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European Archives of Paediatric Dentistry

, Volume 11, Issue 3, pp 149–154 | Cite as

A unique presentation of severe tongue biting in 10 month-old twins with a novel approach to management

  • A. Suchak
  • M. MarsEmail author
Case Report

Abstract

BACKGROUND: Tongue biting in infants has a variety of aetiological factors and is a distressing problem. CASE REPORT: 10 month-old twin boys presented with severe ulceration of the tongue caused by self-mutilation and a maternal family history of this condition. TREATMENT: Thermoplastic splints were used to protect the tongue and facilitate healing, with denture fixative added to aid retention in the mouth. FOLLOW-UP: The twins have been recalled regularly and at their most recent review, two years after initial presentation, one twin did not need a splint at all, and the other suffered only from very occasional episodes of tongue-biting. CONCLUSION: A conservative and well-tolerated approach to treatment for such problems is presented.

Key words

Tongne-biting oral ulceration splint 

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References

  1. Butler J, Fleming P, Webb D. Congenital insensitivity to pain — review and report of a case with dental implications. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;101(1):58–62PubMedCrossRefGoogle Scholar
  2. Cauwels RG, Martens LC. Self-mutilation behaviour in Lesch-Nyhan syndrome. J Oral Pathol Med 2005; 34(9):573–5PubMedCrossRefGoogle Scholar
  3. Coyne BM, Montague T. Teeth grinding, tongue and lip biting in a 24-month-old boy with meningococcal septicaemia. Report of a case. Int J Paediatr Dent 2002 12(4):277–80PubMedCrossRefGoogle Scholar
  4. Mass E, Gadoth N. Oro-dental self-mutilation in familial dysautonomia. J Oral Pathol Med 1994; 23(6):273–6PubMedCrossRefGoogle Scholar
  5. Kumar S. Tongue-biting and epilepsy. Indian Paediatr 2005; 42(3):296Google Scholar
  6. Nurko C, Errington BD, Ben Taylor W, Henry R. Lip biting in a patient with Chiari type II malformation: a case report. Paediatr Dent 1999; 21(3):209–12Google Scholar
  7. Romer M, Dougherty N, Fruchter M. Alternative therapies in the treatment of oral self-injurious behavior: a case report. Spec Care Dent 1998; 18(2):66–39CrossRefGoogle Scholar
  8. Sugahara T, Mishima K, Mori Y. Lesch-Nyhan syndrome: successful prevention of lower lip ulceration caused by self-mutilation by use of a mouth guard. Int J Oral Maxillofacial Surg 1994; 23(1):37–8CrossRefGoogle Scholar

Copyright information

© Adis International 2010

Authors and Affiliations

  1. 1.Maxillofacial and Dental DepartmentGreat Ormond Street Hospital for Children NHS TrustLondonEngland

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