Aftercare Guidelines for Lip and Cheek Piercings
A quick note:
Until now, the care and cleaning suggestions for piercings was an area of much
controversy and dissent within the professional piercing community. Finally,
the Association of Professional Piercers (www.safepiercing.org) has established
the industry standard. No longer will there need to be debate about what products
are good to use, or how piercings should be cared for and cleaned. Now piercers
can present a unified, professional front and piercees can more readily receive
appropriate, effective care information. Below are the Association of Professional
Piercers Suggested Aftercare Guidelines. They are also, of course, the Rings
of Desire care suggestions as well. As the Outreach Coordinator for the Association
of Professional Piercers, I drafted these instructions.
Heal well, Elayne Angel
Cleaning Solutions

For the inside of your mouth-
Tech
2000 diluted with distilled or bottled water (not tap water) according
to package instructions as an oral irrigator (two capfuls to one cup of water).
An alternative is Biotene or other alcohol-free antimicrobial or antibacterial
mouth rinse used according to package instructions. These are available in
the oral medications section of most drugstores.
Also: Mild sea
salt water rinses. Use 1/4 teaspoon non-iodized (iodine-free) sea salt to
one cup (8 oz.) warm to hot water. (Avoid hot water for the first few days.)
For the outside of your mouth
A mild liquid antimicrobial/germicidal medicated soap such as Provon
or Satin, and water. Inferior alternatives include products such as Almay
Clearly Natural, Hypocare, NutriBiotic; or other mild, fragrance- and color-free
liquid antibacterial soap. These should possibly be diluted with distilled
or bottled water, depending on product strength. In addition, mild non-iodized
(no iodine) sea salt soaks as described below.
Cleaning Instructions

For the inside of your mouth-
- Rinse mouth for 30-60
seconds with diluted Tech 2000 or Biotene (see Cleaning Solutions above) after
meals during the entire minimum initial healing time. Do not use more than
4-5 times daily.
- Rinse mouth briefly
(10-15 seconds) with the mild sea salt mixture (see recipe above) after anything
goes in your mouth except water or clean ice. This includes rinsing after
coffee, tea, soft drinks, all snacks, and smoking during the entire initial
healing time.
For the outside of your mouth
- The outside of your piercings need
to be cleaned once or twice daily, every day, for the entire initial healing
time. Most people clean morning and/or night, in the shower. Do not clean
with your liquid soap product more often than twice a day as this can
irritate your piercing, and possibly delay your healing. For once-a-day
cleanings, do it at the end of your day. Optimal frequency will depend
on your skin sensitivity, activity level, and environmental factors.
- Before cleanings
wash hands thoroughly with liquid antibacterial soap and hot water. If
you wish, you may wear disposable latex or vinyl gloves and/or also use
a hand sanitizing gel. Never, never touch healing piercings with dirty
hands. This is vital for avoiding infections.
- Prepare the area
for the cleansing by rinsing or soaking with warm water and be sure to
remove any stubborn crust using a cotton swab and warm water. Never pick
with fingernails! This step is very important for your comfort.
- Apply a small handful
of cleaning solution to the area with your clean hand. Cleanse the area
and the jewelry, and gently rotate the jewelry back and forth a few times
to work the solution to the inside of the piercing. (You do not need to
rotate your jewelry during the first several cleanings).
- Allow the solution
to cleanse there for a minute or so. You may bathe normally, just don't
purposely work anything other than the cleanser onto the inside of the
piercing.
- Rinse the area thoroughly
under running water, while rotating the jewelry back and forth to completely
remove cleanser residue from the inside and outside of the piercing.
- Gently pat dry with
disposable paper products such as gauze or tissues, as cloth towels can
harbor bacteria.
See Aftercare for Body Piercings for more instructions
on cleaning the outside of your piercing.
What is normal

- Swelling of the area
is perfectly normal during the first part of healing an oral piercing. It
can be greatly reduced by gently sucking (rather than chewing) on clean ice.
Chipped or shaved ice, or small cubes are best. The majority of the swelling
usually only lasts for 3-5 days.
- Any new piercing can
bleed off and on for a few days. There can also be some bleeding under the
surface resulting in temporary bruising or discoloration. This is perfectly
normal and not indicative of any complication.
- Some tenderness or discomfort
in the area of a new piercing is not unusual. You may feel aching, pinching,
tightness or other unpleasant sensations off and on for several days or longer.
- Don't be alarmed if
you see a fairly liquid, yellowish secretion coming from the piercing. This
is blood plasma, lymph and dead cells which is perfectly normal. All healing
piercings secrete, it just looks different inside the mouth as it doesn't
have a chance to dry and form a crust as it does on ear or body piercings.
This is not pus, but indicates a healing piercing.
- Plaque may form on tongue
jewelry, commonly on the bottom ball and/or post. Scrub your barbell with
a firm toothbrush (gently during healing). If you are diligent with oral hygiene
the jewelry will not need to be removed for cleaning, and it can usually be
left in even for routine visits to the dentist.
- Piercings may have a
tendency to have a series of "ups and downs" during healing by seeming healed
and then regressing. Try to be patient, and do keep cleaning during the entire
initial healing time, even if the piercing seems healed sooner.
- Each body is unique,
and healing times can vary considerably. If you have any questions, please
contact your piercer.
What to do

- Try to sleep with your
head propped up on pillows during the first few nights of healing; keeping
your head above your heart will help to avoid much initial overnight swelling.
- An over-the-counter,
non-steroidal anti-inflammatory such as Ibuprofen (Advil, Motrin, etc.) taken
according to package instructions can reduce discomfort, and it can also help
to diminish swelling during the first few days.
- Check twice daily with
clean hands to be sure the threaded ends on your jewelry are on tight. To
clean hands, wash them carefully with liquid antibacterial soap such as Dial
or Lever 2000. If your hands aren't freshly washed, don't touch yourself above
the neck during the initial healing time.
- Replace your toothbrush
and make sure to keep it clean so that everything that goes into your mouth
is hygienic while you are healing. A "sensitive" type of toothpaste may be
less irritating to your mouth during healing than a usual, stronger variety.
- Try to go slowly when
you eat and to take small bites when you are getting used to your new jewelry.
Cold foods and beverages feel great and can help diminish swelling. Drink
plenty of liquids, especially bottled water.
- Get enough sleep and
eat a nutritious diet. The healthier your lifestyle, the easier it will be
for your piercing to heal.
- Once initial swelling
is down having your piercer replace the post portion of bar style jewelry
with a shorter post may be wise. Jewelry which fits more closely is less likely
to irritate your mouth or get between your teeth and be bitten.
- If you like your piercing
leave jewelry in at all times. Even healed piercings can shrink or close in
minutes after having been there for years! This varies from person to person,
and even if your ear lobe piercings stay open without jewelry your oral piercing
may not!
- Keep following the care
procedures during the entire minimum initial healing time, even if the piercing
seems healed sooner.
What to avoid

- No oral sexual contact
including French (wet) kissing or oral sex during the entire initial healing
period, even if you are in a monoga-mous relationship. (If you had a large
cut you would not allow anyone to spit into it! This is essentially the same
thing.)
- Avoid chewing on gum,
tobacco, fingernails, pencils, sunglasses, etc., during healing. Don't share
plates, cups or eating utensils.
- Reducing smoking or
quitting is highly advisable when healing an oral piercing. Smoking increases
risks and can lengthen the healing time. Avoid undue stress and recreational
drug usage.
- Stay away from aspirin,
large amounts of caffeine, and alcoholic beverages for the first several days.
These can cause additional swelling, bleeding and discomfort. Refrain from
eating spicy, salty, acidic, or hot temperature foods and beverages for a
few days.
- Do not play with the
piercing for the initial healing time beyond the necessary movement for speaking
and eating. The mouth withstands a lot of trauma from normal speaking and
eating. Try to avoid other disturbances such as excessive talking, actively
playing with the jewelry, or clicking the jewelry against your teeth. Undue
stress on the piercing can cause the formation of unsightly and uncomfortable
scar tissue, migration and other complications.
- Even after healing,
excessive play with oral jewelry can result in permanent damage to teeth,
gums, and oral structures. Metal is harder than the human body; be gentle.
- Do not use Listerine
or other mouthwash which contains alcohol. It can irritate the area and delay
healing.
- Don't use too many different
products; select and use only one cleaning solution (such as Tech 2000 or
Biotene) plus sea salt.
Oral Piercing Hints and Tips:

- Some piercees will carry
a spare ball in their wallet or purse. This is particularly advisable if you
wear non-metallic balls such as acrylic, which is more fragile.
- If you break or lose
a ball, a small piece of clean pencil eraser can be press-fit onto the post
as an emergency measure to keep the jewelry from coming out until a replacement
can be obtained.
- On barbells/labret studs
you may change the ball portion of the jewelry at any time, but the original
post should remain until initial swelling is down.
Lip/cheek:
- Be cautious about opening
your mouth wide when you eat as this can result in the backing of the jewelry
catching on your teeth. Take small bites and go slowly at first.
- The outside of the piercing
may become somewhat red or pink during healing and this is normal. Refer to
the "Aftercare Guidelines for Body and Facial Piercings" sheet for instructions
on how to care for the exterior surface of such a piercing.
Disclaimer

These guidelines are based
on a combination of vast professional experience, common sense, research, and
extensive clinical practice. This is not to be considered a substitute for medical
advice from a doctor. Be aware, however, that many doctors and dentists have
no specific training or experience regarding piercing and may not be educated
on how to best assist you. If you do get an infection, the jewelry should be
left in, so that pus can drain. If the jewelry is removed, the holes can close
up, resulting in an abscess. LEAVE YOUR JEWELRY IN !

If you have any questions,
please call or come in any time!
DOWNLOAD TO PRINT-Requires Adobe Acrobat Reader to view
Cleaning
Instructions- for the inside
Cleaning
Instructions- for the outside
Trouble
Shooting for Oral Piercings

Rings of Desire, Inc.
1128 Decatur Street
New Orleans, LA 70116
tel | (504) 524-6147
fax | (504) 529-2366 FAX
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Friday and Saturday, noon-9 p.m. Closed TUESDAY AND WEDNESDAY.
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