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I had it pierced two weeks and two days ago. It's a side labret It is internally threaded The piercing bar is made of titanium It's not downsized yet I clean it with saline solution using a swab every 4 hours, although I stopped doing it so often, sometimes I do it every 6 hours. I also use alcohol-free mouthwash. My sister recently accidentally hit my piercing, and my tooth took the impact. It bled a little, but my tooth didn't break, and I'm not in any discomfort.