Use any or all of the following solutions for inside the mouth:

• Alcohol-free and hydrogen peroxide-free mouth rinse. Or you can use dry mouth oral rinse for hydration

• Plain clean water. Bottled or filtered water is preferred.

• Neilmed packaged sterile saline solution with no additives (read the label). This is not for internal use but external use only (like cleaning the outside of your lip piercing).

• Regardless of the brand of saline, the can should list sterile and isotonic. The only ingredients included should be water and 0.9% or 9mg/ml sodium chloride. Mixing your own sea salt solution is no longer a suggested practice from the APP. Mixing your own sea salt solution will commonly result in the product being far too salty and strong. This can over dry the piercing and interfere with healing.

Do not use contact solution, eye drops, or nasal rinse products on your piercing.

• Wash your hands thoroughly prior to cleaning or touching your piercing for any reason.

• Keeping good oral hygiene practices is important in maintaining a healthy mouth and piercing.You will want to floss, brush and use mouth rinse at least twice a day. It is vital to not overuse the mouth rinse.

• Gently brush the jewelry with a clean toothbrush regularly to avoid plaque build up.

• Rinse with water (bottled or filtered) thoroughly after every time you eat, drink or smoke.

• Wash your hands thoroughly prior to cleaning or touching your piercing for any reason.

• Be sure to rinse your piercing thoroughly with warm water in the shower once a day. Then rinse with Neilmed Sterile Saline twice a day.

• Gently remove any discharge or crust that may have built up on your jewelry, then dry the area carefully with gauze.

• For the first three to five days you may experience swelling, light bleeding, bruising, tenderness, and/or a whitish to yellowish secretion that may form crust on the jewelry.

• After the first week, you may still continue to experience some minor swelling and secretion.

• A piercing might seem healed before the healing process is complete. This is because piercings heal from the outside in. Although it feels fine, the tissue remains fragile on the inside. Be patient, and keep cleaning throughout the entire healing period.

• For lip piercings, it is typical for the jewelry to “nest” slightly into the lip (on the inside) once it is healed.

• Even healed piercings that you have had for years can shrink or close within a few hours if the jewelry is removed. This varies from person to person; if you like your piercing, keep jewelry in! Do not leave the hole empty for a long period of time.

• Use a new soft-bristled toothbrush and store it in a clean area away from other toothbrushes.

• Brush your teeth and use your chosen rinse (saline or mouthwash) after every meal.

• During healing floss daily, and gently brush your teeth, tongue and jewelry. Once healed, brush the jewelry more thoroughly to avoid plaque build up.

• The healthier your lifestyle, the easier it will be for your piercing to heal.

• Get enough sleep.

• To help healing and bolster your ability to fight infection, eat a nutritious diet or consider taking nutritional supplements daily.

• Avoid emotional stress, which can increase healing times by up to 40%.

• Sleep with your head elevated in the beginning to minimize overnight swelling.

• Once the swelling has subsided, it is vital to replace the original, longer jewelry with a shorter post or barbell to avoid damage to the teeth and gums. Book your jewelry Downsize Appointment here.

• Because this necessary jewelry change often occurs during healing, it should be done by a qualified piercer. This information should have been given to you during the piercing.

• With clean hands or paper products, be sure to regularly check threaded ends on your jewelry for tightness. For threadless jewelry make sure there is no gap between the post (inside) to the top (outside). In case of a gap, place your index finger and thumb on both sides of the jewelry and press them together. Be sure to check that the gap is closed.

• If your metal jewelry must be removed (for example, if your doctor or dentist makes you take it out for a procedure) we can place a glass retainer. Book a jewelry change appointment or order online.

• Should you decide you no longer want the piercing, simply remove the jewelry or have a professional piercer remove it and continue cleaning the area until the hole closes. In most cases, only a small mark will remain.

• Take your time with eating until you are used to the piercing and the jewelry is downsized to prevent irritation or prolonged healing.

• Avoid eating spicy, salty, acidic, or hot temperature foods or beverages for the first two weeks (no specific foods need to be avoided).

• Cold foods and beverages can be soothing and help reduce swelling.

• For labret (cheek and lip) piercings: be cautious about opening your mouth too wide as this can result in the jewelry catching on your teeth.

• Do not play with your jewelry. Long term effects include permanent damage to teeth and gums.

• Avoid undue trauma; excessive talking or playing with the jewelry can cause scar tissue, migration, and other complications.

• Avoid using mouthwash containing alcohol or hydrogen peroxide. It can irritate the piercing and delay healing.

• Avoid oral sexual contact including wet kissing or oral sex during healing.

• Avoid chewing on tobacco, gum, fingernails, pencils, sunglasses, and other foreign objects that could harbor bacteria.

• Avoid sharing plates, cups, and eating utensils.

• Avoid using straws. Straw use can increase the risk of swelling and bleeding.

• Minimize the intake of smoking and vaping (tobacco or cannabis). It increases risks and prolongs healing time.

• Avoid aspirin, alcohol, and large amounts of caffeine as long as you are experiencing bleeding or swelling.

• Avoid submerging healing piercings in bodies of water such as lakes, pools, oceans, and even the bathtub.

• Each body is unique and healing times vary considerably. If you have any questions, please contact a professional piercer.

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. If you suspect an infection, seek medical attention. Be aware that many doctors have not received specific training regarding piercing. Your local piercer may be able to refer you to a piercing-friendly medical professional. For more information visit www.safepiercing.org