A frenulum piercing, often called a smiley piercing, goes through the thin fold of tissue (the frenulum) that connects the inside of the upper lip to the gum. It is usually hidden and only shows when the person smiles widely. A piercing of the lower lip frenulum is sometimes called a “frowny”.
Who can get one
Not everyone’s frenulum is suitable. If the tissue is very thin or small, the jewelry is more likely to migrate or tear out. A reputable piercer checks your anatomy before agreeing to do it and will turn you down if it is not suitable. The piercing is legal for adults; rules for minors vary by state and country.
Risks to know about
Dentists’ organizations, including the American Dental Association, advise against oral piercings because of the risks to teeth and gums:
- Gum recession: jewelry rubbing against the gum can cause it to wear away over time, exposing the roots of the teeth.
- Tooth damage: metal hitting the front teeth can chip or wear enamel.
- Infection: the mouth contains many bacteria; swelling, pain and discharge are signs to watch.
- Rejection: smiley piercings have a reputation for migrating or being rejected, often within months or a few years.
- Swallowing or inhaling jewelry if a ball or ring comes loose.
The procedure and healing
The piercing is done quickly with a sterile needle. Healing usually takes several weeks, though it varies. Common jewelry is a small captive bead ring or a horseshoe ring made of implant-grade titanium or surgical steel. Choose a professional, licensed studio that uses single-use needles and sterilized tools.
Aftercare
- rinse with a saline solution or an alcohol-free mouthwash after meals;
- avoid smoking, alcohol and very spicy or hot food during healing;
- do not play with the jewelry;
- keep up gentle brushing and flossing;
- avoid oral contact with others until healed.
When to see a professional
See a doctor or dentist if you have increasing pain, spreading redness, fever, pus or swelling that does not go down. Ask your dentist to check your gums and teeth at regular visits, and remove the jewelry if you notice gum recession or tooth damage. Removing it usually lets the small hole close.
Some people choose to remove the jewelry during contact sports or dental work; a dentist can advise.
