A Self-Injurious Behavior Causing Unusual Bilateral Gingival Recessions and Affecting the Periodontal Treatment: A Case Report

Diana Mostafa, Pradeep Koppolu, Basel Tarakji


Gingival recessions (GRs) can be multifactorial in its etiology. They occur either due to a mechanical influence or an inflammatory reaction in the gingival tissues. The cause should be diagnosed before taking any step in the treatment. The purpose of this case report was to highlight any adverse effect of the destructive ability of the psychological self-injurious behavior (SIB) to the gingiva and illustrate how such habits may affect the treatment success. In the reported case, a teenage patient had a constant habit of fingernails scratching that caused bilateral GRs in both mandibular canines. She admitted that this SIB was because of family problems. Usually, such persistent habit complicates the treatment; therefore, we planned for her psychological treatment first and then the periodontal surgical intervention using Alloderm® for root coverage. After 7 days of good healing and predictable results, the patient’s careless behavior decreased the chances of the successful treatment.

J Med Cases. 2017;8(2):42-47
doi: https://doi.org/10.14740/jmc2719w


Fingernail inflicted gingiva; Gingival recession treatment; Self-injurious behavior; Acellular connective tissue allograft; Alloderm

Full Text: HTML PDF

Browse  Journals  


Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics


World Journal of Oncology

Gastroenterology Research

Journal of Hematology


Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity


Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research


Journal of Neurology Research

International Journal of Clinical Pediatrics



Journal of Medical Cases, monthly, ISSN 1923-4155 (print), 1923-4163 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)

This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.journalmc.org   editorial contact: editor@journalmc.org
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.

Disclaimer: The views and opinions expressed in the published articles are those of the authors and do not necessarily reflect the views or opinions of the editors and Elmer Press Inc. This website is provided for medical research and informational purposes only and does not constitute any medical advice or professional services. The information provided in this journal should not be used for diagnosis and treatment, those seeking medical advice should always consult with a licensed physician.