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Quintessence Publishing: Journals: QI
Quintessence International

Edited by Eli Eliav

ISSN 0033-6572 (print) • ISSN 1936-7163 (online)

February 2008
Volume 39 , Issue 2

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

Maria Teresa Botti Rodrigues Santos, PhD/Felipe Scalco Manzano, DDS/Walter Joćo Genovese, PhD

PMID: 18560643

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. (Quintessence Int 2008;39:179.e63–69)

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

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