Lesão severa causada por onicofagia
Severe lesion caused by onychophagia
Regis, R.R.; Souza, R.F.; Paranhos, H.F.O.
Rev. odontol. UNESP, vol.36, n4, p.379-382, 2007
Resumo
O presente trabalho tem por objetivo descrever uma lesão severa decorrente da onicofagia, bem como apresentar uma breve revisão de literatura sobre esse hábito. Um paciente adulto, ao se apresentar para consulta odontológica de manutenção, descreveu que havia provocado uma lesão ungueal no polegar esquerdo. Sua unha possuía um aspecto irregular, de espessura reduzida, com uma depressão na lúnula e uma petéquia visível sob a lesão. Após relatar exacerbação de seus hábitos parafuncionais, tornou-se evidente a associação do hábito de roer unhas com a lesão. Foi planejada uma etapa de aconselhamento, na qual se buscou orientar o paciente, recomendando-se que evitasse roer as unhas e remover o epitélio circundante. Depois de um período de aproximadamente dois meses, a lesão havia regredido como conseqüência do crescimento ungueal.
Palavras-chave
Hábito de roer unhas, estresse psicológico, automutilação
Abstract
The aim of this study was to describe a severe lesion associated with onychophagia and to present a brief literature review comprising this habit. An adult male patient undergoing a maintenance dental appointment had reported the development of a nail lesion on the left toe. The nail presented an uneven surface, with reduced thickness, a depression over the lunula and a red spot. After reporting exacerbation of parafunctional habits, the association of those habits and the lesion was evident. A counseling procedure was carried out, in order to avoid nail biting and picking by the patient. Following a two months period, the lesion had disappeared as a consequence of nail growth.
Keywords
Nail biting, psychological stress, self mutilation
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