RECENTLY, a young woman attended my clinic for dental treatment. Obviously, the first phase of her clinical treatment is an oral examination. However, the woman refused to open her mouth, while mumbling that she was fearful. After I began to become somewhat irritated, I observed that she displayed the classical signs of genuine fear:

Dilated pupils, pallor, perspiration (my office temperature is fixed at 17 degrees, which is considered cold by most patients), etc.
Actually, I was mildly surprised at first, but became immensely surprised when she eventually opened her mouth. The woman had a large metallic ring pierced through the centre of her tongue.
Now, the tongue is the only organ in the body innervated by multiple cranial nerves, comprised of the most flexible muscles, and a very elaborate and intense vascular (blood) system.
In short, this is definitely not the part of your body you would want to fool around with. So, why would someone willingly subject herself to the tremendous mutilation, pain and danger of perforating her tongue while at the same time being afraid for a dentist to merely LOOK inside her mouth?
It is said that body piercing is a popular form of self-expression. Oral piercings or tongue splitting may look cool, but they can be dangerous to your health. That is because your mouth contains millions of bacteria, and infection and swelling often occur with mouth piercings.
For instance, your mouth and tongue could swell so much that you close off your airway, or you could possibly choke if part of the jewellery breaks off in your mouth. In some cases, you could crack a tooth if you bite down too hard on the piercing, and repeated clicking of the jewellery against teeth can also cause damage. Oral piercing could also lead to more serious infections, like hepatitis or endocarditis.
If you pierce your tongue, lips, cheeks or uvula (the tiny tissue that hangs at the back of the throat) it can interfere with speech, chewing or swallowing. It may also cause:
•    Infection, pain and swelling: Your mouth is a moist environment, home to huge amounts of breeding bacteria, and an ideal place for infection. An infection can quickly become life-threatening if not treated promptly. It is also possible for a piercing to cause your tongue to swell, potentially blocking your airway.
•    Damage to gums, teeth and fillings: A common habit of biting or playing with the piercing can injure your gums, and lead to cracked, scratched or sensitive teeth. Piercings can also damage fillings.
•    Hypersensitivity to metals: Allergic reactions at the pierced site are also possible.
•    Nerve damage: After a piercing, you may experience numbness in the  tongue that is caused by nerve damage that is usually temporary, but can sometimes be permanent. The injured nerve may affect your sense of taste, or how you move your mouth. Damage to your tongue’s blood vessels can cause serious blood loss.
•    Excessive drooling: Your tongue piercing can increase saliva production.
•    Dental appointment difficulties: The jewellery can get in the way of dental care by blocking X-rays.
If you already have piercings:
•    Contact your dentist or physician immediately if you have any signs of infection: Swelling, pain, fever, chills, shaking or a red-streaked appearance around the site of the piercing.
•    Keep the piercing site clean and free of any matter that may collect on the jewellery by using a mouth-rinse after every meal.
•    Try to avoid clicking the jewellery against teeth, and avoid stress on the piercing. Be gentle and aware of the jewellery’s movement when talking and chewing.
•    Check the tightness of your jewellery periodically (with clean hands). This can help prevent you from swallowing or choking if the item becomes dislodged.
•    When taking part in sports, remove jewellery, and protect your mouth with a mouth-guard.
•    See your dentist regularly, and remember to brush twice a day and floss daily.
Of course, the best option is to consider removing mouth jewellery before it causes a problem. Don’t pierce on a whim. The piercing will be an added responsibility to your life, requiring constant attention and upkeep.