Application of different therapies in lip injury in a patient with cerebral palsy: A case report

International Journal of Development Research

Volume: 
11
Article ID: 
23172
3 pages
Research Article

Application of different therapies in lip injury in a patient with cerebral palsy: A case report

Jenifer Diana Souza da Fonseca, Luana Campos, Fabiana Martins, Alessandra Reyes, Priscila Galzo Marafon Moda, Florence Mistro Zumbaio, Wilson Roberto Sendyk and Marcia Hiromi Tanaka

Abstract: 

Background: Cerebral Palsy (CP) is related to non-progressive disorders that occur during fetal development or immature brain. Individuals with spastic CP have abnormal muscle tone causes involuntary movement disorder, pathological reflexes, and development of parafunctional habits. Purpose: This case report describe different therapies to treat a lip injury caused by emotional distress in a patient with spastic CP. First, the custom-made acrylic resin-based mouthguard was used for 2 months and to improve the healing process, the photobiomodulation therapy (PBMT) was used with the association of a chamomile-based ointment and the oral hygiene instruction with 0.12% chlorhexidine. After 1 month of follow up, the botulinum toxin type A (BoNT-A) was applied to decrease the higher spasticity of the lower lip. Discussion: Thus, the use of mouthguard, associated with PBMTand the application of BoNT-A was an effective set for lip injury due to occlusal trauma in patient with spastic CP.

DOI: 
https://doi.org/10.37118/ijdr.23172.10.2021
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