Piercing of the tongue and perioral regions have become an increasingly popular form of body art.  Tattooing is another common type of body adornment, but the less permanent nature of piercing has appeal, to each individual seeking to make personal statements.  Oral and perioral piercing have become so prevalent that it is highly likely seen in most dental settings.  Therefore, it is imperative that oral healthcare professionals are familiar with the phenomenon of oral piercing and well aware of the possible sequelae.  Oral/perioral piercing sites for jewelry placement include the (1) tongue, (2) lips, (3) cheeks, (4) frenum, and (5) uvula.¹  In fact, the American Dental Association has formulated a position statement opposing oral piercing.²  ADA Statement on Intraoral/Perioral Piercing