RT Book, Section A1 Jauch, Edward C. A1 Valdez, J. Amadeo A2 Knoop, Kevin J. A2 Stack, Lawrence B. A2 Storrow, Alan B. A2 Thurman, R. Jason SR Print(0) ID 1181040794 T1 Oral Cavity Piercing Complications T2 The Atlas of Emergency Medicine, 5e YR 2021 FD 2021 PB McGraw-Hill PP New York, NY SN 9781260134940 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1181040794 RD 2024/04/20 AB Facial piercings are increasingly common. While external piercings, such as ear and eyebrow rings, are visibly apparent, intraoral and extraoral piercing may not be readily visible on initial inspection. An awareness and suspicion for recent lip, labret, tongue, or other oral mucosal piercings should be performed in any trauma patient as they may cause intraoral damage, produce artifact and diminished CT scan quality if not removed, and interfere during intubation. Common nontraumatic complications of intraoral include peri-piercing cellulitis, abscess formation, hemorrhage, penetrating wounds, dental injury, and granuloma or keloid formation around a stud. Although infrequent, systemic infection may result. If the ball comes off the post, it may be swallowed or, rarely, aspirated. Playing with tongue rings may result in lingual surface tooth abrasion, erosion, chipping, fracture, and gingival resorption.