Santos Maria Teresa Botti Rodrigues, Manzano Felipe Scalco, Genovese Walter João
Division of Dentistry for Persons with Disabilities, School of Dentistry, Universidade Cruzeiro do Sul, São Paulo, Brazil.
Quintessence Int. 2008 Feb;39(2):e63-9.
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.
评估7例因自我造成口腔创伤导致唇部损伤的患者的不同牙科治疗方法。
患者根据3种治疗方法分组：第1组，使用口腔矫治器；第2组，A型肉毒杆菌毒素神经肌肉阻滞；第3组，口腔外科手术。
神经肌肉阻滞可作为自伤行为患者的首选治疗方法，因为注射A型肉毒杆菌毒素是一种耐受性良好、安全有效的操作，可改善肌肉痉挛、磨牙症、张口度、口腔卫生和唇部创伤。第二种选择是使用口腔矫治器，最后一种选择是口腔外科手术。激光治疗应用于有自我造成口腔创伤的患者的创伤性损伤时也被发现是有效的。
