Before you or a loved one decide to get a lip ring or tongue piercing, you need to understand the dangers associated with this choice. Oral piercings may seem like a cool accessory, but serious complications can occur from these embellishments. Conservative estimates suggest that up to 20 percent of oral piercings become contaminated. Other issues can arise as well, nerve damage, excessive bleeding, and infection. One of the most common problems associated with oral piercings are broken and chipped teeth – caused when hard or metal tongue jewelry accidently come in contact with teeth.

If you are determined to get an oral piercing, follow these instructions for the best outcome:

Select a safe establishment

Each state has licensing and regulation in place, so check that the shop you have chosen meets these standards. Ask friends and family for referrals as well. Make sure the piercer is going to wear fresh gloves and use a sterile needle.

Consider the jewelry

You need to choose jewelry made from hypoallergenic materials such as 14K or 18K gold, titanium, niobium, surgical stainless steel, biocompatible polymers, or glass. Cheaper products can cause allergic reactions.

Take care of your piercing

Your piercer should provide instructions for home care. Clean the piercing and area with an antiseptic, alcohol-free mouthwash or a sterile saline solution after you eat and before bed. Gently rotate the piercing to so that the solution gets into the piercing. At night brush the jewelry with a new, soft-bristled toothbrush.

Contact your dentist if there’s trouble

Infections and broken teeth can cause serious problems, so call your dentist or orthodontist immediately if you notice anything suspicious. Don’t remove the piercing or attempt self-treatment.