title: [A maxillary lip bumper used to manage labial self-mutilation].
abstract: BACKGROUND
  The repair of facial self-mutilation often fails if the reconstruction is not protected. The authors report a case of a lip self-mutilation treated by an orthodontic device: the "lip bumper".
  
  
  METHODS
  A four-year-old patient presented with self-mutilation of the lower lip in a context of multiple malformations. The defect concerned two third of the lower lip. The treatment combined antibiotics, local care, psychiatric management and a lip bumper. The evolution was favorable without need for secondary reconstruction.
  
  
  CONCLUSIONS
  The lip bumper is a simple orthodontic device. It pushes the lower lip away from the dental arch. It is used to stop the pattern "agitation-mutilation-infection".
authors.affiliation: Service de stomatologie et chirurgie maxillofaciale, hôpital 20-Août-1953, CHU Ibn Rochd, rue Lahcen-El-Arjoune, Casablanca, Maroc. melbouihi@hotmail.com
authors.forename: M
authors.initials: M
authors.lastname: El Bouihi
authors.forename: N
authors.initials: N
authors.lastname: El Fares
authors.forename: F
authors.initials: F
authors.lastname: Slimani
authors.forename: K
authors.initials: K
authors.lastname: Bennis
authors.forename: A
authors.initials: A
authors.lastname: Benjelloun
authors.forename: A
authors.initials: A
authors.lastname: Chekkoury Idrissi
mesh_terms: D000015:Abnormalities, Multiple; D001734:Bites, Human / Q000517:prevention & control; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008046:Lip / Q000293:injuries*; D016382:Orthodontic Appliance Design; D009967:Orthodontic Appliances; D012652:Self Mutilation / Q000628:therapy*; D016728:Self-Injurious Behavior / Q000517:prevention & control