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The risk of infection is tremendous from a tongue piercing. That is a wet warm environment and in that situation, healing takes quite a while and during that time anything can happen to any part of your mouth from the piercing.
I had my tongue pierced for about 6 years and once I took it out, the hole closed up in just a couple days. After the piercing, it only took a couple days for my speech to return to normal. It didn't really hurt a lot in my opinion, it was pretty fast and the instrument they use is so sharp that it doesn't cause much pain.
I took it out about 5 years ago so I don't remember the after-care or maintenence. I was very careful and followed the after-care instructions. I remember it said to not smoke or engage in oral sex for a certain period of time. I did take mine out occasionally to brush it so it wouldn't get plaque buildup on it.
It takes about 3-4 weeks to completely heal. For the first few days it will be diffuclt to eat. Take it easy, eat soft things, have soup. Your speech will probably be impared but you'll get used to it after a couple days. It's pretty easy to take care of - alcohol free mouthwash (mixed 50/50 with water) after everything you eat and drink. You can't drink or smoke, eat meat, spicy foods, or have dairy products in the first 48 hours because it can cause unnecessary swelling and can there's a chance of you getting an infection. No matter your pain tolerance, you should be able to handle the piercing itself. Afterward is what hurts the most. As long as you follow the aftercare instructions the piercer gives you, you'll be fine.
I had my tongue pierced in August of 2008. They give you mouthwash, spit it out, mark it on the top and bottom (use a flashlight to ensure they don't hit any vains), clamp it, put a needle type thing (really sharp) in from the bottom to the top, put the bar in and take out the needle, screw it and it's done. You have to keep it clean, don't drink, don't smoke, Listerine with the yellow death stuff...suck on A LOT OF FREEZE'S - JUMBO'S. Try to avoid hot stuff for the first week, take Advil or Tylenol after and Listerine after EVERYTHING except water. I don't know about anyone else but the pain only lasts for a moment...it's the not being able to talk when the swelling kicks in for 3 - 4 days after that sucks...oh and for the first bit...avoid fatty meats sometimes the fat gets caught and can choke...chew your food well but you will get use to it. DON'T PLAY WITH IT ON YOUR TEETH - I know someone who cracked it by chomping and not paying attention...if you rub it against your teeth (make sounds) it will eventually wear the area out and stuff like that. But you get use to it and my hubby LOVES it. After you just need to brush and clean off plaque and food when you brush your teeth...always keep it clean and don't perform any oral sex until your past the 8 week mark. You can use sea salt and water to help fight infection with Advil. I don't think you should take pain killers or drink for 24 hours prior to. After the swelling or 4 weeks I think...they ask you to come back in and downsize the bar...have to get a longer one initially to allow for the swelling.
I had it pierced when I was 18 then removed it for work...then said screw it and did it again! Not bad for pain, I found the two ear cartilage piercings at the top of the ear lobe more painful.
Good luck and think about it for a good while before doing anything. (It's in the mouth so when you take it out there will be a bit of scar tissue but no one looks at your tongue - unless you point it out).
[I just got my tongue pierced about a week ago
while it did hurt a little, it doesnt hurt half as much as ppl say
it does swell a little
and it take 1-3 months to fully heal
but its not much of a bother
u have to clean it out with listerine (alcohol free) after every meal, every drink (besides water, n after u smoke (if u do) n b4 u go to bed n whem u wake up)
its pretty much healed after a month but since its in your mouth and there are so many germs it really depends on the person