The Journal of Korea Assosiation for Disability and Oral Health (대한장애인치과학회지)

Korean Association for Disability and Oral Health (대한장애인치과학회)
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SELF-INJURIOUS BEHAVIORS DUE TO VARIOUS MENTAL DISORDERS: ORAL MANIFESTATION AND THE TREATMENT

다양한 정신질환에 의한 자해성 구강손상과 치료

  • Lee, Haewon (Department of Pediatric Dentistry, Yonsei University College of Dentistry) ;
  • Lee, Hyo-Seol (Department of Pediatric Dentistry, Yonsei University College of Dentistry) ;
  • Son, Heung-Kyu (Department of Pediatric Dentistry, Yonsei University College of Dentistry) ;
  • Choi, Hyung-Jun (Department of Pediatric Dentistry, Yonsei University College of Dentistry) ;
  • Lee, Jae-Ho (Department of Pediatric Dentistry, Yonsei University College of Dentistry)
  • 이혜원 (연세대학교 치과대학 소아치과학교실) ;
  • 이효설 (연세대학교 치과대학 소아치과학교실) ;
  • 손흥규 (연세대학교 치과대학 소아치과학교실) ;
  • 최형준 (연세대학교 치과대학 소아치과학교실) ;
  • 이제호 (연세대학교 치과대학 소아치과학교실)
  • Received : 2013.05.29
  • Accepted : 2013.06.01
  • Published : 2013.06.28
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Abstract

Behavioral problems could be easily observed in patients with various mental disorders, and may be inevitable. Self-injurious behavior(SIB) can be defined as a deliberate or subconscious alteration or destruction of one's body without conscious suicidal intent. SIB frequently involves oral tissues and could vary from a trifling injury to damages that could lead to further disabilities. The cases presented in this report discuss oral SIB due to Tic disorder and ADHD and their treatments. Clinicians should be well aware of the possibility of oral SIB in various mental disorders as well as the diverse depths of such behaviors accordingly. Moreover, different treatment modalities should be prioritized according to the causative mental disorders.

이와 같은 정신질환에 따른 자해성 구강손상의 경우 원인 질환에 따라 다양한 정도와 양상의 구강손상을 발견할 수 있으며 그에 따른 치료방법 또한 그에 맞게 적용되야 한다. 이러한 치료방법의 선택은 임상증상과 세심한 평가 후 선택되어야 하며, 이들 중 행동조절법이나 구강 내 장치의 사용과 같은 보존적 치료를 시도해 본 이후, 보다 침습적인 신체 속박술이나 약물치료 그리고 외과적 수술이나 발치 등을 적용하는 것이 효과적일 것이다.

Keywords

References

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