I didn't have any problems keeping it clean. If you wear a stud in it, there's a flat disc in the back, and you just have to remember to get back there when you brush your teeth - using a mouthwash like Listerine usually does the trick to keep things clean. If you're wearing a ring in it, there's nothing in the back to catch food, so it naturally stays however clean your mouth is. 
The only time I had food/drink issues is when it was first done. It swells up HUGE. I mean, seriously. That'll last a couple days, and I won't lie, it makes eating and drinking difficult. Once the swelling goes down, though - no problems at all.
I wasn't in a relationship at the time, so I can't comment on the intimacy thing.
Let's see, what else... oh yeah... now that it's out, yes, I do have a scar. It's a dimple just under my lip, and it's noticeable only if you happen to be staring at my mouth. LOL
You didn't ask this, but I'll tell you anyway - oral piercings tend to close up VERY quickly. Within a few hours of taking the ring out, I couldn't get it back in. So if you get it done and change your mind, you won't get stuck with a hole in your lip - LOL!
I miss my lip ring, honestly. I took it out when I moved up here because I thought it would hinder my jobhunting... turns out things are really relaxed up here and I could have left it in, but now I can't afford to have it redone. Otherwise, I'd do it again in a heartbeat.
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Re: I used to have one
