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一种针对因人为挠抓习惯导致的罕见双侧牙龈退缩的多学科管理方法：病例报告

A Multidisciplinary Approach to the Management of Unusual Bilateral Gingival Recession Due to a Factitious Nail-Scratching Habit: A Case Report.

作者信息

Ansari Nasreen, Faraz Farrukh, Lamba Arundeep K, Tandon Shruti, Dhingra Sachin

机构信息

Periodontics, Maulana Azad Institute of Dental Sciences, New Delhi, IND.

出版信息

Cureus. 2024 Feb 2;16(2):e53439. doi: 10.7759/cureus.53439. eCollection 2024 Feb.

DOI:10.7759/cureus.53439
PMID:38435182
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10909244/
Abstract

Self-inflicted gingival injuries have been reported in children and adolescents as a result of multiple factors such as accidental trauma, fingernail biting, sucking on objects such as pencils, or a nail-scratching habit. Management of these lesions requires a multidisciplinary approach that includes psychotherapy, behavioral counseling, and definitive treatment of oral soft tissue lesions. This paper illustrates the diagnosis and treatment of a 16-year-old male patient with a bilateral gingival recession in mandibular canines due to habitual nail scratching. A multidisciplinary approach for treatment included behavior and psychological counseling, topical application of anesthetic & antimicrobial gels, and surgical management of gingival recession defects using a modified lateral pedicle flap with and without an indigenously prepared amnion-chorion membrane. Excellent soft tissue health was found at a two-year follow-up.

摘要

儿童和青少年中曾有过因多种因素导致的自伤性牙龈损伤报告，这些因素包括意外创伤、咬指甲、吮吸铅笔等物品或有挠抓指甲的习惯。这些损伤的处理需要多学科方法，包括心理治疗、行为咨询以及对口腔软组织损伤的明确治疗。本文阐述了一名16岁男性患者因习惯性挠抓指甲导致下颌尖牙双侧牙龈退缩的诊断和治疗。治疗的多学科方法包括行为和心理咨询、局部应用麻醉和抗菌凝胶，以及使用改良侧方蒂瓣并联合或不联合自制羊膜 - 绒毛膜进行牙龈退缩缺损的手术治疗。两年随访时发现软组织健康状况良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c685/10909244/f23f3da24208/cureus-0016-00000053439-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c685/10909244/1a11b719e303/cureus-0016-00000053439-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c685/10909244/47d657052c40/cureus-0016-00000053439-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c685/10909244/a3b421a99ce3/cureus-0016-00000053439-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c685/10909244/683bc508c545/cureus-0016-00000053439-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c685/10909244/4278b01148dd/cureus-0016-00000053439-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c685/10909244/f23f3da24208/cureus-0016-00000053439-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c685/10909244/1a11b719e303/cureus-0016-00000053439-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c685/10909244/47d657052c40/cureus-0016-00000053439-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c685/10909244/a3b421a99ce3/cureus-0016-00000053439-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c685/10909244/683bc508c545/cureus-0016-00000053439-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c685/10909244/4278b01148dd/cureus-0016-00000053439-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c685/10909244/f23f3da24208/cureus-0016-00000053439-i06.jpg

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本文引用的文献

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Amnion-Chorion Allograft Barrier Used on Root Surface for Regenerative Procedures: Case Report.羊膜-绒毛膜同种异体移植物屏障用于再生程序的根面：病例报告。
Clin Adv Periodontics. 2020 Dec;10(4):195-199. doi: 10.1002/cap.10125. Epub 2020 Sep 16.
2
Masochistic habits in a child patient: A case report and its management.一名儿童患者的受虐癖习惯：病例报告及其处理
Int J Crit Illn Inj Sci. 2013 Jul;3(3):211-3. doi: 10.4103/2229-5151.119199.
3
Biological properties of dehydrated human amnion/chorion composite graft: implications for chronic wound healing.
脱水人羊膜/绒毛膜复合移植物的生物学特性：对慢性伤口愈合的影响。
Int Wound J. 2013 Oct;10(5):493-500. doi: 10.1111/iwj.12140. Epub 2013 Aug 1.
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Associations between oral health-related quality of life and emotional statuses in children and preadolescents.儿童和青少年口腔健康相关生活质量与情绪状况的相关性。
Oral Dis. 2012 Oct;18(7):639-47. doi: 10.1111/j.1601-0825.2012.01914.x. Epub 2012 Mar 1.
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Oral self-injury: an update.口腔自伤：最新进展。
Dent Traumatol. 2013 Feb;29(1):8-14. doi: 10.1111/j.1600-9657.2012.01121.x. Epub 2012 Feb 20.
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The interproximal clinical attachment level to classify gingival recessions and predict root coverage outcomes: an explorative and reliability study.用于分类牙龈退缩和预测根覆盖效果的探诊临床附着水平：一项探索性和可靠性研究。
J Clin Periodontol. 2011 Jul;38(7):661-6. doi: 10.1111/j.1600-051X.2011.01732.x. Epub 2011 Apr 20.
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