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      • Record: found
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      A fixed intraoral nail biting habit-breaker appliance: A case report of a novel approach to prevent onychophagia

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          Abstract

          Onychophagia or nail biting is the performance of repetitive actions of biting one’s nails often to the level of mutilation of the nail beds. It is a compulsive act most often seen in adolescents but may continue into adulthood, leading to deleterious consequences. Often spurred by anxiety and stress, this oral habit is not so readily addressed by patients and in turn not very much treated by dentists or physicians. This case report describes successful treatment of an adolescent patient with a nail biting habit, with an innovative intraoral fixed habit-breaker appliance.

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          The Massachusetts General Hospital (MGH) Hairpulling Scale: 1. development and factor analyses.

          R O'Sullivan, Alison C. Savage, D Shera … (1994)
          We developed the MGH Hairpulling Scale to provide a brief, self-report instrument for assessing repetitive hairpulling. Seven individual items, rated for severity from 0 to 4, assess urges to pull, actual pulling, perceived control, and associated distress. We administered the scale to 119 consecutive patients with chronic hairpulling. Statistical analyses indicate that the seven items form a homogenous scale for the measurement of severity in this disorder.
          Article 0 comments Cited 49 times – based on 0 reviews     Review now
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            Traumatic ulcers and pain during orthodontic treatment.

            E Kvam, O Bondevik, N Gjerdet (1987)
            In the present investigation the frequency of oral ulcers and pain in 161 orthodontic patients was recorded. Of all patients, 95% had experienced pain, but 84.5% said that the pain lasted a few days only. About 11% maintained that the treatment was constantly painful. Significantly more patients coming from private clinics complained of pain than those attending treatment at the Department of Orthodontics. About 50% said that activating or changing archwire was most annoying, whereas 28.7% said ulceration and 21% said headgear was the most annoying part of the treatment. According to 75% of the patients, sleeping habits were not influenced. Only eight patients reported truancy, and seven of these had done this only once. Of all patients, 6.2% had requested interim visits. Small wounds caused by the fixed appliance were reported by 75.8% of the patients, and 2.5% had suffered badly from ulceration caused by the fixed appliances. More girls than boys reported ulceration. There was a significant sex difference as regards recurrent aphthous ulceration (RAU). Increase in the frequency of RAU was reported by 23.1% of the girls and 9.6% of the boys while they had fixed appliances.
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              Nail Biting; Etiology, Consequences and Management

              Ahmad GHANIZADEH (2011)
              Nail biting (NB) is a common, but unresolved, problem in psychiatry, psychology, medicine and dentistry. While it seems that NB is a simple behavior that can be stopped easily, many of the children with NB have already tried to stop it, but they have not been successful. The frustrations due to failed attempt involve others such as parents and siblings. The present review aims at providing an overview of prevalence, co-morbidities, education and counseling, and management for NB. Overall, the reviewed literatures suggest that co-morbidities of psychiatric disorders and other stereotypic behaviors in clinical sample of children with NB is more than 80%, and more than half of the parents suffer from psychiatric disorders mainly depression. Treatment of NB, however, is not as easy as it seems. The management of NB is much more complicated than just focusing on stopping it. Nail biting cannot be managed without considering its co-morbidities, antecedents and consequences. It might be concluded form the reviewed literature that children with NB, parents, siblings, and teachers should be educated about what to do and what not to do about NB. Punishment is not effective. Moreover, clinical randomized controlled trials are required to make available evidence-based behavioral and pharmacologic treatment protocols.
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                Author and article information

                Journal
                Journal ID (nlm-ta): J Dent Res Dent Clin Dent Prospects
                Journal ID (iso-abbrev): J Dent Res Dent Clin Dent Prospects
                Journal ID (publisher-id): J Dent Res Dent Clin Dent Prospects
                Journal ID (pmc): JODDD
                Journal ID (publisher-id): TBZMED
                Title: Journal of Dental Research, Dental Clinics, Dental Prospects
                Publisher: Tabriz University of Medical Sciences
                ISSN (Print): 2008-210X
                ISSN (Electronic): 2008-2118
                Publication date (Print): Summer 2019
                Publication date (Electronic): 07 October 2019
                Volume: 13
                Issue: 3
                Pages: 172-176
                Affiliations
                1Department of Pedodontics & Preventive Dentistry, Guru Nanak Institute of Dental Science and Research, Kolkata, West Bengal, India
                2Guru Nanak Institute of Dental Science and Research, Kolkata, West Bengal, India
                Author notes
                [* ] Corresponding Author; E-mail: ricku24@ 123456rediffmail.com
                Article
                DOI: 10.15171/joddd.2019.027
                PMC ID: 6904911
                PubMed ID: 31857862
                SO-VID: b731488a-09c0-41ea-a42a-eedcc3ed3139
                Copyright © © 2019 Shankhanil Dev et al.
                License:

                This is an Open Access article published and distributed by Tabriz University of Medical Sciences under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 11 November 2018
                Date accepted : 07 April 2019
                Page count
                Figures: 8, Tables: 1, References: 8, Pages: 5
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Dentistry
                Keywords: appliance,habit-breaker,onychophagia
                Data availability:
                ScienceOpen disciplines: Dentistry
                Keywords: appliance, habit-breaker, onychophagia

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