{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T21:19:28Z","timestamp":1771017568131,"version":"3.50.1"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,2,15]],"date-time":"2017-02-15T00:00:00Z","timestamp":1487116800000},"content-version":"vor","delay-in-days":45,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Dentistry"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:p>Factitious ulcers are characterized by self\u2010inflicted lesions with multifactorial origin. These lesions are frequently found in head, neck, and hands. This report shows a 6\u2010year\u2010old boy diagnosed with factitious oral ulcers that occurred after the self\u2010biting of buccal vestibule and nail\u2010scratching of gingival tissue. Clinically, a significant swelling was observed, hard on palpation, located at the right lower third of the face, next to the posterior area of the mandible. In the intraoral examination, ulcers at different healing stages were noted on the swelling area. During the anamnesis, the father reported a change in his familial structure that triggers psychological stress, providing the clues to the presumptive diagnosis of factitious oral ulcers. We prescribed the topical use of Gingilone\u00ae three times a day to control the local pain and inflammation. At 7\u2010day follow\u2010up, we noticed the reduction of extraoral swelling and the initial healing of the ulcers. The presumptive diagnosis was confirmed at 30\u2010day follow\u2010up, with the lasting remission of oral lesions. The treatments of factitious oral ulcers should be individually tailored for each patient, focused on a multidisciplinary approach, including psychotherapy and periodic clinical control. To the best of our knowledge, gaps of evidence lead to the lack of standardized clinical protocols on this issue.<\/jats:p>","DOI":"10.1155\/2017\/1986834","type":"journal-article","created":{"date-parts":[[2017,2,16]],"date-time":"2017-02-16T02:04:09Z","timestamp":1487210649000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The Diagnosis and Treatment of Multiple Factitious Oral Ulcers in a 6\u2010Year\u2010Old Boy"],"prefix":"10.1155","volume":"2017","author":[{"given":"Priscilla Santana Pinto","family":"Gon\u00e7alves","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela Alejandra Cusicanqui","family":"Mendez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0674-3759","authenticated-orcid":false,"given":"Paulo S\u00e9rgio da Silva","family":"Santos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Humberto","family":"Damante","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Rios","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7095-908X","authenticated-orcid":false,"given":"Thiago","family":"Cruvinel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,2,15]]},"reference":[{"key":"e_1_2_5_1_2","doi-asserted-by":"publisher","DOI":"10.1111\/ger.12009"},{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-9657.2012.01121.x"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1017\/s0033291710002497"},{"key":"e_1_2_5_4_2","first-page":"E205","article-title":"Factitial pemphigus-like lesions","volume":"12","author":"Zonuz A. 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