Dr. Letieri is a lecturer, Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Dr. Martins is a doctoral student, Department of Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
J Dent Child (Chic). 2021 Jan 15;88(1):58-61.
The purpose of this paper is to report the successful noninvasive treatment of a self-inflicted traumatic lesion on the lower labial mucosa in a 22-month-old boy with cerebral palsy. An acrylic appliance was cemented on the anterior maxillary region to reduce repetitive self-injury by gradual deprogramming. The wound healed after a few weeks, but four weeks after the appliance was removed new trauma was observed at the site. The appliance was replaced by a new one on the anterior region of the mandibular arch, and complete remission of the habit was achieved after three weeks. In order to prevent relapse, the appliance was gradually reduced in size with carbide drills every two weeks and was removed three weeks after the final reduction. After 24 months of follow-up, the labial mucosa was completely healed and no recurrence of the traumatic habit has been observed.
本文旨在报告一例 22 个月大的脑瘫男童，通过非侵入性治疗成功治愈其下唇黏膜的自伤性创伤。在前上颌区域黏接丙烯酸矫治器，通过逐渐去程序化来减少重复性自伤。几周后伤口愈合，但在矫治器拆除四周后，同一部位再次出现新的创伤。在前下颌弓区域更换新的矫治器，三周后完全戒除该习惯。为了防止复发，每隔两周用碳化硅钻逐渐减小矫治器的尺寸，最后一次减小后三周拆除。经过 24 个月的随访，下唇黏膜完全愈合，未观察到创伤性习惯的复发。
