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Quintessence International



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Quintessence Int 39 (2008), No. 2     8. Jan. 2008
Quintessence Int 39 (2008), No. 2  (08.01.2008)

Online Article, Page 179, PubMed:18560643

Online Article: Different approaches to dental management of self-inflicted oral trauma: Oral shield, botulinum toxin type A neuromuscular block, and oral surgery
Santos, Maria Teresa Botti Rodrigues / Manzano, Felipe Scalco / Genovese, Walter João
Objective: To assess different approaches to the dental management of lip injuries caused by self-inflicted oral trauma in 7 patients.
Method and Materials: 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.
Results and Conclusion: 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.

Keywords: botulinum toxin, lip trauma, oral appliances, self-injurious behavior, spasticity