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Three young patients with gingival injuries that were self-inflicted by a fingernail habit are presented. In each case the habit, which was provoked by a pre-existing locus of irritation, was stoped as soon as the locus (or trigger) was identified and treated. A distinction is drawn between these types of cases, (gingivitis artefacta minor), and those of gingivitis artefacta major where the habit is more deeply entrenched and the implications more serious.
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Don Stewart (1976) studied this question.
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