title: Role of psychiatric disorders in self-inflicted periodontal injury: a case report.
abstract: Self-inflicted or factitious injuries (FI) are not uncommon in psychiatric patients. In general, this kind of behavior is linked to secondary gain. However, the role of underlying psychiatric illness should not be overlooked. Usually, the diagnosis of factitious injury can be confirmed by a careful medical-dental history, clinical appearance of the lesion, laboratory investigations, and response to established treatment protocol. A case is presented in which repetitive injurious behavior resulted in rapid periodontal attachment loss. The lesion responded well to conservative periodontal treatment. The role of underlying psychiatric morbidity leading to repetitive self-injurious behavior is discussed.
authors.affiliation: Division of Periodontics, Faculty of Dentistry, University of Western Ontario, London.
authors.forename: H S
authors.initials: HS
authors.lastname: Sandhu
authors.forename: V
authors.initials: V
authors.lastname: Sharma
authors.forename: G S
authors.initials: GS
authors.lastname: Sidhu
mesh_terms: D000293:Adolescent; D010520:Aggressive Periodontitis / Q000175:diagnosis; D016301:Alveolar Bone Loss / Q000209:etiology; D001289:Attention Deficit Disorder with Hyperactivity / Q000150:complications*; D003863:Depression / Q000150:complications*; D003937:Diagnosis, Differential; D005162:Factitious Disorders / Q000209:etiology; D006801:Humans; D007859:Learning Disabilities / Q000150:complications*; D008297:Male; D017622:Periodontal Attachment Loss / Q000209:etiology; D010519:Periodontium / Q000293:injuries*; D012652:Self Mutilation / Q000175:diagnosis / Q000209:etiology*