2012, Number 4
<< Back Next >>
Acta Pediatr Mex 2012; 33 (4)
Mouth protectors: oclusal guards, splints for patients in critical condition. Experience at the Instituto Nacional de Pediatría
Teja-Ángeles E, Zurita-Bautista YE, Durán-Gutiérrez A
Language: Spanish
References: 32
Page: 191-197
PDF size: 395.86 Kb.
ABSTRACT
Mouth protectors and oclusal guards are devices designed in order to protect the hard and soft oral tissues especially in cases of sports injuries; in the physical therapy of the temporomandibular joint as well as to stabilize teeth, bones and soft tissues fabrics acting as splints. However there are some critically ill patients in whom the use of the mouth protectors, oclusal guards and rods it goes beyond the purpose for which they were devised, such is the case of children with neurological damage, with spasticity, anxiety, bruxism; patients who require ventilatory support for some specific reason and who bite the cannulas; children with neurological syndromes who self inflict their oral soft tissues; patients in coma who do not respond to physical stimuli; patient with dermatological and other syndromes in whom the placement of a device is mandatory in order to protect the tissues and the medical devices, etc. These devices have a pre-established design, but the creativity of the operator should determinate the shape and the features for these protectors. The purpose of this article is to report our experience on the design of mouth devices for specific situations in the National Institute of Pediatrics, nevertheless the preparation, the knowledge and the creativity of the dental practitioners is the limit.
REFERENCES
de Wet FA, Heyns M, Pretorius J Shock absorption potential of different mouth guard materials. J Prosthet Dent. 1999;82:301-6.
Mekayarajjananonth T, Winkler S, Wongthai P. Improved mouth guard design for protection and comfort. J Prosthet Dent 1999;82:627-30.
Zadik Y, Levin L. Orofacial injuries and mouth guard use in elite commando fighters.Mil Med 2008;173:1185-7.
Muhtarogullari M, Demiralp B, Ertan A. Non surgical treatment of sports related temporomandibular joint disorders in basketball players. Dent Traumatol 2004;20:338-43.
Vizcarra WG, de la Teja AE, Rubio RG, Elías MG, Durán GA. Síndrome de automutilación. Implicaciones estomatológicas. Informe de un caso. Acta Pediatr Mex 2009;30:226-30.
Rivera BM, Pérez GJ, Marín SO. Aplicación de un protector bucal hecho a la medida para evitar la automutilación (caso clínico). Revista Mexicana de Odontología Clínica Mayo 2008;2:l0-13.
Rashid N, Yusuf H. Oral self-mutilation by a 17-month-old child with Lesch-Nyhan syndrome. Int J Paediatr Dent 1997;7:115-7.
Fardi K, Topouzelis N, Kotsanos N. Lesch-Nyhan syndrome: a preventive approach to self-mutilation. Int J Paediatr Dent 2003;13:51-6.
Wurtele SK King AC Drabman RS Treatment Package to Reduce sib in a Lesch-Nyhan Patient J Ment Defic Res 1994;28:227-34.
Jeong TS, Lee JH, Kim S, Kim JH, Tootla RG. A preventive approach to oral self-mutilation in Lesch-Nyhan Syndrome: A Case Report. Pediatric Dentistry 2006;28: 341-4.
Littlewood SJ, Mitchell L. The dental problems and management of a patient suffering from congenital insensitivity to pain. Int J Paediatr Dent 1998;8:47-50.
Romero M, Simon R, Garcia-Recuero JI, Romance A. Dental Management of oral self-mutilation in neurological patients: A case of congenital insensitivity to pain with anhidrosis Med Oral Patol Oral Cir Bucal 2008;13:644-7.
Yasui EM, Kimura RK, Kawamura A, Akiyama S, Morisaki I. A modified oral screen appliance to prevent self-inflicted oral trauma in an infant with cerebral palsy: a case report. Oral Surg Oral Med Oral Pathol Oral Radio Endod 2004;97:471-5.
Sheehy EC, Longhurst P, Pool D, Dandekar M. Self-inflicted injury in a case of Hallervorden-Spatz disease. Int J Paediatr Dent 1999;9:299-302.
Amano A, Akiyama S, Ikeda M, Morisaki I. Oral manifestations of hereditary sensory and autonomic neuropathy type IV. Congenital insensitivity to pain with anhidrosis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;86:425-31.
Diab M. Self-inflicted orodental injury in a child with Leigh disease. Int J Paediatr Dent 2004;14:73-7.
Medina AC, Sogbe R, Gómez-Rey AM, Mata M. Factitial oral lesions in an autistic paediatric patient. Int J Paediatr Dent 2003;13:130-7.
Finguer ST, Duperon DF. The management of self inflicted oral trauma secondary to encephalitis: a clinical report. J Dent Child 1991;3:60-3.
Almeida D, da Costa KN, Castro RA, Almeida ML, Vianna R, Antonio AG. Self induced oral injury in an infant with transverse myelitis. Spec Care Dentist 2009;29:254-8.
Munerato MC, Moure SP, Machado V, Gomes FG. Self-mutilation of tongue and lip in a patient with simple schizophrenia. Clin Med Res 2011;9:42-5.
Miti YE, Keiji KR, Kawamura A, Akiyama S, Morisaki I. A modified screen appliance to prevent self-inflicted oral trauma in an infant with cerebral palsy: A case report. Oral surg Oral med Oral pat Oral rad Oral Endod 2004;97:471-5.
Lindemeyer RG. The use of stock fluoride trays in the management of soft tissue trauma in children who are comatose. Spec Care Dentist 2007;27:31-4.
De la Teja ÁE, Ceballos HH, Durán GA, Posadas RG. Tratamiento estomatológico de los trastornos vesiculoampollosos. Síndrome de Lyell. Informe de un caso. Acta Pediatr Méx 2005;26:184-9.
Crossland GJ, Pfleiderer AG. Boil and Bite. Mouth guards for direct laringoscopy. Clin Otolaryng 2006;32:120-35.
Sanders MG. A Simple Effective Mouth Guard for Fiber optic Endoscopy 1972;51:381-2.
Davila JM, Aslani MB, Wentwort E. Oral Appliance attached to a buble helmet for prevention of self-inflicted injury. J Dent Child 1996;4:131-4.
Kobayashi T, Ghanem H, Umezawa K, Mega J, Kawara M, Feine JS. Treatment of self-Inflicted Oral Trauma in a Comatose Patient: A Case Report. J Dent Child 2005;71:661-4.
Milward PJ, Jagger RG. Heat-cured silicone bimaxillary mouth guard. J Prosthet Dent 1995t;74:432-3.
Leksell E, Edvarson S. A Case of Tourette Syndrome presenting oral self injuries. Behavior 2005;15:370-4.
Found MS, Patrick DG, Pearson JR. The influence of strain measurement on the impact performance of sports mouth guards. Composites: Part A37 2006. p. 2164-70.
JADA GUIDELINES Do you need a mouthguard? JADA 2001;132(7):1066.
JADA GUIDELINES The importance of using mouthguards: Tips for keeping your smile safe JADA 2004;135(7):1061.