Sammanfattning
Background - Periodontitis is a multifactorial disease that is
caused by accumulation of bacterial derived plaque, which initiates a local inflammatory reaction in
the tooth supporting tissue. Foreign objects, including oral piercings, may aggravate
local periodontal disease activity through iatrogenic damage of
gingiva, and may therefore result in a more pronounced disease
progression with an increased risk of tooth loss.
Case study - This case-report presents severe localized periodontitis in relation to a labial piercing
worn for more than 20 years, by
a systemically healthy, non-smoking male with no previous history
of periodontitis. The clinical and radiological examination showed
severe localized destruction of marginal bone in the frontal region
of the mandible, which had been in close proximity to the labial
piercing. Major difference was observed between the local periodontal lesion and the general
periodontal status of this patient.
Conclusion - This case demonstrates that oral piercings may be
associated with severe localized periodontal disease activity. Thus,
the dentist should inform any subject with oral piercings that these
may result in increased risk of developing oral diseases.