Millen C S, Roebuck E M
Restorative Dentistry, 4th floor Edinburgh Dental Institute, Edinburgh.
Br Dent J. 2009 Feb 14;206(3):129-31. doi: 10.1038/sj.bdj.2009.55.
The case report described here discusses gingivitis artefacta major, an oral presentation of self-injurious behaviour, in an adolescent. On presentation, the patient knew well the ramifications of her gum scratching behaviour, however, was unable to stop. At further presentations new lesions had appeared with further bone loss. The cause of her behaviour seemed to be of psychological origin and therefore no interventive dental treatment was possible until this issue was resolved. A more preventive approach was adopted in the meantime. Referral to appropriate services from the dental profession also proved to be challenging. In conclusion, gingivitis artefacta, although rarely seen to this extent, is extremely challenging to diagnose and treat fully in a dental setting.
本文所述的病例报告讨论了一名青少年的严重人为性牙龈炎，这是一种自我伤害行为的口腔表现。就诊时，患者深知自己牙龈搔抓行为的后果，但却无法停止。在后续就诊时，出现了新的病变，并有进一步的骨质流失。她行为的原因似乎源于心理问题，因此在这个问题解决之前，无法进行干预性牙科治疗。与此同时，采取了更具预防性的方法。事实证明，将患者转介至牙科专业的适当服务机构也颇具挑战性。总之，人为性牙龈炎虽然很少见如此严重的程度，但在牙科环境中进行全面诊断和治疗极具挑战性。
