Journal of Oral Medicine and Pain

Korean Academy of Orofacial Pain and Oral Medicine (대한안면통증구강내과학회)
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Treatment of Morsicatio Buccarum by Oral Appliance: Case Report

  • Chang, Min (Department of Orofacial Pain and Oral Medicine, Dental Hospital of Yonsei University College of Dentistry) ;
  • Kim, Jiyeon (Department of Orofacial Pain and Oral Medicine, Dental Hospital of Yonsei University College of Dentistry) ;
  • Park, YounJung (Department of Orofacial Pain and Oral Medicine, Dental Hospital of Yonsei University College of Dentistry) ;
  • Kwon, Jeong-Seung (Department of Orofacial Pain and Oral Medicine, Dental Hospital of Yonsei University College of Dentistry) ;
  • Kim, Seong-Taek (Department of Orofacial Pain and Oral Medicine, Dental Hospital of Yonsei University College of Dentistry) ;
  • Choi, Jong-Hoon (Department of Orofacial Pain and Oral Medicine, Dental Hospital of Yonsei University College of Dentistry) ;
  • Ahn, Hyung-Joon (Department of Orofacial Pain and Oral Medicine, Dental Hospital of Yonsei University College of Dentistry)
  • Received : 2021.08.25
  • Accepted : 2021.09.16
  • Published : 2021.09.30
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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.

Keywords

Acknowledgement

This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIP) (no. 2016R1A5A2008630).

References

  1. Woo SB, Lin D. Morsicatio mucosae oris--a chronic oral frictional keratosis, not a leukoplakia. J Oral Maxillofac Surg 2009;67:140-146.
  2. Min K, Park C. Morsicatio labiorum/linguarum- three cases report and a review of the literature-. Korean J Pathol 2009;43:174-176. https://doi.org/10.4132/KoreanJPathol.2009.43.2.174
  3. Sewerin I. A clinical and epidemiologic study morsicatio buccarum-labiorum. Scand J Dent Res 1971;79:73-80.
  4. Kang HS, Lee HE, Ro YS, Lee CW. Three cases of 'morsicatio labiorum'. Ann Dermatol 2012;24:455-458. https://doi.org/10.5021/ad.2012.24.4.455
  5. Ngoc VTN, Hang LM, Bach HV, Chu DT. On-site treatment of oral ulcers caused by cheek biting: a minimally invasive treatment approach in a pediatric patient. Clin Case Rep 2019;7:426-430. https://doi.org/10.1002/ccr3.1978
  6. Fatima R, Abid K, Baig NN, Ahsan SB. Association of cheekbiting and depression. J Pak Med Assoc 2019;69:49-52.
  7. Amadori F, Bardellini E, Conti G, Majorana A. Oral mucosal lesions in teenagers: a cross-sectional study. Ital J Pediatr 2017;43:50. https://doi.org/10.1186/s13052-017-0367-7
  8. Tomas Carmona I, Cameselle Tejeiro J, Diz Dios P, Seoane Leston J, Castro Ferreiro M, Limeres Posse J. Morsicatio linguarum versus oral hairy leukoplakia. Dermatology 2000;201:281-282. https://doi.org/10.1159/000018482
  9. Van Wyk CW, Staz J, Farman AG. The chewing lesion of the cheeks and lips: its features and prevalence among a selected group of adolescents. J Dent 1977;5:193-199. https://doi.org/10.1016/0300-5712(77)90003-3
  10. Moritz S, Muller K, Schmotz S. Escaping the mouth-trap: recovery from long-term pathological lip/cheek biting (morsicatio buccarum, cavitadaxia) using decoupling. J Obsess Compuls Relat Disord 2020;25:100530. https://doi.org/10.1016/j.jocrd.2020.100530
  11. Hatjigiorgis CG, Martin JW. An interim prosthesis to prevent lip and cheek biting. J Prosthet Dent 1988;59:250-252. https://doi.org/10.1016/0022-3913(88)90023-6
  12. Romero M, Vicente A, Bravo LA. Prevention of habitual cheek biting: a case report. Spec Care Dentist 2005;25:214-216. https://doi.org/10.1111/j.1754-4505.2005.tb01652.x
  13. Bhatia SK, Goyal A, Kapur A. Habitual biting of oral mucosa: a conservative treatment approach. Contemp Clin Dent 2013;4:386-389. https://doi.org/10.4103/0976-237X.118357
  14. Rana V, Srivastava N, Kaushik N, Panthri P. Cheek plumper: an innovative anti-cheek biting appliance. Int J Clin Pediatr Dent 2016;9:146-148. https://doi.org/10.5005/jp-journals-10005-1352
  15. American Psychiatic Association. Diagnostic and statistical manual of mental disorders (DSM-5). 5th ed. Arlington: American Psychiatic Association; 2013.
  16. Grant JE, Stein DJ, Woods DW, Keuthen NJ. Trichotillomania, skin picking, and other body-focused repetitive behaviors. Washington, D.C.: American Psychiatric Publishing; 2012.
  17. Lochner C, Roos A, Stein DJ. Excoriation (skin-picking) disorder: a systematic review of treatment options. Neuropsychiatr Dis Treat 2017;13:1867-1872. https://doi.org/10.2147/NDT.S121138
  18. Moritz S, Rufer M. Movement decoupling: a self-help intervention for the treatment of trichotillomania. J Behav Ther Exp Psychiatry 2011;42:74-80. https://doi.org/10.1016/j.jbtep.2010.07.001
  19. Moritz S, Treszl A, Rufer M. A randomized controlled trial of a novel self-help technique for impulse control disorders: a study on nail-biting. Behav Modif 2011;35:468-485. https://doi.org/10.1177/0145445511409395
  20. Weidt S, Klaghofer R, Kuenburg A, et al. Internet-based self-help for trichotillomania: a randomized controlled study comparing decoupling and progressive muscle relaxation. Psychother Psychosom 2015;84:359-367. https://doi.org/10.1159/000431290