자해로 인한 구강내 손상의 치과적 조절 : 증례보고
The dental management of self-inflicted oral mutilation
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자해 행위(self-injurious behavior)란 자살 의도 없이 자신의 신체 일부를 무의식적 혹은 고의로 손상시키는 것으로 정의한다. 이는 머리 및 몸 때리기, 피부 절단 혹은 손가락 깨물기 등의 형태로 나타나며, 눈, 성기 및 구강 내 자해 행위(self-inflicted oral mutilation)를 포함한다. 자해 행위는 일반적으로 정신지체, 혼수상태, 정신과적 문제, 약물의 독성 혹은 성격 장애를 지닌 환자에게서 일어날 수 있다. 소아 환자에서 자해 행위는 보통 입술, 협점막 및 혀 깨물기 등이 보고되고 있으며, 이러한 구강 내 자해 행위를 방지하기 위해 치과적 조절 방법들이 소개되고 있다. 본 증례에서는 구강 내 자해 소견을 보인 두 명의 소아 환자들에 대해, 각각 변형된 activator 형태의 가철성 장치, 후방으로 연장된 tongue-rake 장치 및 mouthguard 등을 사용하여 양호한 치유과정을 보였기에 보고하는 바이다.
Abstract
Self-injurious behavior is defined as deliberated harm to one's own body without suicidal intent. It usually occurs as head banging or hitting, body hitting, skin cutting, or finger biting and includes ocular, genital, and self-inflicted oral mutilation. Self-injurious behavior can occur with mental retardation, coma, psychotic problem, poisoning, or character disorders. In pediatric patients, self-injurious behavior usually is reported to lip, cheek and tongue biting, and many kinds of dental management methods have been introduced to prevent self-injurious behavior patients from self biting. This report presents two self-inflicted oral mutilation patients who were all treated successfully with appliances such as modified activator without wire for retention, modified tongue-rake appliance and mouth guard.
참고문헌 (15)
- "Successful treatment of self-inflicted oral mutilation using an acrylic splint retained by a head gear", 18(5), pp.408~410 (1996)
- "Self-inflicted oral mutilation in a psychotic adolescent report of a case", pp.750~751 (1967)
- "Self-injurious behavior as a challenge for the dental practice:a case report", pp.62~66 (2003)
- "Prevention of self-mutilation in patients with Lesch-Nyhan syndrome review of literature", pp.175~178 (2001)
- "Lesch-Nyhan syndrome and the lower lip guard", 76(4), pp.437~440 (1993)
- "Oral self-mutilation by a 17-month-old child with Lesch-Nyhan syndrome", 7(2), pp.115~117 (1997)
- "successful prevention of lower lip ulceration caused by self-mutilation by use of mouth guard", pp.37~38 (1994)
- "The management of self-inflicted oral trauma secondary to encephalitis", pp.60~63 (1991)
- "Why patients mutilate themselves", 40(2), pp.137~145 (1989)
- "A clinical and epidemiologic study morsicatio buccarum-labiorum", 79(2), pp.73~80 (1971)
- "Alternative therapies in the treatment or oral self-injurious behavior", pp.66~69 (1998)
- "Orthognathic surgery for the treatment of chronic self-mutilation of the lips", 21(3), pp.133~136 (1992)
- "Prevention of self-inflicted trauma in comatose patients", 57(4), pp.367~370 (1984)
- "Prevention of tongue biting with a removable oral device", pp.508~510 (2000)
- "A tongue stent for prevention of oral trauma in the comatose patient Abstract The dental management of self-inflicted oral mutilation Sang-Ik Lee"