Morsicatio buccarum et labiorum

Frikha, F.; Bahloul, E.; Mesrati, H.; Sellami, Khadija; Amouri, M.; Turki, H.

doi:10.1016/j.annder.2019.02.010

Cited by 4 publications

(3 citation statements)

References 3 publications

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“…This misdiagnosis can lead to unnecessary invasive investigations. Roughness, desquamative peeling surface, bilaterality, and localization on movable mucosa could help distinguish morsicatio from other whitish mucosal lesions 2 . In some circumstances, clinical doubt necessitates a biopsy, but dermoscopy can aid in diagnosis.…”

Section: Figurementioning

confidence: 99%

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Whitish patches on the buccal mucosa: Role of dermoscopy

Baklouti

Mnif

Sellami

et al. 2023

Clinical Case Reports

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Morsicatio is caused by chronic self‐inflicted biting of the buccal mucosa that results in clinically whitish plaques. It is frequently confused with other dermatological mucosal disorders. To avoid needless invasive procedures, dermoscopy can help with differential diagnosis. Dermoscopy shows whitish and yellowish structureless areas and lines, small erosions, and some white scales. The lack of additional, more specific signs such as Wickham striae is crucial to guide the diagnosis.

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Section: Figurementioning

confidence: 99%

“…Roughness, desquamative peeling surface, bilaterality, and localization on movable mucosa could help distinguish morsicatio from other whitish mucosal lesions. 2 In some circumstances, clinical doubt necessitates a biopsy, but dermoscopy can aid in diagnosis. Wickham striae are a pathognomonic sign of mucosal lichen planus during dermoscopy.…”

mentioning

confidence: 99%

Whitish patches on the buccal mucosa: Role of dermoscopy

Baklouti

Mnif

Sellami

et al. 2023

Clinical Case Reports

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“…Single or occasional episodes of self-induced accidental oral injury in the oral cavity are relatively benign; recurrent selfinjury can result in a major sequelae and predispose the patient to develop chronic and serious complications [1]. In the oral cavity, lesions induced by self-inflicted trauma were first described clinically by a dermatologist, Dr. Schuermann, in 1958, in a textbook on diseases of the oral mucosa and lips under the term "Morsicatio Buccarum" (MB), pointing out that certain patients, even healthy ones, had compulsive neuroses and were responsible for this type of self-provoked injury [2,3]. The cause of self-induced masticatory trauma on oral mucosa behaviour has been widely reported, especially in patients with cerebral palsy, severe neurological disabilities, Tourette syndrome, Lesch-Nyhan syndrome, Chiari malformations type II, congenital insensitivity to pain, other neuropsychiatric disorders, and cases of childhood encephalitis [4,5].…”

Section: Introductionmentioning

confidence: 99%

Oral self-inflicted accidental trauma in patients with neurological disorders: a case report of dental management in infants with cerebellar hypoplasia

2024

JOCPD

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Self-inflicted oral injuries, accidental or otherwise, can cause major consequences. Measures need to be taken to protect individuals from chronic self-injurious behaviour; however, there are no official guidelines on the subject. The purpose of this article is to show the case of a 1-year-old patient with neurological disorders who, following the eruption of deciduous teeth, had self-inflicted a traumatic ulcer on his tongue and lower lip. Following a multidisciplinary approach involving several operating units of our hospital to make a diagnosis, an oral device was designed to completely cover the dental elements to prevent recurrence of the trauma and to prevent further worsening of the injuries already caused. The purpose of this work is to demonstrate that although the surgical approach, such as extraction of the dental elements, may be the quickest solution in situations similar to the one presented, the high biological cost and irreversibility of the result lead to seeking alternatives and more conservative solutions such as the one described.

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