Abstract
We recently treated two patients with tongue laceration and tongue ulcers due to automutilation.
Case 1: A 7-year-old male visited us with the chief complaint of ulceration of the tongue. He had experienced repeated episodes of tongue ulceration since the age of about five. We applied a mandibular splint and advised the family to modify the family environment. Automutilation of the tongue decreased 4 months after the beginning of the intervention, and the lesion became treatable.
Case 2: A 21-year-old male with tongue ulceration visited us with the chief complaint of acute weight loss associated with food intake disorder. His past history included autism and mental retardation. We explained the relationship between the habit of automutilation and psychogenic factors to the family and obtained their understanding and cooperation in treating the disease. The ulcers healed on day 14, and food intake disorder disappeared with the recovery of body weight.
