A Self-Injurious Behavior Causing Unusual Bilateral Gingival Recessions and Affecting the Periodontal Treatment: A Case Report
Bibliographic record
Abstract
Gingival recessions (GRs) can be multifactorial in its etiology. They occur either due to a mechanical influence or an inflammatory reaction in the gingival tissues. The cause should be diagnosed before taking any step in the treatment. The purpose of this case report was to highlight any adverse effect of the destructive ability of the psychological self-injurious behavior (SIB) to the gingiva and illustrate how such habits may affect the treatment success. In the reported case, a teenage patient had a constant habit of fingernails scratching that caused bilateral GRs in both mandibular canines. She admitted that this SIB was because of family problems. Usually, such persistent habit complicates the treatment; therefore, we planned for her psychological treatment first and then the periodontal surgical intervention using Alloderm® for root coverage. After 7 days of good healing and predictable results, the patient’s careless behavior decreased the chances of the successful treatment. J Med Cases. 2017;8(2):42-47 doi: https://doi.org/10.14740/jmc2719w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.002 | 0.002 |
| Meta-epidemiology (broad) | 0.002 | 0.001 |
| Bibliometrics | 0.003 | 0.002 |
| Science and technology studies | 0.003 | 0.002 |
| Scholarly communication | 0.002 | 0.003 |
| Open science | 0.001 | 0.003 |
| Research integrity | 0.006 | 0.004 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".