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Treatment of Morsicatio Buccarum by Oral Appliance: Case Report

Authors
 Min Chang  ;  Jiyeon Kim  ;  YounJung Park  ;  Jeong-Seung Kwon  ;  Seong-Taek Kim  ;  Jong-Hoon Choi  ;  Hyung-Joon Ahn 
Citation
 Journal of Oral Medicine and Pain, Vol.46(3) : 84-87, 2021-09 
Journal Title
Journal of Oral Medicine and Pain
ISSN
 2288-9272 
Issue Date
2021-09
Keywords
Cognitive behavioral therapy ; Compulsive behavior ; Keratosis ; Occlusal splints
Abstract
Morsicatio buccarum is a condition caused by chronic cheek biting. It means frictional hy perkeratosis by repetitive cheek biting, which may be associated with obsessive compulsion.
Clinically it presents as rough, shaggy, whitish, often peeling surface. We report a 9-year old female patient who complained oral ulceration on both buccal mucosa. The initial diag nosis was oral candidiasis because of whitish plaques which were peeled off. Topical anti fungal agent was ineffective and the symptom did not disappear. By incisional biopsy, she
was diagnosed with morsicatio buccarum. A soft oral appliance was placed in the patient’s
oral cavity. Although morsicatio buccarum improved significantly when the appliance was
used, the oral lesion had a tendency to recur, when the patient stopped using the appliance.
In case of recurrence, cognitive behavioral therapy for obsessive-compulsive disorder is
needed for the fundamental treatment.
Files in This Item:
T202105633.pdf Download
DOI
10.14476/jomp.2021.46.3.84
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Orofacial Pain and Oral Medicine (구강내과학교실) > 1. Journal Papers
Yonsei Authors
Kwon, Jeong Seung(권정승) ORCID logo https://orcid.org/0000-0003-4584-7355
Kim, Seong Taek(김성택)
Park, Youn-Jung(박연정) ORCID logo https://orcid.org/0000-0002-9152-7849
Ahn, Hyoung Joon(안형준)
Choi, Jong Hoon(최종훈) ORCID logo https://orcid.org/0000-0003-3211-3619
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/187331
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