Sousa Denise, Pinto Daniela, Araujo Rebecca, Rego Rodrigo Otavio, Moreira-Neto Jose
School of Pharmacy, Dentistry and Nursing at Federal University of Ceara, in Fortaleza, Brazil.
J Contemp Dent Pract. 2010 Mar 1;11(2):085-91.
Nail-biting is one of the most frequent deleterious oral habits in children. It can result in systemic diseases or oral traumatic lesion. This report describes a case of gingival abscess in a child due to a fingernail-biting habit.
A 5-year, 6-month-old female presented gingival swelling and fistula in the primary maxillary left central and right lateral incisors as an unusual sequelae to the periodontal tissues from fingernail-biting. A periodontal curette was used to remove the fragments and to curette the area. After the curettage, an exudate of blood and pus was drained. Then the area was irrigated with 0.12% chlorhexidine solution; applying finger pressure controlled the secretion. After one week, the patient returned with gingival swelling present in the same teeth. The same curettage procedure was performed. It was suggested that the deleterious habit was related to emotional tension and anxiety behaviors and the patient was referred for psychological treatment. When the patient returned one month later, she was still biting her fingernails, but she had stopped placing fragments into the gingival crevice. No more gingival inflammation or swelling was observed.
his paper presents an unusual case report of a gingival abscess due to a fingernail-biting habit in a child, probably related to an emotional condition.
The fingernail-biting habit can induce a periodontal traumatic injury yielding a more serious complication such as a gingival abscess.
咬指甲是儿童中最常见的有害口腔习惯之一。它可导致全身性疾病或口腔创伤性病变。本报告描述了一例因咬指甲习惯导致儿童牙龈脓肿的病例。
一名5岁6个月大的女性，其上颌乳中切牙和侧切牙出现牙龈肿胀和瘘管，这是咬指甲对牙周组织造成的异常后遗症。使用牙周刮匙清除碎片并刮治该区域。刮治后，排出了血液和脓液的渗出物。然后用0.12%的氯己定溶液冲洗该区域；通过手指按压控制分泌物。一周后，患者复诊，同一牙齿仍有牙龈肿胀。进行了相同的刮治程序。提示这种有害习惯与情绪紧张和焦虑行为有关，患者被转诊接受心理治疗。当患者一个月后复诊时，她仍在咬指甲，但已不再将碎片放入牙龈沟。未观察到更多的牙龈炎症或肿胀。
本文报告了一例儿童因咬指甲习惯导致牙龈脓肿的罕见病例，可能与情绪状况有关。
咬指甲习惯可导致牙周创伤性损伤，产生更严重的并发症，如牙龈脓肿。
