THE DENIAL MANAGEMENT OF SELF-INFLICTED ORAL MUTILATION

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Journal of the Korean Academy of Pediatric Dentistry 2005;32(2):244-250.
Published online May 31, 2005.

THE DENIAL MANAGEMENT OF SELF-INFLICTED ORAL MUTILATION

자해로 인한 구강내 손상의 치과적 조절 : 증례 보고

이상익, 김영재, 이상훈, 김종철, 한세현, 장기택

서울대학교 치과대학 소아치과학교실 및 치학연구소

Correspondence: ,

Abstract

Self-injurious behavior is defined as deliberated harm to one's own body without suicidal intent. It usually occurs as head banging or hitting, body hitting, skin cutting, or finger biting and includes ocular, genital, and self-inflicted oral mutilation. Self-injurious behavior can occur with mental retardation, coma, psychotic problem, poisoning, or character disorders. In pediatric patients, self-injurious behavior usually is reported to lip, cheek and tongue biting, and many kinds of dental management methods have been introduced to prevent self-injurious behavior patients from self biting. This report presents two self-inflicted oral mutilation patients who were all treated successfully with appliances such as modified activator without wire for retention, modified tongue-rake appliance and mouth guard.

Key Words: Self-injurious behavior, Self-inflicted oral mutilation