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Oral self-inflicted accidental trauma in patients with neurological disorders: a case report of dental management in infants with cerebellar hypoplasia

  • Angela Galeotti1
  • Francesco Aristei1
  • Alessandra Putrino2
  • Silvia Vallese1
  • Lorenzo Figà-Talamanca1
  • Giulia Vallogini1
  • Annelyse Martine Garret-Bernardin1
  • Paola Festa1
  • Fabio Magliarditi1
  • Martina Caputo1,*,

1Bambino Gesù Children’s Hospital, IRCCS, 00165 Rome, Italy

2Department of Anatomical, Histological, Forensic and Orthopaedic Sciences, Sapienza University of Rome, 00185 Rome, Italy

DOI: 10.22514/jocpd.2024.048 Vol.48,Issue 2,March 2024 pp.196-203

Submitted: 10 July 2023 Accepted: 10 August 2023

Published: 03 March 2024

*Corresponding Author(s): Martina Caputo E-mail:


Self-inflicted oral injuries, accidental or otherwise, can cause major consequences. Measures need to be taken to protect individuals from chronic self-injurious behaviour; however, there are no official guidelines on the subject. The purpose of this article is to show the case of a 1-year-old patient with neurological disorders who, following the eruption of deciduous teeth, had self-inflicted a traumatic ulcer on his tongue and lower lip. Following a multidisciplinary approach involving several operating units of our hospital to make a diagnosis, an oral device was designed to completely cover the dental elements to prevent recurrence of the trauma and to prevent further worsening of the injuries already caused. The purpose of this work is to demonstrate that although the surgical approach, such as extraction of the dental elements, may be the quickest solution in situations similar to the one presented, the high biological cost and irreversibility of the result lead to seeking alternatives and more conservative solutions such as the one described.


Self-inflicted trauma; Oral cavity; Neurological

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Angela Galeotti,Francesco Aristei,Alessandra Putrino,Silvia Vallese,Lorenzo Figà-Talamanca,Giulia Vallogini,Annelyse Martine Garret-Bernardin,Paola Festa,Fabio Magliarditi,Martina Caputo. Oral self-inflicted accidental trauma in patients with neurological disorders: a case report of dental management in infants with cerebellar hypoplasia. Journal of Clinical Pediatric Dentistry. 2024. 48(2);196-203.


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