Clinical recommendation	Evidence rating	References
Persons contemplating tongue piercing should be advised of the high incidence of tooth chipping associated with such piercings.	C	2
Rinsing with nonprescription oral cleansers (e.g., Listerine) or topical application of cleansers (e.g., Gly-Oxide) is recommended to prevent infection after oral piercing.	C	17
Antibiotics with good coverage against Pseudomonas and Staphylococcus species (e.g., fluoroquinolones) should be used when treating piercing-associated infections of the auricular cartilage.	C	7, 18, 19
Earrings with locking or screw-on backs are recommended for infants and young children because of the risk of ingestion or aspiration.	C	29