01/10/2026
An interesting incidental finding, bilateral palatal gingival ulceration in an 11 year old. Good oral hygiene, good health, symptomless.
Due to a compulsive ‘picking’ habit, parent was aware but didn’t realise the extent (how often would you look here?!)
If it continues there’s a risk of permanent recession, scarring, and possibly even infection or exposed bone. Although it wasn’t painful I suspect heat or certain foods would be sensitive.
We discussed stopping before any orthodontic treatment (the habit may just transfer to picking at the braces), using bitter nail varnish, a squishy or fidget toy, a sticker chart. But like digit sucking I suspect the real drive to stop has to come from the patient.
Have you ever seen a habit like this?
Posted with permission from the parent