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Self-injurious behavior as a challenge for the dental practice: a case report
Daniela Rodrigues Silva1, Márcio A da Fonseca
1Department of Orthodontics and Pediatric Dentistry, University of Michigan School of Dentistry, Ann Arbor, Mich, USA. silvad@umich.edu
Pediatric Dentistry
|March 12, 2003
Summary
Self-injurious behavior (SIB) like cheek-biting in adolescents with developmental disabilities presents dental challenges. A modified orthodontic retainer successfully treated cheek-biting, improving patient quality of life.
Area of Science:
- Dentistry
- Developmental Disabilities
- Behavioral Science
Background:
- Self-injurious behavior (SIB) poses significant challenges in clinical settings, particularly when oral structures are involved.
- Patients with developmental disabilities and conditions like hydrocephalus may exhibit SIB, requiring specialized management.
- The role of oral structures in SIB necessitates investigation for effective therapeutic strategies.
Observation:
- A case study focused on an adolescent with a history of hydrocephalus and developmental delay presenting with cheek-biting SIB.
- The self-injurious behavior specifically targeted the oral structures, causing potential harm and distress.
- Standard dental interventions were considered but required modification for this unique patient presentation.
Findings:
- A modified standard maxillary orthodontic retainer was successfully employed to manage the cheek-biting behavior.
- The intervention effectively prevented further self-injury to the oral tissues.
- This case demonstrates a viable conservative treatment approach for SIB in this patient population.
Implications:
- Early detection and intervention are crucial for successful therapeutic outcomes in SIB cases.
- Dental professionals can play a vital role in managing SIB through adapted orthodontic devices.
- Effective management of SIB significantly enhances the quality of life for individuals with developmental disabilities.