Case Report of Gingivitis Artefacta in Libyan Female Child 5-Years Old
Keywords:
Gingivitis artefacta, gingival injuries, gingival recession, self-inflicted injuries, scratching of the gingiva with fingernailsAbstract
Gingivitis artefacta is a type of periodontal disease caused by self- inflicted injuries to the gingival tissues. The injuries, most commonly, occur due to picking or scratching of the gingiva with fingernails or any foreign object. The purpose of this article is to review clinical findings in a patient who presented with gingival recession in the primary dentition. A case report of an 5-year-old girl with gingival recession in the both sides of mandibular and maxillary deciduous canines and molars was admitted to periodontics department. Upon questioning, the patient readily admitted traumatizing her gingiva with her fingernail. The cause of his behavior appeared to be of psychological origin, and therefore, Psychological support was suggested. Patient compliance, regular dental follow-ups, and psychological support may be useful in stabilizing the periodontal condition of this child and preventing injury of permanent teeth in future.
References
R. M. Winchel and M. Stanley, “Self-injurious behavior: a review of the behavior and biology of self-mutilation,” The American Journal of Psychiatry, vol. 148, no. 3, pp. 306–317, 1991.
Stewart DJ. Minor self-inflicted injuries to the gingivae: gingivitis artefacta minor. J Clin Periodontol 1976;3:128-132.
Stewart DJ. Teething, an unusual response. A case of gingivitis artefacta minor in an infant. Br Dent J 1982;152:93-94.
Spencer RJ, Haria S, Evans RD. Gingivitis artefacta-a case report of a patient undergoing orthodontic treatment. Br J Orthod 1999;26:93-96.
D. J. Stewart and D. C. Kernohan, “Self-inflicted gingival injuries. Gingivitis artefacta, factitial gingivitis,” The Dental Practitioner and Dental Record, vol. 22, no. 11, pp. 418–426, 1972.
Patisson G. L. Self-inflicted gingival injuries; literature review and case report. J. Periodontal.
;54: 299-304.
Blanton P. I. Hurt W. C and Largeat M. D. Oral factitious injuries. J. Periodontology. 1977;48: 33-37.
Pradeep R &Dillep S. Gingival recession and pathological migration due to an unusual habit.
J. Int. Academy of Periodontology. 2006;8: 3, 74-77.
Sandhu H, Sharma V, Sidhu G. Role of psychiatric disorders in self-inflicted periodontal injury: A case report. J Periodontol 1997;68:1136–1139.
Rodriguez D, Fonseca M. Self-injurious behavior as a challenge for the dental practice: A case report. Pediatr Dent 2003;25:62–66.
Althom R, DiAngelis A. Multiple autoextractions: Oral self-mutilation reviewed. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;67:271–274.
Rodd H. Self-inflicted gingival injury in a young girl. Br Dent J 1995;178:28–30.
Sumaiya Arfin, Shazra Tasneem, Saima Yunus Khan, M K Jindal. Self-inflicted palatal soft tissue injury: a case report. American Journal of Research Communication. 2014;2(10):153- 159.
Dubey R, Anand P S, Shah C. Non-surgical management of self-inflicting gingival injury in schizophrenic patient. Annals and Essences of Dentistry 2014; 3:48-50.
Medina A, Sogbe R, Gómez-Rey A, Mata M. Factitial oral lesions in an autistic paediatric patient. Int J Paediatr Dent 2003;13:130–137.
Saemundsson S, Roberts M. Oral self-injurious behaviour in the developmentally disabled: Review and a case. J Dent Child 1997;64:205–209.
Hyman P, Oliver C, Hall S. Self-injurious behavior, self-restraint, and
compulsive behaviors in Corneliade Lange syndrome. Am J Ment Retard 2002;107: 146–154.
Tatakis D, Milledge T. Severe gingival recession in trisomy 18 primary dentition. A clinicopathologic case report of self-inflicted injury associated with mental retardation. J Periodontol 2000;71:1181–1186.
The American Academy of Periodontology, Committee on Research Science and Therapy. Periodontal diseases of children and adolescents. Position paper. J Periodontol 1996;67:57–62.
