The lingual barbell: a new etiology for the cracked-tooth syndrome

Article Abstract:

People who have a lingual barbell may increase their risk of cracked-tooth syndrome. Cracked-tooth syndrome is a fracture in a tooth. Two cases are reported of women who had a barbell inserted through the middle of their tongue. This is a form of body piercing, which is popular among US teenagers. Both women came to a dentist because of pain on biting and cold sensitivity. Both had lingual barbells and both had kept the long stem that is initially used until swelling subsides and is then replaced by a short stem. Both also admitted biting and playing with the barbell using their teeth.

Decoration and finishing, Tongue

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Body piercing involving oral sites

Article Abstract:

Dentists should be aware of the increase in numbers of oral piercings in the US and the risks involved. The most common oral piercings are done on the tongue, but also through the lips, cheeks, and uvula. The risks include pain and infection, chipping of the teeth by the ornament, hemorrhage, sensitivity to metals, and obstructed breathing from swelling. Piercers are not licensed or tested for knowledge of anatomy or infection. Dentists should counsel their patients who are considering oral piercing.

Risk factors, Mouth diseases

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Restoration of a shattered tooth

Article Abstract:

Some teeth with vertical fractures may be repaired rather than extracted. An 11-year-old boy severely fractured an upper central incisor. The dentist etched the tooth, applied a dentin-bonding agent, and reassembled the fragments with a composite resin. Although the tooth was cold-sensitive soon after restoration, the tooth had normal cold tolerance and appeared vital 18 months after the procedure.

Care and treatment, Fractures (Injuries), Fractures

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