A comprehensive review of oral and perioral piercing is presented. Thiscontemporary phenomenon has many implications for the piercee and for the oralhealthcare professional. Oral and perioral piercing, which has become prevalentrecently, has historical antecedents. The implications of piercing are described indetail including sites at the tongue, lips, cheeks, frenum, and uvula. Complicationsoccurring immediately after, soon after, and long after the piercing are detailedwith special emphasis on the possible deleterious effects on hard and soft oraltissues. Suggestions are provided for patient education including a pamphlet fordownloading. Appropriate jewelry selection is described accompanied with avideo clip demonstrating removal of jewelry during the dental appointment and asuggested technique for keeping the piercing hole patent while the jewelry is out.Reviewing this information should educate and prepare the oral healthcareprofessional for the patient presenting with an oral or perioral piercing.