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Sometimes it is inappropriate to perform even the most standard piercing. A piercer should politely refuse to perform a piercing that could be dangerous, ill suited, unsuccessful, or for which they are not trained. The following are examples for which a second opinion, in some cases from a piercing-friendly physician, may be needed before proceeding:
Piercing and Heart Conditions
Previously, it was suggested to not pierce any client who has a pre-existing heart condition without a doctor’s consent and a preventive antibiotic. This is no longer the case.
The American Heart Association’s Endocarditis Committee, together with national and international experts on bacterial endocarditis extensively reviewed published studies in order to determine whether dental, gastrointestinal, or genitourinary tract procedures are possible causes of bacterial endocarditis. These experts determined that there is no conclusive evidence that links these procedures with the development of bacterial endocarditis.
The piercing community has long complied with previously guidelines; anytime a client has been instructed to take preventative antibiotics prior to dental procedures, they were asked to get the same prescription prior to any oral piercing. This is no longer suggested for many clients, but only those listed below:
Antibiotic prophylaxis with oral piercing procedures is recommended only for patients with cardiac conditions associated with the highest risk of adverse outcomes from endocarditis, including: