The Journal of the American Dental Association
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J Am Dent Assoc, Vol 127, No 2, 244-247.
© 1996 American Dental Association
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Journal of the American Dental Association, Vol 127, Issue 2, 244-247
Copyright © 1996 by American Dental Association

CONTINUING EDUCATION

Preventing factitious gingival injury in an autistic patient



CD Johnson, MK Matt, D Dennison, RS Brown, and S Koh
General Dentistry, University of Texas Houston Health Science Center, USA.

A 34-year-old man with a history of autism developed a deep gingival cleft. During clinical evaluation, the patient repeatedly scraped the affected area with his fingernail. The lesion's clinical features were consistent with focal inflammatory hyperplasia, periodontal disease and factitious stomatitis. This article describes the case and discusses diagnostic and behavioral issues important in treating any patient whose mental age is impaired.




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