Treatment of Morsicatio Buccarum by Oral Appliance: Case Report
장민, 김지연, 박연정, 권정승, 김성택, 최종훈, 안형준,
소속 상세정보
장민 ( Chang Min ) - Yonsei University College of Dentistry Department of Orofacial Pain and Oral Medicine
김지연 ( Kim Ji-Yeon ) - Yonsei University College of Dentistry Department of Orofacial Pain and Oral Medicine
박연정 ( Park Youn-Jung ) - Yonsei University College of Dentistry Department of Orofacial Pain and Oral Medicine
권정승 ( Kwon Jeong-Seung ) - Yonsei University College of Dentistry Department of Orofacial Pain and Oral Medicine
김성택 ( Kim Seong-Taek ) - Yonsei University College of Dentistry Department of Orofacial Pain and Oral Medicine
최종훈 ( Choi Jong-Hoon ) - Yonsei University College of Dentistry Department of Orofacial Pain and Oral Medicine
안형준 ( Ahn Hyung-Joon ) - Yonsei University College of Dentistry Department of Orofacial Pain and Oral Medicine
Abstract
Morsicatio buccarum is a condition caused by chronic cheek biting. It means frictional hyperkeratosis 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 diagnosis was oral candidiasis because of whitish plaques which were peeled off. Topical antifungal 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.
키워드
Cognitive behavioral therapy; Compulsive behavior; Keratosis; Occlusal splints
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