Tongue piercing is most popularly done with straight barbell. The most common gauge used in tongue piercing is a 14 ga. In order to accommodate the swelling, the early length of the pierced body jewelry should be at least 3/4″. When the tongue rings piercing has become well, it can be replaced to a smaller barbell of 9/16″, or 14 mm, which is the most common size of tongue rings. It is recommended to wear a shorter barbell after the tongue piercing is healed.

Barbell tongue ring fashion of body jewelry is made of a straight bar and with a bead on each end, one or both beads unscrewable for replacement and/or changing of the beads. Often one of the beads is fixed, either via epoxy or welding, so that only one bead is used to fix or change the jewelry. Usually, there are only right-handed barbell threads.

There are roughly about 5 kinds of barbells for body jewelry. The internally threaded barbells are slightly more costly than externally threaded barbells as there will be additional machining and labor included. At the time of piercing of the tongue rings, the internally threaded barbells cause less damage or irritation, so it is considered superior to externally threaded barbells. The bead in an internal threaded barbell has a receiving tube machine into it with a threaded post extending from the center, which mates with the threaded receiving tube on the bar.

The externally threaded barbells have become less common as the popularity of the internally threaded barbells has increased. It is named so because shaft of the bar has threads at both ends to permit beads with receiving threads to be attached.

Named because of the curvature, curved barbells can also be known as a navel curve. It is mechanically identical to straight barbells except that they are curved. Curvature on a curved barbell tongue rings can range from about straight to circular, with some barbells actually being spiral, with the ends overlapping but separated to permit the insertion of the body jewelry. A variations on this design is a J-bar, a slightly curved barbell, sometimes referred to as a banana bell or banana barbell, with a 90 degree bend near one end, used in vertical navel piercings to position the decorative end of the body jewelry more appropriately. These barbells can be internally or externally threaded.
Circular barbell tongue rings, also famous as horseshoe barbell tongue rings are used in some kinds of piercings. They are named so due to their shape.

In all surface piercings, surface bars are used. Barbells for surface piercing have a pair of 90 degree bends in the same direction, so they can be used for surface piercing. Because of this design the pressure that would be affected by other body jewelry designs that interfere with the healing is minimized.

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