Oral self-mutilation in child and adolescents and associated factors: integrative review
DOI:
https://doi.org/10.33448/rsd-v10i2.12493Keywords:
Child; Teenager; Self-mutilation; Self-injurious behaviour.Abstract
Introduction: Self-injurious behaviour is defined as an act directed at oneself that results in tissue damage. Oral structures can be traumatized by this type of behaviour and its incidence is increasing among children. Objective: To present the factors associated with oral self-mutilation in children and adolescents, in order to assist the clinician in the differential diagnosis of oral lesions. Methodology: An integrative literature review was carried out based on a search in the Medline databases (PubMed), between 2010 and 2020. 27 articles were selected, being 5 case-control, 1 cross-sectional and 21 case reports. Results: The evaluated studies were developed in several countries, in hospitals, outpatient clinics, institutes, universities, schools and orphanages. In observational studies, the samples varied between 30 and 303 participants. Oral self-mutilation was related to social, hereditary, neurological and psychiatric factors. It was also observed the involvement of individuals without comorbidities in cases of oral self-mutilation. In these studies, there were more children than adolescents involved in oral self-mutilation. Conclusion: Hereditary, neurological, psychiatric and social factors are pointed out as factors associated with oral self-mutilation in children and adolescents. However, the literature is still scarce in standardizing the protocol for diagnosing oral self-mutilation, so further studies are needed to determine what factors may be relevant to these cases when involving children and adolescents.
References
Ahmad, A., Qahar, J., Siddiq, A., Majeed, A., Rasheed, J., Jabar, F., & von Knorring, A.-L. (2005). A 2-year follow-up of orphans’ competence, socioemotional problems and post-traumatic stress symptoms in traditional foster care and orphanages in Iraqi Kurdistan. Child: Care, Health and Development, 31(2), 203–215. https://doi.org/10.1111/j.1365-2214.2004.00477.x
AlSadhan, S. A., & Al-Jobair, A. M. (2017a). Oral habits, dental trauma, and occlusal characteristics among 4- to 12-year-old institutionalized orphan children in Riyadh, Saudi Arabia. Spec Care Dentist, 37(1), 10–18. http://dx.doi.org/10.1111/scd.12187
AlSadhan, S. A., & Al-Jobair, A. M. (2017b). Oral habits, dental trauma, and occlusal characteristics among 4- to 12-year-old institutionalized orphan children in Riyadh, Saudi Arabia. Special Care in Dentistry, 37(1), 10–18. https://doi.org/10.1111/scd.12187
Altom, R. L., & DiAngelis, A. J. (1989). Multiple autoextractions: Oral self-mutilation reviewed. Oral Surgery, Oral Medicine, Oral Pathology, 67(3), 271–274. https://doi.org/10.1016/0030-4220(89)90352-6
Arhakis, A., Topouzelis, N., Kotsiomiti, E., & Kotsanos, N. (2010). Effective treatment of self-injurious oral trauma in Lesch-Nyhan syndrome: A case report. Dental Traumatology, 26(6), 496–500. https://doi.org/10.1111/j.1600-9657.2010.00930.x
Ashwin, D. P., Chandan, G. D., Jasleen, H. K., Rajkumar, G. C., Rudresh, K. B., & Prashanth, R. (2015). Hereditary sensory and autosomal peripheral neuropathy-type IV: case series and review of literature. Oral and Maxillofacial Surgery, 19(2), 117–123. https://doi.org/10.1007/s10006-015-0486-5
Ayer, W. A., & Levin, M. P. (1974). Self-mutilating behaviors involving the oral cavity. Journal of Oral Medicine, 29(1), 4–7.
Brissaud, O., Thébaud, N.-B., Guichoux, J., Smirani, R., Villega, F., & Devillard, R. (2016). Case Report of a Severe Recurrent Tongue Self-Injury in an Infant With Dystonia. Pediatrics, 138(5). https://doi.org/10.1542/peds.2016-0738
BUTTERWORTH, T., & STREAN, L. P. (1963). BEHAVIOR DISORDERS OF INTEREST TO DERMATOLOGISTS. Archives of Dermatology, 88, 859–867. https://doi.org/10.1001/archderm.1963.01590240183031
Cannavale, R., Itro, A., Campisi, G., Compilato, D., & Colella, G. (2015). Oral self-injuries: clinical findings in a series of 19 patients. Medicina Oral, Patologia Oral y Cirugia Bucal, 20(2), e123-9. https://doi.org/10.4317/medoral.19643
Carra, M. C., Huynh, N. T., El-Khatib, H., Remise, C., & Lavigne, G. J. (2013). Sleep bruxism, snoring, and headaches in adolescents: short-term effects of a mandibular advancement appliance. Sleep Med, 14(7), 656–661. https://dx.doi.org/10.1016/j.sleep.2013.03.009
Chen, L. R., & Liu, J. F. (1996). Successful treatment of self-inflicted oral mutilation using an acrylic splint retained by a head gear. Pediatric Dentistry, 18(5), 408–410.
El Khatib, A. A., El Tekeya, M. M., El Tantawi, M. A., & Omar, T. (2013). Oral health status and behaviours of children with Autism Spectrum Disorder: A case-control study. International Journal of Paediatric Dentistry, 24(4), 314–323. https://doi.org/10.1111/ipd.12067
El Khatib, A. A., El Tekeya, M. M., El Tantawi, M. A., & Omar, T. (2014). Oral health status and behaviours of children with Autism Spectrum Disorder: a case-control study. International Journal of Paediatric Dentistry, 24(4), 314–323. https://doi.org/10.1111/ipd.12067
Elhennawy, K., Reda, S., Finke, C., Graul-Neumann, L., Jost-Brinkmann, P.-G., & Bartzela, T. (2017). Oral manifestations, dental management, and a rare homozygous mutation of the PRDM12 gene in a boy with hereditary sensory and autonomic neuropathy type VIII: a case report and review of the literature. Journal of Medical Case Reports, 11(1), 233. https://doi.org/10.1186/s13256-017-1387-z
Fantuzzo, J. J., Rogér, J. M., Barroner, M. D., & Karp, J. M. (2014). Self-mutilation of the lower lip in a child with dystonia secondary to megalencephalic leukoencephalopathy treated with botox injections: a case report. Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, 72(7), 1327.e1-4. https://doi.org/10.1016/j.joms.2014.02.016
Flaitz, C. M., & Felefli, S. (2000). Complications of an unrecognized cheek biting habit following a dental visit. Pediatric Dentistry, 22(6), 511–512.
Gantha, S. N., Chinta, M., Kanumuri, P. K., & Birra, C. (2017). Non-suicidal self-injury: an unexplored cause of dental trauma. In BMJ case reports (Vol. 2017). https://doi.org/10.1136/bcr-2017-219901
Gao, L., Guo, H., Ye, N., Bai, Y., Liu, X., Yu, P., Xue, Y., Ma, S., Wei, K., Jin, Y., Wen, L., & Xuan, K. (2013). Oral and craniofacial manifestations and two novel missense mutations of the NTRK1 gene identified in the patient with congenital insensitivity to pain with anhidrosis. PloS One, 8(6), e66863. https://doi.org/10.1371/journal.pone.0066863
Gaur, N., Meel, R., Anjum, S., & Singh, P. (2018). Hereditary sensory and autonomic neuropathy in a male child: “The other side of not feeling pain”. BMJ Case Reports, 2018. https://doi.org/10.1136/bcr-2018-226873
Gisbert de la Cuadra, L., Torres, R. J., Beltrán, L. M., Sánchez, A., & Puig, J. G. (2016a). Development of new forms of self-injurious behavior following total dental extraction in Lesch–Nyhan disease. Nucleosides, Nucleotides and Nucleic Acids, 35(10–12), 524–528. https://doi.org/10.1080/15257770.2016.1184276
Gisbert de la Cuadra, L., Torres, R. J., Beltrán, L. M., Sánchez, A., & Puig, J. G. (2016b). Development of new forms of self-injurious behavior following total dental extraction in Lesch-Nyhan disease. Nucleosides, Nucleotides & Nucleic Acids, 35(10–12), 524–528. https://doi.org/10.1080/15257770.2016.1184276
Herrera, D. A., & Pollock, A. N. (2014). Intentional insertion of a foreign body in the tongue in a patient with polyembolokoilamania. Pediatric Emergency Care, 30(5), 368–369. https://doi.org/10.1097/PEC.0000000000000157
Hildebrand, L. C., Carvalho, A. L., da Rosa, F. M., Martins, M. D., & Filho, M. S. A. (2011). Functional oral self-mutilation in physically healthy pediatric patients: Case report and analysis of 27 literature cases. International Journal of Pediatric Otorhinolaryngology, 75(6), 880–883. https://doi.org/10.1016/j.ijporl.2011.03.020
Hildebrand, L. C., Carvalho, A. L., da Rosa, F. M., Martins, M. D., & Sant’Ana Filho, M. (2011). Functional oral self-mutilation in physically healthy pediatric patients: case report and analysis of 27 literature cases. International Journal of Pediatric Otorhinolaryngology, 75(6), 880–883. https://doi.org/10.1016/j.ijporl.2011.03.020
Kwon, I. J., Kim, S. M., Park, H. K., Myoung, H., Lee, J. H., & Lee, S. K. (2015). Successful treatment of self-inflicted tongue trauma patient using a special oral appliance. International Journal of Pediatric Otorhinolaryngology, 79(11), 1938–1941. https://doi.org/10.1016/j.ijporl.2015.08.013
Labib, S., Adnane Berdai, M., Abourazzak, S., Hida, M., & Harandou, M. (2011). Congenital insensitivity to pain with anhydrosis: report of a family case. The Pan African Medical Journal, 9, 33. https://doi.org/10.4314/pamj.v9i1.71209
Limeres, J., Feijoo, J. F., Baluja, F., Seoane, J. M., Diniz, M., & Diz, P. (2013). Oral self-injury. An update. Dental Traumatology, 29(1), 8–14. https://doi.org/10.1111/j.1600-9657.2012.01121.x
Malaga, E. G., Aguilera, E. M. M., Eaton, C., & Ameerally, P. (2016). Management of Self-Harm Injuries in the Maxillofacial Region: A Report of 2 Cases and Review of the Literature. Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons, 74(6), 1198.e1-9. https://doi.org/10.1016/j.joms.2016.02.018
Medina, A. C., Sogbe, R., Gómez-Rey, A. M., & Mata, M. (2003). Factitial oral lesions in an autistic paediatric patient. International Journal of Paediatric Dentistry, 13(2), 130–137. https://doi.org/10.1046/j.1365-263x.2003.00440.x
Mistry, L. N., Hugar, S. M., Patil, V. H., & Patel, P. (2017). Successful Management of the Masochistic Habit in a Child with Santovuori-Haltia-Hagberg Disease (Infantile Neuronal Ceriod Lipofuscinoses). In Journal of clinical and diagnostic research : JCDR (Vol. 11, Issue 1, pp. ZD47–ZD49). https://doi.org/10.7860/JCDR/2017/24120.9286
Mistry, P., Moles, D. R., O'Neill, J., & Noar, J. (2010). The occlusal effects of digit sucking habits amongst school children in Northamptonshire (UK). J Orthod, 37(2), 87–92. http://dx.doi.org/10.1179/14653121042939
Moher D, Liberati A, Tetzlaff J, A. D. (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. Plos Mend, 6, doi:10.1371/journal.pmed1000097.
Mowafy, Y. N., Wahba, N. A., & Sharaf, A. A. (2017a). Joubert Plus Syndrome with Self-Mutilation: A Case report. The Journal of Clinical Pediatric Dentistry, 41(1), 66–69. https://doi.org/10.17796/1053-4628-41.1.66
Mowafy, Y. N., Wahba, N. A., & Sharaf, A. A. (2017b). Joubert plus syndrome with self-mutilation: A case report. Journal of Clinical Pediatric Dentistry, 41(1), 66–69. https://doi.org/10.17796/1053-4628-41.1.66
MURSHID, E. (2005). Oral health status, dental needs, habits and behavioral attitude towards dental treatment of a group of autistic children in Riyadh, Saudi Arabia. Saud Dent J, 17(1013–9052), 132–139.
Navya, M. K., Pramod, G. V, Sujatha, G. P., & Ashok, L. (2019). Congenital insensitivity to pain in a 1-year-old boy. In Journal of the Indian Society of Pedodontics and Preventive Dentistry (Vol. 37, Issue 3, pp. 308–310). https://doi.org/10.4103/JISPPD.JISPPD_340_18
Olczak-Kowalczyk, D., Korporowicz, E., Gozdowski, D., Lecka-Ambroziak, A., & Szalecki, M. (2019). Oral findings in children and adolescents with Prader-Willi syndrome. Clin Oral Investig, 23(3), 1331–1339. https://dx.doi.org/10.1007/s00784-018-2559-y
Olczak-Kowalczyk, D., Witt, A., Gozdowski, D., & Ginalska-Malinowska, M. (2011). Oral mucosa in children with Prader-Willi syndrome. Journal of Oral Pathology & Medicine : Official Publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology, 40(10), 778–784. https://doi.org/10.1111/j.1600-0714.2011.01034.x
Panek, H., Nawrot, P., Mazan, M., Bielicka, B., Sumislawska, M., & Pomianowski, R. (2012). Coincidence and awareness of oral parafunctions in college students. Community Dent Health, 29(1), 74–77. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-22482254
Rangeeth, B. N., Moses, J., & Reddy, N. V. (2011). Self-injurious behavior and foreign body entrapment in the root canal of a mandibular lateral incisor. J Indian Soc Pedod Prev Dent, 29(6 Suppl 2), S95-8. https://dx.doi.org/10.4103/0970-4388.90754
Rodd, H. D. (1995). Self-inflicted gingival injury in a young girl. British Dental Journal, 178(1), 28–30. https://doi.org/10.1038/sj.bdj.4808639
Romero, M., Vicente, A., & Bravo, L. A. (2005). Prevention of habitual cheek biting: a case report. Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry, 25(4), 214–216. https://doi.org/10.1111/j.1754-4505.2005.tb01652.x
Romero Maroto, M., Ruiz Duque, C., Vincent, G., Garcia Recuero, I., & Romance, A. (2014). Management of oral lesions in Lesch-Nyham syndrome. J Clin Pediatr Dent, 38(3), 247–249. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-25095320
Shapira, J., Birenboim, R., Shoshani, M., Abdel-Kader, A., Behar, O., Moskovitz, M., Ben-Attar, Y., Chaushu, S., & Becker, A. (2016). Overcoming the oral aspects of -self-mutilation: description of a method. Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry, 36(5), 282–287. https://doi.org/10.1111/scd.12181
Siragusa, M., Ferri, R., Russo, R., Lentini, M., & Schepis, C. (2013). Self-inflicted lesions of the mouth and lips in mentally retarded young subjects. European Journal of Dermatology : EJD, 23(6), 843–848. https://doi.org/10.1684/ejd.2013.2172
Soussou, R., Cheung, W. S., & Campbell, K. M. (2019). Congenital insensitivity to pain with anhidrosis: A case with self-inflicted oral ulcerations. Journal of Dentistry for Children, 86(2), 109–112.
Souza MT, Silva MD, C. R. (2010). Revisão integrativa: o que é e como fazer. Einstein, 8(1), 102–106. https://doi.org/10.1590/S1679-45082010RW1134
Stewart, D. J., & Kernohan, D. C. (1972). Self-inflicted gingival injuries. Gingivitis artefacta, factitial gingivitis. The Dental Practitioner and Dental Record, 22(11), 418–426.
Stewart, D. J., & Kernohan, D. C. (1973). Traumatic gingival recession in infants. The result of a dummy sucking habit. British Dental Journal, 135(4), 157–158. https://doi.org/10.1038/sj.bdj.4803058
Subbaiah R, Thomas B, M. V. (2015). case series Self-inflicted traumatic injuries of the gingiva- A case series. J Int Oral Health, 2(January 2010), 43–49.
Suhaib, F., Saeed, A., Gul, H., & Kaleem, M. (2017). Oral assessment of children with autism spectrum disorder in Rawalpindi, Pakistan. Autism, 23(1), 81–86. https://doi.org/10.1177/1362361317730299
Suhaib, F., Saeed, A., Gul, H., & Kaleem, M. (2019). Oral assessment of children with autism spectrum disorder in Rawalpindi, Pakistan. Autism : The International Journal of Research and Practice, 23(1), 81–86. https://doi.org/10.1177/1362361317730299
Tate, B. G., & Baroff, G. S. (1966). Aversive control of self-injurious behavior in a psychotic boy. Behaviour Research and Therapy, 4(4), 281–287. https://doi.org/10.1016/0005-7967(66)90024-6
Topouzelis, N., Kotsiomiti, E., & Arhakis, A. (2010). An alternative impression technique for individuals with special care needs. Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry, 30(6), 266–270. https://doi.org/10.1111/j.1754-4505.2010.00165.x
Wadenya, R., Pinto, A., & Lindemeyer, R. (2011). Oral factitious injury in a child diagnosed with Kabuki syndrome. Compendium of Continuing Education in Dentistry (Jamesburg, N.J. : 1995), 32(1), E1-3.
Williams, A. C. (2015). Autoextraction of twelve permanent teeth in a child with autistic spectrum disorder. International Journal of Paediatric Dentistry, 26(2), 157–159. https://doi.org/10.1111/ipd.12161
Williamson, A., D’Este, C., Clapham, K., Redman, S., Manton, T., Eades, S., Schuster, L., & Raphael, B. (2016). What are the factors associated with good mental health among Aboriginal children in urban New South Wales, Australia? Phase I findings from the Study of Environment on Aboriginal Resilience and Child Health (SEARCH). BMJ Open, 6(7), e011182. https://doi.org/10.1136/bmjopen-2016-011182
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