Pearlman B A
Periodontics Unit, Westmead Hospital Dental Clinical School, NSW, Australia.
J Periodontol. 1994 Mar;65(3):284-6. doi: 10.1902/jop.1994.65.3.284.
This case report describes extensive ulceration of the gingiva caused by harsh and repetitive toothbrushing. The lesions wee localized to several areas of the mouth. Despite considerable pain, the patient had persisted in the causative toothbrushing pattern. He had absorbed an invalid health belief that when pain or bleeding occurred, he should utilize consistent harsh brushing in the affected areas. Following re-education, this brushing behavior was discarded and healing ensued. The origin of his health belief and its relationship to the behavioral principle of self-efficacy are discussed.
本病例报告描述了因用力反复刷牙导致的牙龈广泛溃疡。病变局限于口腔的几个部位。尽管疼痛剧烈,患者仍坚持这种导致问题的刷牙方式。他秉持着一种无效的健康观念,即当出现疼痛或出血时,他应该在受影响的区域持续用力刷牙。经过重新教育,这种刷牙行为被摒弃,随后溃疡愈合。本文讨论了他健康观念的来源及其与自我效能行为原则的关系。