This colonization is primarily seen in the threads of the jewelry. A quick note, prior to surgical procedures, metal objects must be removed from the body to prevent injury from electric cautery. Plastic temporary jewlery may be inserted without risk. Tongue jewerly is necessary to remove prior to surgery as it can pose a severe risk of aspiration if emergency intubation is necessary. Prevention of infection is best by keeping the wounds clean and by ensuring drainage.
Drainage is inhibites by the natural healing process.
Durign the healing process the body tries to contract the wound. This occurs ar the puncture site and results in the jewelry being excessively tight preventing escape of fluid. Futher, scabbing forms which serves as a plug. Soaking with hydrogen peroxide helps break up the scabbing, decreases bacterial counts and aids in drainage. Moving the jewelry aids in decreasing the contracture at the puncture site.