Gingivitis artefacta o autoinducida como conducta autolesiva. Prentación de un caso clínico

Abstract

Gingivitis artefacta is a series of capricious gingival recessions. Generally they are nominated “self–inducted lesions” or “artificial lesions.”

This paper presents the periodontal findings in a 10 years old boy who presents a vertical fissure on the right first lower temporal molar near to the gingival margin. This tooth presented a steel chromium crown and on the soft tissue had an unusual redness resilient to plaque control. Due to the gingival recession, the root surfaces were exposed. Treatment adopted was performing the tooth extraction. Three months after extraction, the eruption of permanent tooth concluded and there was not further periodontal alteration.

Pedodontics should be aware of self –induced gingival lesions to perform a better diagnosis and treatment. Preventive advice should include the study and control of children´ habits that could lead to hard and soft tissue dental lesions. Pedodontics should also work in conjunction with other dental specialists as a part of a multi -disciplinary team to offer the best professional decision to the patients´ needs.