Factitial oral lesions in an @entity2438 paediatric XXXX .

@entity1 @entity32 @entity1032 @entity417 @entity174 @entity73 @entity1066 @entity1112 @entity2438 @entity11087 @entity2521 @entity130
@entity130 ( @entity130 ) is a deliberate harm to the body that may lead to @entity130 . Its origin may be functional or biological and it has a higher prevalence in females and in @entity73 individuals. Seventy per cent of @entity2438 @entity1 have @entity130 . Seventy-five per cent of @entity130 are located in the head and neck region. A paediatric case report concerning a 4-year-old @entity2438 female is presented. Detailed medical history, physical examination, clinical intraoral and radiographic examination, incisional biopsy, neuropaediatrical, psychological and speech evaluation were undertaken. Diagnosis included @entity417 , caries, @entity174 , factitial @entity1066 , factitial @entity2521 , self-extraction of primary teeth and permanent teeth buds, non-specific oral @entity1066 with @entity32 , mild @entity1032 , @entity73 , @entity2438 and @entity130 behaviour consisting of putting fingers and foreign objects in the gingiva, fingernail biting and hair pulling. Differential diagnosis included @entity1112 , @entity2521 and @entity11087 . Dental preventive and restorative treatment was performed. Non-contingent reinforcement therapy was successfully used to diminish @entity130 . Treatment of factitial oral @entity130 must be interdisciplinary and requires cooperation of the @entity1 , the parents, health care providers, and medical team.
