Cd. Johnson et al., PREVENTING FACTITIOUS GINGIVAL INJURY IN AN AUTISTIC PATIENT, The Journal of the American Dental Association, 127(2), 1996, pp. 244-247
A 34-year-old man with a history of autism developed a deep gingival c
left. During clinical evaluation, the patient repeatedly scraped the a
ffected area with his fingernail. The lesion's clinical features were
consistent with focal inflammatory hyperplasia, periodontal disease an
d factitious stomatitis. This article describes the case and discusses
diagnostic and behavioral issues important in treating any patient wh
ose mental age is impaired.