3. When the earring is opened, it should look like the beginning of a spiral. This dazzling flat back diamond stud features internally threaded post with a prong-setting diamond handcrafted in 14K solid gold. Internally threaded earrings and jewelry feature threading on the inside of the barbell and the outside of the bead or ball. Keep reading for more about internally and externally threaded body jewelry. The only difference between flat back studs and cartilage studs is that cartilage studs typically feature a ball backing. Aftercare. Who wants to scratch their tongue piercing? Sort of but, as experts explain it, the difference between internally and externally threaded jewelry is a pretty big one, as one type is safer and higher quality than the other. 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These are not currently able to be ordered as a ready-to-wear style but keep an eye on our site, as exciting things are coming for Press Fit! Once you've gotten your piercing ready for removal, taking it out is usually a cinch.