Iv had mine pierced since i was 16 (i'm 25 now) and i love it. All il say is tho iv lost count of the amount of times it has unscrewed and iv swallowed it when either sleeping, or eating. Keep it screwed on tight!!!!!!!! lol
I could talk and eat when i got it done, i was just a bit more careful then normal, but after a few days it's fine.