{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T23:06:06Z","timestamp":1789427166700,"version":"build-2803163510"},"reference-count":18,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2009,9,9]],"date-time":"2009-09-09T00:00:00Z","timestamp":1252454400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dental Traumatology"],"published-print":{"date-parts":[[2009,10]]},"abstract":"<jats:p><jats:bold>Abstract\u2002\u2013\u2002<\/jats:bold> Congenital insensitivity to pain with anhidrosis is a rare autosomal\u2010recessive disorder characterized by unexplained fever episodes, anhidrosis, pain insensitivity, self\u2010mutilating behavior, and mental retardation. The lack of sensitivity to pain results in traumatic lesions, such as ulcers, fractures, burns, bites, scars, and digital amputations. Several methods have been suggested to treat these patients; however, appropriate management is difficult, especially when the mutilation is particularly severe. This report describes the case of a 2\u2010year\u2010old female patient who had severe self\u2010mutilating injuries to her tongue, hands, lips, and oral mucosa caused by biting. The patient presented digital amputation and also a premature loss of a permanent tooth germ during the treatment. The dental management is described and discussed. It is important to include the dentist on the multidisciplinary team to reduce the frequency and severity of the self\u2010inflicted lesions in these patients, also to prevent complications.<\/jats:p>","DOI":"10.1111\/j.1600-9657.2009.00810.x","type":"journal-article","created":{"date-parts":[[2009,9,9]],"date-time":"2009-09-09T06:01:30Z","timestamp":1252476090000},"page":"545-549","source":"Crossref","is-referenced-by-count":13,"title":["Traumatic lesions from congenital insensitivity to pain with anhidrosis in a pediatric patient: dental management"],"prefix":"10.1111","volume":"25","author":[{"given":"Beatriz Gon\u00e7alves","family":"Neves","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosemere Teixeira","family":"Roza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gloria Fernanda","family":"Castro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2009,9,9]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(02)00482-7"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0887-8994(98)00047-2"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2842.2000.00474.x"},{"key":"e_1_2_5_5_2","article-title":"Hereditary sensory and autonomic neuropathy type IV","author":"Toscano E","journal-title":"Orphanet Encyclopedia"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.112.3.e237"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.1999.14.4.460"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/0887-8994(94)90091-4"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0887-8994(01)00347-2"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1388-2457(00)00351-5"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(98)00370-5"},{"key":"e_1_2_5_12_2","first-page":"47","article-title":"The dental problems and management of a patient suffering congenital insensitivity to pain","volume":"8","author":"Littewood SJ","year":"1998","journal-title":"Int J Paediatr Dent"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.tripleo.2005.08.002"},{"key":"e_1_2_5_14_2","first-page":"205","article-title":"Hereditary neuropathies with self\u2010mutilation","volume":"2","author":"Gadoth N","year":"2004","journal-title":"J Pediatr Neurol"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-263X.2004.00472.x"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1079-2104(98)90368-7"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.joms.2005.02.023"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000539-200202000-00008"},{"key":"e_1_2_5_19_2","first-page":"47","article-title":"Congenital insensitivity to pain with anhidrosis: case report","volume":"11","author":"Kouvelas N","year":"1989","journal-title":"Pediatr Dent"}],"container-title":["Dental Traumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1600-9657.2009.00810.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1600-9657.2009.00810.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T07:37:52Z","timestamp":1697009872000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1600-9657.2009.00810.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,9,9]]},"references-count":18,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2009,10]]}},"alternative-id":["10.1111\/j.1600-9657.2009.00810.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1600-9657.2009.00810.x","archive":["Portico"],"relation":{},"ISSN":["1600-4469","1600-9657"],"issn-type":[{"value":"1600-4469","type":"print"},{"value":"1600-9657","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,9,9]]}}}