Case report of self-injurious behaviour (SIB) presenting as gingivitis artefacta major

Millen, Chelsey; Roebuck, Elizabeth M

doi:10.1038/sj.bdj.2009.55

Cited by 5 publications

(4 citation statements)

References 8 publications

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“…The various signs and symptoms of the factitious disorder such as neurological, gynecological, urological, dental, and others were well documented [ 4 ]. Oral manifestations of self-inflicting dental injuries include ulcerations, lacerations of the tongue, and buccal mucosa due to biting and scratching of the gingiva (gingivitis artefacta) resulting in gingival recession associated with the bone loss [ 5 - 7 ].…”

Section: Introductionmentioning

confidence: 99%

Case of Frontal Glioma With a Factitious Disorder of Self-Inflicting Dental Injuries Managed by Coronally Advanced Flap With Orthodontic Buttons

Pattnaik,

Das

et al. 2023

Cureus

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Factitious disorders represent deliberately fabricated dissimulation of physical and psychological signs and symptoms seeking medical attention by the patient. Usually, they are ignorant of conventional treatment and consistently change their version of signs and symptoms. Due to various changes in the version, they do not respond to the treatment. They describe their signs and symptoms as dissimulated, imaginative, and exasperated, involving any part of the body. Gingivitis artefacta is an unusual and dramatic presentation with self-inflicted physical injury to the gingival tissues. We present an extremely rare case of frontal lobe glioma causing abnormal psychology of factitious disorder resulting in self-inflected injury to gingiva in an adult male. This case also highlights the management of the dental condition of multiple recessions with coronally advanced flaps with orthodontic buttons.

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Section: Introductionmentioning

confidence: 99%

Case of Frontal Glioma With a Factitious Disorder of Self-Inflicting Dental Injuries Managed by Coronally Advanced Flap With Orthodontic Buttons

Pattnaik,

Das

et al. 2023

Cureus

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“…[3,4] Oral presentations include ulceration and laceration of the tongue as a result biting and cigarette burns [5] and scratching of the gingiva resulting in recession (gingivitis artefacta) associated with bone loss. [6,7] In severe cases, this leads to autoextraction. [7][8][9] The recent classification of non-plaque-induced gingival disease includes traumatic gingival injuries which are further classified into either thermal injuries, chemical or physical injuries.…”

Section: Introductionmentioning

confidence: 99%

“…[6,7] In severe cases, this leads to autoextraction. [7][8][9] The recent classification of non-plaque-induced gingival disease includes traumatic gingival injuries which are further classified into either thermal injuries, chemical or physical injuries. [10] Physical injuries to the gingiva comprise accidental, iatrogenic injuries.…”

Section: Introductionmentioning

confidence: 99%

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Gingivitis artefacta minor secondary to poor endodontic treatment of a primary molar - A case report

Mustafa¹,

Almosa²,

Alshahrani³

et al. 2016

ijmdcr

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The aim of this case report is to highlight poor endodontic treatment and persistent periradicular periodontitis as a possible etiology of gingivitis artefacta minor. Self-inflicted gingival lesion can be defined as an intentional self-abrasion of the gingiva, in which injuries are caused by the patient's own fingernail. This disorder is the most commonly found in younger age groups. It has both major and minor forms. Gingivitis artefacta minor is the milder, localized form which is usually due to an underlying local irritant or aggressive tooth brushing habits. Gingivitis artefacta major designate a more aggressive form which is linked to psychological disorders. The case report described here discusses gingivitis artefacta minor, an oral presentation of self-injurious behavior in an otherwise healthy 10-year-old girl, which developed as a consequence of poor endodontic treatment to a primary molar tooth. Prompt treatment of the case which included extraction of the offended tooth resulted in cessation of the destructive habit and healing of the periodontal breakdown. This case report describes the possibility to treat gingivitis artefacta minor and maintain the gingival and periodontal health of a patient with a destructive habit, once the underlying cause is disclosed and promptly managed. However, careful monitoring is of paramount importance and is recommended to prevent possible complications. Although habitual fingernail scratching is a common habit among children, emphasis on the necessity of a comprehensive history to rule out any possible systemic contribution is highly crucial to reach an accurate diagnosis and plan a successful treatment accordingly.

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Interdisciplinary Management of Gingivitis Artefacta Major: A Case Series

Pattnaik

Satpathy

Mohanty

et al. 2015

Case Reports in Dentistry

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Cases described here discuss interdisciplinary (periodontal and behavioral) approach in the management of rare and difficult to diagnose self-inflicted injuries of gingiva such as gingivitis artefacta major. Self-inflicted injuries to the gingiva are rare and their management by periodontal therapy alone is inadequate. Proper management of this condition requires early detection and effective psychological treatment through behavioral therapy in addition to the treatment of dental lesion. Three male patients in their twenties presented with traumatic injuries of gingiva with history of self-injury and underlying emotional disturbances. Following basic periodontal intervention, their self-inflicting behavior was confirmed on psychiatric consultation. All of them underwent cognitive behavior therapy and were able to successfully curb their self-inflicting behavior prior to any definitive dental procedures. These cases illustrate the essentiality of behavioral intervention in addition to periodontal procedures in the management of such lesions.

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Case report of self-injurious behaviour (SIB) presenting as gingivitis artefacta major

Cited by 5 publications

References 8 publications

Case of Frontal Glioma With a Factitious Disorder of Self-Inflicting Dental Injuries Managed by Coronally Advanced Flap With Orthodontic Buttons

Case of Frontal Glioma With a Factitious Disorder of Self-Inflicting Dental Injuries Managed by Coronally Advanced Flap With Orthodontic Buttons

Gingivitis artefacta minor secondary to poor endodontic treatment of a primary molar - A case report

Interdisciplinary Management of Gingivitis Artefacta Major: A Case Series

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