World J Oral Maxillofac Surg | Volume 1, Issue 4 | Case Report | Open Access
Preetha Anand1* and Lirin Ann Thomas2
1Department of Oral medicine and Radiology, AIMST University, Malaysia
2Department of Orthodontics, AIMST University, Malaysia
*Correspondance to: Preetha Anand
Fulltext PDFOral Mucosal white lesions have varied appearance among them the most common presentation is white. Though most of the white lesions appear similar to each their identification requires an integrated approach which includes history, clinical examination, and investigations. Clinically the term, “morsicatio mucosae oris”, “morsicatio buccarum” or “morsicatio labiarum” is used for white lesions which are caused by self-inflicted behaviours in the oral cavity; clinical appearance of such lesions depends on the severity of the habit. “Morus” means bite, buccarum or labiarum termed based on their location. Chewing of oral mucosa causes acute mucosal injury which leads to oral traumatic ulcer or Chronic oral mucosal tissue injury which brings morphological changes in the oral mucosa and appears as macerated or shredded greyish white patch caused due to repetitive habitual chewing, biting, or “nibbling” of the teeth over the mucosa. These injuries are clinically termed as “Morcicatio”. This self-mutilated white lesion is noted in adults as well as children and is a feature of syndrome and psychiatric disorder associated with developmental and psychological problems. Most people are aware of chewing their oral mucosa hence this activity is performed both during awaking as well subconscious hours. The present case is a report of patient with self-inflicted morcicatio lesion wherein patient was well oriented with no underlying psychiatric disorder and reported of being self-indulged in chewing his oral mucosa especially at nights. Hence treatment was directed towards multicomponent behavioural intervention habit reversal HRT along with tablet alprazolam 0.5 mg taken every night for three months. Patient is kept under regular periodic observation. Here is a case report of a patient with self-inflicted oral mucosal lesion with HRT and pharmacological therapy.
Self-inflicted; Mucosa chewing; Habitual
Anand P, Thomas LA. Self-Inflicted Oral Mucosa Lesion in Non Syndomic, NonPsychiatric Patient: Management with Pharmacological and Multicomponent Behavioural Intervention-A Case Report. World J Oral Maxillofac Surg. 2018;1(4):1016.