Application of different therapies in lip injury in a patient with cerebral palsy: A case report
International Journal of Development Research
Application of different therapies in lip injury in a patient with cerebral palsy: A case report
Received 01st August, 2021; Received in revised form 11th September, 2021; Accepted 13th October, 2021; Published online 30th October, 2021
Copyright © 2021, Jenifer Diana Souza da Fonseca et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.