Gingival Abscess Due to an Unusual Nail-Biting Habit: A Case Report

Sousa, Denise Lins de; Pinto, Daniela Di; Araújo, R.A.C.; Rêgo, Rodrigo Otávio; Moreira-Neto, José Jeová Siebra

doi:10.5005/jcdp-11-2-85

Cited by 10 publications

(10 citation statements)

References 13 publications

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“… different foreign bodies have been described to be associated with the development of a periodontal abscess, for example: an orthodontic elastic ; a piece of dental floss ; a dislodged cemental tear ; a piece of a toothpick ; or pieces of nails in subjects with nail‐biting habits . The term ‘oral hygiene abscesses’ has been proposed for abscesses caused by the impaction of foreign bodies that are oral hygiene aids . the root surface may be altered by different factors: perforation by an endodontic instrument ; cervical cemental tears ; external root resorption ; an invaginated tooth ; or a cracked tooth . …”

Section: Abscesses In the Periodontiummentioning

confidence: 99%

“…A combination of different factors, such as pulp vitality, the presence of dental caries, the presence of periodontal pockets, the location of the abscess and a careful radiographic examination, should be assessed in detail to reach an accurate diagnosis. other serious oral diseases may also have a similar appearance: osteomyelitis in patients with periodontitis ; squamous cell carcinomas ; a metastatic carcinoma of pancreatic origin ; a metastatic head and neck cancer ; an eosinophilic granuloma ; or a pyogenic granuloma . Therefore, in patients not responding to conventional therapy, a biopsy and histopathological diagnosis should be recommended. self‐inflicted gingival injuries: including trauma of the gingiva with a pencil or with a safety pin , or a nail‐biting habit . The anamnesis is the key factor in the diagnosis of these lesions.…”

Section: Abscesses In the Periodontiummentioning

confidence: 99%

“…Periodontal abscesses can also occur in previously healthy sites (i.e. nonperiodontitis periodontal abscesses) owing to impaction of foreign bodies or to alteration of the root surfaces: different foreign bodies have been described to be associated with the development of a periodontal abscess, for example: an orthodontic elastic (250); a piece of dental floss (5); a dislodged cemental tear (124); a piece of a toothpick (100); or pieces of nails in subjects with nail-biting habits (304). The term 'oral hygiene abscesses' has been proposed for abscesses caused by the impaction of foreign bodies that are oral hygiene aids (110).…”

Section: Etiology Pathogenesis and Histopathology Of Periodontal Absmentioning

confidence: 99%

“…Therefore, in patients not responding to conventional therapy, a biopsy and histopathological diagnosis should be recommended. self-inflicted gingival injuries: including trauma of the gingiva with a pencil (267) or with a safety pin (37), or a nail-biting habit (304). The anamnesis is the key factor in the diagnosis of these lesions.…”

Section: Diagnosis Of a Periodontal Abscessmentioning

confidence: 99%

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Acute periodontal lesions

Herrera¹,

Alonso²,

Arriba³

et al. 2014

Periodontology 2000

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This is a review and update on acute conditions affecting the gingival tissues, including abscesses in the periodontium, necrotizing periodontal diseases, and other acute conditions that cause gingival lesions with acute presentation, such as infectious processes not associated with oral bacterial biofilms, muco--cutaneous disorders, and traumatic and allergic lesions. A periodontal abscess is clinically important since it is a relatively frequent dental emergency, it can compromise the periodontal prognosis of the affected tooth, and because bacteria within the abscess can spread and cause infections in other body sites. Different types of abscesses have been identified, mainly by the type of etiology, and there are clear differences between those affecting a previously existing periodontal pocket and those affecting healthy sites. Therapy for this acute condition consists of drainage and tissue debridement, with individual evaluation of the need for systemic antimicrobial therapy. The definitive treatment of the pre--existing condition should be accomplished after the acute phase is controlled.

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Section: Abscesses In the Periodontiummentioning

confidence: 99%

Section: Abscesses In the Periodontiummentioning

confidence: 99%

Section: Etiology Pathogenesis and Histopathology Of Periodontal Absmentioning

confidence: 99%

Section: Diagnosis Of a Periodontal Abscessmentioning

confidence: 99%

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Acute periodontal lesions

Herrera¹,

Alonso²,

Arriba³

et al. 2014

Periodontology 2000

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“…Nail biting may involve physical consequences such as gingivitis, pinworm infestation, giardia infections and changes in nail appearance. Mental disorders often accompany nail biting, because it provokes reactions such as ridicule, embarrassment, warning and anger [115][116][117] . It has been reported that nail biting is often comorbid with other mental disorders, and 65% of those who bite their nails have an additional stereotypic behaviour 118,119 .…”

Section: Nail-biting Behaviormentioning

confidence: 99%

Use of N-acetylcysteine in Obsessive-Compulsive and Related Disorders

Memik

Gündoğdu

Tural

2015

Klinik Psikofarmakoloji Bülteni-Bulletin of Clinical Psychophar

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Use of N-acetylcysteine in obsessive-compulsive and related disorders Information on the use of N-acetylcysteine (NAC) in neuropsychiatric disorders has increased in recent publications. Although there are positive reports on the use of NAC in obsessive-compulsive and related disorders (OCRD), such data have not yet been validated. This article aims to review the research, case series and case reports that have been published about the use of NAC in OCRD. Research papers and case reports on the use of NAC in OCRD published within the last five years have been reviewed using the search engines of "Pubmed" and "Medline Central" databases. The search was performed by matching the terms "obsessivecompulsive disorder (OCD)", "trichotillomania (TTM)", "nail biting", "skin picking", "hoarding disorder", and "body dysmorphic disorder" with "N-acetylcysteine". The search identified 4 papers on TTM, 3 papers on nail biting behavior, 1 paper on OCD and 1 paper on skin-picking behavior. Three of these papers were doubleblind, placebo-controlled studies and four were case reports/series. The results of 2 papers out of the 7 that we reviewed showed that there was no difference between NAC and placebo, while 5 papers reported that the response to the NAC therapy was positive. We did not find any papers on the use of NAC in either hoarding disorder or body dysmorphic disorder. NAC is thought to be a promising psychopharmacologic agent in OCD, which is defined under OCRD due to its common etiology, similar clinical features and similar response to treatment, as well as in TTM, skin picking and nail biting. The effectiveness of glutamatergic modulators on repetitive behaviors or OCD has increased interest in NAC. Although there are a few studies in the area, many research projects are being planned, with some already in progress (www.clinicaltrials.gov), a fact that emphasizes the importance of NAC in OCRD treatment. NAC has been used in a broad spectrum of conditions such as paracetamol intoxication, doxorubicin cardiotoxicity, ischemia-reperfusion-induced injury of the myocardium, acute respiratory distress syndrome, bronchitis, chemotherapy intoxication and heavy metal intoxication. In recent years, there has been an increase in the number of studies exploring the use of NAC in neuropsychiatric disorders such as schizophrenia, autism, bipolar disorder and OCRD. In this review, we have seen that the results of studies assessing the efficacy of NAC in psychiatric disorders are promising; however, there is a need for further studies to evaluate its mechanism of action, appropriate dose range and duration of treatment.

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