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Case Reports in Dentistry
Volume 2015, Article ID 678504, 4 pages
Case Report

Interdisciplinary Management of Gingivitis Artefacta Major: A Case Series

1Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha ‘O’ Anusandhan University, Khandagiri Square, Bhubaneswar, Odisha 751003, India
2Department of Psychiatry, Institute of Medical Sciences & SUM Hospital, Siksha ‘O’ Anusandhan University, Khandagiri Square, Bhubaneswar, Odisha 751003, India

Received 8 September 2015; Accepted 5 November 2015

Academic Editor: Sukumaran Anil

Copyright © 2015 Naina Pattnaik et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Cases described here discuss interdisciplinary (periodontal and behavioral) approach in the management of rare and difficult to diagnose self-inflicted injuries of gingiva such as gingivitis artefacta major. Self-inflicted injuries to the gingiva are rare and their management by periodontal therapy alone is inadequate. Proper management of this condition requires early detection and effective psychological treatment through behavioral therapy in addition to the treatment of dental lesion. Three male patients in their twenties presented with traumatic injuries of gingiva with history of self-injury and underlying emotional disturbances. Following basic periodontal intervention, their self-inflicting behavior was confirmed on psychiatric consultation. All of them underwent cognitive behavior therapy and were able to successfully curb their self-inflicting behavior prior to any definitive dental procedures. These cases illustrate the essentiality of behavioral intervention in addition to periodontal procedures in the management of such lesions.