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Instituto Nacional de Perinatología

2009, Number 2

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Perinatol Reprod Hum 2009; 23 (2)

Electrical burns in mouth

Valencia HR, García HJ

Language: Spanish
References: 38
Page: 116-123
PDF size: 217.46 Kb.


ABSTRACT

Perioral burns can be caused by electrical, thermal and chemical agents. These burns may result in a contracture of the facial tissue during the process of cicatrization, producing a limited oral access, aesthetic compromises and other problems related to the mentioned function. The mouth is the most common area in children younger than two years old when an electric burn occurs; and when children suck or bite an electric power cord, the frequently affected areas are the commissures, beside the upper or lower lip. The principal sequels that may become dentists interested are: microstomia, morphologic lip deformities, ankyloglossia, alterations in osseous and occlusal development, dental pulp necrosis, and defects in dental development. Upper lip rehabilitation is one of the most difficult tasks to perform, because of its morphology and the characteristics of the perioral musculature, since it works as a sphincter that gets collapsed when a process of lesion cicatrization occurs, generating a microstomia. Even though several surgeons carry out immediate surgeries in order to get lip reconstruction, these operations may produce worse results. At this moment, the dentist may take part, manufacturing fix or removable, active or passive, devices or attachments in order to prevent microstomia. Theses devices should be monitored for an eight-month period in order to provide a better cicatrization diagnosis. Every result, no matter how good it may be, does not reach the result that prevention gives, what keeps on being our best choice.


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