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Successful prevention of oral self-mutilation using a lip guard: a case report


  • Praveen Kumar PS, MDS,

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    1. Assistant Professor
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  • Nandlal Bhojraj MDS

    1. Professor and Head Department of Pedodontics and Preventive Dentistry—Jagadguru Sri Shivarathreeshwara (JSS) Dental College and Hospital, JSS University, Mysore, Karnataka, India.
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  • Spec Care Dentist 31(3): 114-118, 2011

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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 was no recurrence even at the 17-month follow-up appointment.

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