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Factitial (self-induced) gingival disease: four case reports.

E Sepet1, I Ulukapi, Z Aytepe

  • 1Department of Pedodontics, Istanbul University, Faculty of Dentistry, 34390 Capa, Istanbul, Turkey.

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Summary

Self-induced gingival recession in children, often linked to psychological stress and dependency needs, presents bizarre lesions. This study investigates four cases from pediatric, periodontal, and psychiatric perspectives.

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Area of Science:

  • Pediatric Dentistry
  • Periodontology
  • Child Psychology

Background:

  • Factitial gingival disease involves unusual gingival recessions not linked to known diseases.
  • Psychological factors are key in the etiology of self-induced gingival disease.
  • Lesions often arise during periods of childhood stress and dependency needs frustration.

Purpose of the Study:

  • To present and investigate four cases of self-induced gingival recessions in young children.
  • To explore the pedodontic, periodontologic, and psychiatric aspects of these cases.

Main Methods:

  • Case study presentation.
  • Multidisciplinary investigation involving pedodontic, periodontologic, and psychiatric evaluations.

Main Results:

  • Four cases of factitial gingival recession in children aged 4-6 years were analyzed.
  • The findings highlight the connection between psychological stress and oral self-harm in children.

Conclusions:

  • Self-induced gingival disease is a distinct entity in pediatric dentistry.
  • A comprehensive, multidisciplinary approach is crucial for diagnosing and managing these conditions.