Abstract：
Oral piercing habits are associated with various degrees of complications. Tongue piercing increases the risk of gingival recession and infrabony defects, subsequently leading to localized periodontitis. In the case presented, the patient had persistent swelling and suppuration around her mandibular anterior teeth attributed to tongue piercing jewelry that was placed approximately 12 years prior. Intraoral examinations revealed a localized deep pocket, purulent discharge, swelling, plaque accumulation, bleeding on probing, gingival recession, and teeth mobility. The patient was diagnosed with localized stage III, grade C periodontitis. Following full-mouth debridement and the placement of an extracoronal lingual splint, minimally invasive, papillae-sparing incisions were made, and regenerative therapy with bone allograft and collagen membrane was used to manage the infrabony defects. During the 18-month postoperative follow-up, complete soft-tissue healing was observed along with a significant reduction in pocket depth and the absence of bleeding on probing or suppuration. Radiographic evaluation showed evidence of bone fill. The reported case demonstrates how careful diagnosis and treatment planning are crucial for managing different periodontal defects and emphasizes the importance of proficient periodontal management, which can save teeth that would otherwise be extracted and replaced with implant therapy or fixed bridgework.
摘要：
口腔穿刺习惯与不同程度的并发症有关。穿舌会增加牙龈衰退和牙本质缺陷的风险，随后导致局部牙周炎。在这个案例中,由于大约12年前放置的穿舌珠宝，患者的下颌前牙周围持续肿胀和化脓。口内检查显示局部深口袋，脓性分泌物,肿胀,斑块积累，探查时出血,牙龈衰退，牙齿的流动性。患者被诊断为局部III期，C级牙周炎.全口清创和舌外夹板放置后，微创,做了保留乳头的切口，并采用同种异体骨移植和胶原膜的再生疗法来治疗缺陷。术后18个月随访期间,观察到软组织完全愈合,囊袋深度显著减少,探查或化脓时无出血.射线照相评估显示骨填充的证据。报告的病例表明，仔细的诊断和治疗计划对于管理不同的牙周缺损至关重要，并强调了熟练的牙周管理的重要性。这可以节省牙齿，否则将被拔除并用植入物治疗或固定桥梁代替。
