A Mistaken Health Belief Resulting in Gingival Injury: A Case Report

Pearlman, Braham A.

doi:10.1902/jop.1994.65.3.284

Cited by 9 publications

(3 citation statements)

References 4 publications

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“…Minor NSSI do not lead to major disabilities and are relatively common, whereas major NSSI such as autoamputations can lead to significant disability. Most NSSI of the oral cavity are caused using tools of oral hygiene such as toothbrushes or brush picks, and gingival tissue is a frequent target [11][12][13][14][15]. Thus, most NSSI in the oral cavity such as erosion, ulcers, or periodontal clinical attachment losses are minor.…”

Section: Discussionmentioning

confidence: 99%

“…It often occurs in patients with psychiatric disorders such as schizophrenia [5][6][7], autism [8], and depression [9], and the target of NSSI is often the skin, eyes, or genitalia [10]. Much of the described NSSI in the oral cavity has been minor, because the gingival tissues are the most frequent site of injuries and the tools have usually been toothbrushes and brush picks [11][12][13][14][15]. On the other hand, major NSSI is a considerable public health problem because it is also associated with high rates of emergency room utilization [16].…”

Section: Introductionmentioning

confidence: 99%

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Two Cases of Nonsuicidal Self-Injury Comprising Partial Autoamputation of the Apex of the Tongue

Moriya

Sato

Takeda

et al. 2020

Case Reports in Dentistry

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The prevalence of nonsuicidal self-injury (NSSI) in adults is lower than that in adolescents and it is more prevalent in patients with psychiatric disorders. Sleep disturbances such as nightmares are associated with NSSI after accounting for depression; thus, persons with major NSSI sometimes present at medical institutions during the night seeking emergency treatment. Gingival tissues comprise the most frequent target of self-injury of the oral cavity using oral hygiene tools. Most NSSI in the oral cavity is minor because such tools are blunt. Major NSSI such as autoamputation of the tongue is rare. We describe two patients who partially autoamputated the apex of their own tongues using edged tools. Case 1 was a 55-year-old female with depression who had defaulted from psychiatric intervention. She had cut off her tongue using a Japanese kitchen knife and presented with the dry, necrotic amputated portion and blood oozing from the remainder of her tongue. We debrided and sutured the remainder of the tongue without reattaching the amputated portion. Her postoperative course was uneventful, and she was free of adverse events such as functional disability and wound infection. Case 2 was a 69-year-old female with schizophrenia who had defaulted from psychiatric intervention and had cut off her tongue using scissors. The amputated portion of the tongue was lost and the remainder, which was oozing blood, was debrided and sutured. She defaulted on a follow-up appointment. Neither of these patients had suicidal intent. The prevalence of NSSI across all age groups has recently increased, and the risk that self-injury will become normalized has become a concern. Thus, dentists as well as oral and maxillofacial surgeons should be aware of the possibility that patients will present with major NSSI requiring emergency treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Two Cases of Nonsuicidal Self-Injury Comprising Partial Autoamputation of the Apex of the Tongue

Moriya

Sato

Takeda

et al. 2020

Case Reports in Dentistry

View full text Add to dashboard Cite

show abstract

“…Nevertheless, several reports indicate that improper oral hygiene procedures can lead to tooth abrasion and gingival injury. While many of these reports are related to misuse of the toothbrush (1–4), improper flossing techniques can contribute to tooth abrasion and gingival injury (2, 5–7). These lesions often occur in highly motivated patients who have not been properly instructed in the technique of flossing.…”

Section: Introductionmentioning

confidence: 99%