Question about diagnostic proper name

[Johnsen]

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Hello

I had a patient today, 13 year old girl, with newly erupted upper second molars.

She has "big cheeks", ie large buccal fat pad, combined with a small mouth, and her upper left second molar is traumatic to her cheek causing an ulceration. She is otherwise healthy.

I was wondering if there's a proper diagnostic name of this? other than the more elusive "traumatic bite"...

Thanks in advance =)

 

[Mackchops]

obesity

 

[tinman831]

Hello

I had a patient today, 13 year old girl, with newly erupted upper second molars.

She has "big cheeks", ie large buccal fat pad, combined with a small mouth, and her upper left second molar is traumatic to her cheek causing an ulceration. She is otherwise healthy.

I was wondering if there's a proper diagnostic name of this? other than the more elusive "traumatic bite"...

Thanks in advance =)

Traumatic ulceration.

Also morsicatio buccarum is latin(?) for chronic cheek nibbling.

 

[Johnsen]

Thank you for the name.

Does anyone have a treatment option, other than extraction?
I have the patient using corsodyl now, with recall in one week.
I would prefer to wait, but this might not be possible...

 

[Johnsen]

I have been looking everywhere for similar clinical cases, but cant seem to find any. In Neville's pathology they seem to acknowledge the problem, but no tx-option is advised.

I was wondering if anyone has any experience with oral shields, and if this might be the solution..? Or could it be fixed by simply removing the cusps by adding GIC?

If anyone has had a case like this inputs would be helpful.

Regards

 

[ODEP PEDO]

Thank you for the name.

Does anyone have a treatment option, other than extraction?
I have the patient using corsodyl now, with recall in one week.
I would prefer to wait, but this might not be possible...

extraction should not be an option for traumatic ulcer, monitor (is the patient having this issue consistently over and over, if yes, do something other than monitor, if first time, monitor / preventive + OH), round it up the cusps, mouthguard, ortho, unicorn over a rainbow, anything, but do not even contemplate the idea of extractions