TY - JOUR PY - 2006// TI - A preventive approach to oral self-mutilation in Lesch-Nyhan syndrome: a case report JO - Pediatric dentistry A1 - Jeong, Tae-Sung A1 - Lee, Jung-Hua A1 - Kim, Sungyop A1 - Kim, Joo-Heon A1 - Tootla, Ruwaida G. H. SP - 341 EP - 344 VL - 28 IS - 4 N2 - Lesch-Nyhan syndrome is a rare X-linked recessive disorder of purine metabolism, caused by complete absence of the enzyme hypoxanthine-guanine phosphoribosyl transferase. Persons affected with this incurable disease are developmentally and physically delayed, and suffer from self-injurious behavior. The most typical feature results in partial or total destruction of perioral tissues. The purpose of this paper was to discuss a case of Lesch-Nyhan syndrome with self-mutilative behavior and lip injuries, including some suggestions of a preventive approach avoiding the extraction of teeth. A soft mouthguard fabricated to prevent the destruction of perioral soft tissues and combined psychiatric pharmacologic therapy proved to have satisfactory results.

Language: en

LA - en SN - 0164-1263 UR - http://dx.doi.org/ ID - ref1 ER -