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자폐 환자의 자해로 인한 구강 내 손상 : 증례보고

Other Titles
 SELF-INJURIOUS BEHAVIOR IN A PATIENT WITH AUTISM : A CASE REPORT 
Authors
 지은혜  ;  이효설  ;  최형준  ;  김성오  ;  최병재  ;  손흥규  ;  이제호 
Citation
 Journal of Korean Association for Disability and Oral Health (대한장애인치과학회지), Vol.8(1) : 10-14, 2012 
Journal Title
 Journal of Korean Association for Disability and Oral Health  (대한장애인치과학회지) 
ISSN
 1738-8813 
Issue Date
2012
Abstract
Self-injurious behavior (SIB) has been defined as the deliberate destruction or alteration of body tissue without conscious suicidal intent. It occurs in conjunction with a variety of psychiatric disorders as well as various developmental disabilities and some syndromes. The behavior is destructive and causes concern and distress to all involved in the care and treatment of the affected individual. A 13-year-old girl with autism, mental retardation and delayed development was reffered from her pediatrician because of severe and painful lower lip biting. An intraoral examination revealed a diffuse swelling of lower lip. It was covered with necrotic slough and the ulcer and scarring of the lower lip was observed. We chose to use an oral removable prosthesis for Conservative treatment. It was decided to use a soft silicone mouthguard in the maxillary arch. Initially, she could not tolerate the appliance inside her mouth but soon adapted with the appliance. After one month, she lost the mouth guard and started lip biting. So we made mouth guard again. There are no standard methods for preventing self-injurious behavior in a patient who is developmentally disabled. Appropriate preventive methods must be developed for each individual patient based on close observation and clinical findings. Behavior modification techniques, pharmacological treatment, extraction of teeth, orthognathic surgery and intra/extra oral appliances can be performed for adjust self-injurious behavior. A suitable oral guard could be tried initially before employing more invasive approaches.
Files in This Item:
T201205757.pdf Download
DOI
10.12655/jkdoh.2012.8.1.010
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Pediatric Dentistry (소아치과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Seong Oh(김성오) ORCID logo https://orcid.org/0000-0002-8620-1377
Son, Heung Kyu(손흥규)
Lee, Jae Ho(이제호) ORCID logo https://orcid.org/0000-0002-1556-3485
Lee, Hyo Seol(이효설)
Choi, Byung Jai(최병재)
Choi, Hyung Jun(최형준) ORCID logo https://orcid.org/0000-0002-3315-6912
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/92335
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