RT Journal Article T1 Oral Complications Associated with the Piercing of Oral and Perioral Tissues and the Corresponding Degree of Awareness among Public and Professionals: A Systematic Review A1 Mosaddad, Seyed A1 Talebi, Sahar A1 Hemmat, Maryam A1 Karimi, Mohammadreza A1 Jahangirnia, Alireza A1 Alam, Mostafa A1 Abbasi, Kamyar A1 Yazadaniyan, Mohsn A1 Hussain, Ahmed A1 Tebyaniyan, Hamid A1 Namanloo, Reza Abdollahi AB This study systematically reviews the literature to evaluate the potential relationships between oral/perioral piercing and consequent oral complications in the corresponding society. The second objective was determining public/professional sectors’ awareness of the subject. This research followed PRISMA and Cochrane guidelines for conducting systematic reviews and searching scientific databases, including PubMed, Scopus, Cochrane, and Google Scholar, until April 2023. Cross-sectional, cohort, and case–control studies in English were deemed eligible. The methodological quality of the included studies was assessed using proper quality assessment guidelines. Of the 965 initial articles retrieved, 34 were considered suitable for qualitative synthesis after screening procedures and removing duplicates and irrelevant records. There appears to be an imbalance between the general public’s low and dentists’ high awareness. This draws attention to the shortage of professional and societal knowledge-sharing and education initiatives. Women were more than twice as likely as men to have oral piercings. Piercing usage had a low incidence among a cohort of students with a mean age of 16. Merely circumstantial evidence has indicated a plausible correlation between oral and perioral piercings and the emergence of secondary bacterial and fungal colonization, particularly periodontopathogenic bacteria and Candida albicans. Furthermore, several adverse consequences have been observed linked to various piercings—such as lip and tongue piercings. These include caries, gingivitis/periodontitis, dental fractures, enamel chipping/cracks, plaque buildup, bone loss, bleeding, inflammation, and swelling. Given the risks involved and the complications that might impair oral health, the prevalence of oral piercings is alarming. As a result, public health authorities need to firmly support initiatives to raise awareness of the risks associated with oral/perioral piercings. For piercers to enhance their expertise in this field, professional training is necessary because there is a shortage of knowledge on the possible adverse effects of piercings. PB MDPI SN 2075-4418 YR 2023 FD 2023-11-02 LK https://hdl.handle.net/20.500.14352/103681 UL https://hdl.handle.net/20.500.14352/103681 LA eng NO Mosaddad, S.A.; Talebi, S.; Hemmat,M.; Karimi,M.; Jahangirnia, A.; Alam,M.; Abbasi, K.; Yazadaniyan, M.; Hussain, A.; Tebyaniyan, H.; et al. Oral Complications Associated with the Piercing of Oral and Perioral Tissues and the Corresponding Degree of Awareness among Public and Professionals: A Systematic Review. Diagnostics 2023, 13, 3371. https://doi.org/10.3390/ diagnostics13213371 DS Docta Complutense RD 16 abr 2025