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Lesch–Nyhan syndrome: a preventive approach to self‐mutilation
Author(s) -
Fardi K.,
Topouzelis N.,
Kotsanos N.
Publication year - 2003
Publication title -
international journal of paediatric dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.183
H-Index - 62
eISSN - 1365-263X
pISSN - 0960-7439
DOI - 10.1046/j.1365-263x.2003.00412.x
Subject(s) - medicine , modalities , treatment modality , recall , pediatrics , surgery , social science , linguistics , philosophy , sociology
Summary. Lesch–Nyhan syndrome (LNS), a rare inborn error of metabolism, is characterized by self‐injurious behaviour, which results in partial or total destruction of oral and perioral tissues and/or fingers and hands. Prevention of self‐mutilation raises significant difficulties. Treatment modalities include drug therapy, extraction of teeth, oral appliances and orthognathic surgery, all with variable success. A case of a 10‐year‐old boy with aggressive behaviour and severe lower lip injuries is presented. A palatal plate fabricated to raise the anterior bite proved to have satisfactory results. Although two adjustments were required during the recall visits, the effectiveness of the appliance in assisting healing of soft tissue damage was immediate and still apparent during the 3 years and 8 month follow‐up period.