2011
DOI: 10.1111/j.1754-4505.2011.00188.x
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Successful prevention of oral self‐mutilation using a lip guard: a case report

Abstract: Self-injurious behavior (SIB) is causing deliberate harm to the body without suicidal intent; this problem occurs in a number of psychiatric, behavioral, and developmental disorders. This report describes the case of a girl, aged 19 months, whose lower lip injuries due to SIB were successfully treated through the use a combination of extraoral and intraoral prostheses. A custom-made lip guard with a custom-made adjustable head strap was effective in the management of the lip trauma. SIB was prevented and there… Show more

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Cited by 7 publications
(4 citation statements)
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“…Non-healing wound on her lower lip, caused by a strong and long-lasting biting, was protected with an acrylic mouthguard combined with a soft protective splint, covering partially dentulous alveolar ridge, and head strap to improve retention. After a three-month period wound was completely healed [34].…”
Section: Discussionmentioning
confidence: 98%
“…Non-healing wound on her lower lip, caused by a strong and long-lasting biting, was protected with an acrylic mouthguard combined with a soft protective splint, covering partially dentulous alveolar ridge, and head strap to improve retention. After a three-month period wound was completely healed [34].…”
Section: Discussionmentioning
confidence: 98%
“…En pacientes con algún grado de discapacidad, PC, autismo, epilepsia o algún grado de trastorno del desarrollo intelectual, estos han sido indicados con el fin de evitar el daño auto infringido por movimientos involuntarios y bruscos (Nurko et al, 1999;Santos et al, 2008). Los que también se han indicado en casos de niños pequeños con PC para recibir tratamiento oral no invasivo y efectivo en la protección de tejidos orales blandos (Kumar & Bhojraj, 2011). Así como también se ha reportado el uso de terapia láser para tratamiento de lesiones en tejidos orales blandos producidas por mordidas involuntarias auto infringidas (Walsh, 2003).…”
Section: Discussionunclassified
“…Amongst the various treatment options bite planes, intermaxillary fixation, mouth props and tongue blades have often been suggested. [2181920] The management of such patients should however be immediate using an easily fabricated removable appliance in the short term. A more definitive solution should be sought as the level of consciousness improves.…”
Section: Discussionmentioning
confidence: 99%