to develop a large, round lump adjacent to the piercing . • This mini tongue showed no infection, no pain • This mass was determined to be scar tissue formation .
ASPIRATION – A CHOKING HAZARD • There is always a possibility that the jewel in the mouth can become loose ,which may be ingested . • This results in injury to digestive tract. • Else ,it may go down the wrong way and wind up in a lung.
BLEEDING , NERVE DAMAGE, PAIN • The tongue being highly vascular , may cause severe bleeding and need surgical treatment if any of them is perforated. • This causes blood loss, blood clots , strokes • nerve damages are always irreparable and if occurred may cause a lingering pain , neuralgia or loss of sensation, making the tongue functionless.
INTERFERENCE WITH NORMAL ORAL FUNCTION AND ORAL HEALTH EVALUATION • Oral jewellery can : • stimulate excessive salivation • impede the ability to pronounce words clearly • cause problems with chewing, swallowing • Jewellery in mouth can block transmission of x-rays so that abormalities like cysts, abscesses or tumors may not be revealed.
WHAT A DENTIST CAN DO ? • The best that a dentist can do is to advice his patient , • “FASHION ? , KEEP IT OUTSIDE YOUR MOUTH”. • The best way to prevent damage is not to get your tongue pierced • You can decorate your mouth without damaging anything and it costs less than piercing • If a person still interested in oral piercing make him/ her aware of all post operative cares.
CONCLUSION Oral ornaments can cause various general health hazards besides the oral hazards. This presentation revealed a few of them, thus making us aware that beauty should not be at the cost of a life .