Different approaches to dental management of self-inflicted oral trauma: oral shield, botulinum toxin type A neuromuscular block, and oral surgery

To assess different approaches to the dental management of lip injuries caused by self-inflicted oral trauma in 7 patients. The patients were grouped based on 3 treatment approaches: group 1, placement of an oral appliance; group 2, botulinum toxin type A neuromuscular block; and group 3, oral surge...

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Published inQuintessence international (Berlin, Germany : 1985) Vol. 39; no. 2; p. e63
Main Authors Santos, Maria Teresa Botti Rodrigues, Manzano, Felipe Scalco, Genovese, Walter João
Format Journal Article
LanguageEnglish
Published Germany 01.02.2008
Subjects
Botulinum Toxins, Type A - therapeutic use
Bruxism - prevention & control
Cerebral Palsy - complications
Child
Coma - complications
Female
Humans
Laser Therapy
Lip - injuries
Lip - surgery
Male
Middle Aged
Mouth Protectors
Neuromuscular Agents - therapeutic use
Oral Hygiene
Oral Surgical Procedures - methods
Range of Motion, Articular - physiology
Self-Injurious Behavior - prevention & control
Spasm - prevention & control
Tongue - injuries
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Summary:To assess different approaches to the dental management of lip injuries caused by self-inflicted oral trauma in 7 patients. The patients were grouped based on 3 treatment approaches: group 1, placement of an oral appliance; group 2, botulinum toxin type A neuromuscular block; and group 3, oral surgery. Neuromuscular block can be the first choice of treatment for patients with self-injurious behavior since botulinum toxin A injection is a well-tolerated, safe, and effective procedure, permitting improvement in muscle spasticity, bruxism, range of mouth opening, oral hygiene, and lip trauma. The second option would be the use of the oral appliance, and the last choice is oral surgery. Laser therapy was also found to be effective when applied to traumatic injuries in patients who present self-inflicted oral trauma.
ISSN:1936-7163