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.
Tongne-biting oral ulceration splint
This is a preview of subscription content, log in to check access.
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
Kumar S. Tongue-biting and epilepsy. Indian Paediatr 2005; 42(3):296Google Scholar
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
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
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