The association of low and high laser treatments on self-inflicted lip injury: a case report.
OBJECTIVE
Report a clinical case of surgical lip lesion removal owing to self-injury in a 9-year-old male quadriplegic, spastic cerebral palsy (CP) patient using low and high lasers in association.


BACKGROUND
Various management methods for oral trauma have been suggested, depending on the severity, frequency, and cause of injury, including medication, behavioral techniques, and oral appliances or dental extractions.


METHODS
Initially, low-level laser therapy (LLLT) was used on the injured labial tissue measuring 2.2 cm externally and 3.4 cm in the internal mucosal, followed by surgical removal using a CO(2) laser. After 30 days, a significant reduction in injury to the oral tissues was observed, and the region presented normal color and good healing conditions.


CONCLUSIONS
The association of different laser therapies to remove and heal a lip lesion owing to self-injurious behavior was effective and promoted improvement in the patient's quality of life by establishing painless mastication.
Universidade Cruzeiro do Sul, São Paulo, Brazil. drsantosmt@yahoo.com.br
Maria Teresa Botti Rodrigues
MT
Santos
Luiz Antonio
LA
de Souza Merli
Renata Oliveira
RO
Guare
Maria Cristina Duarte
MC
Ferreira
D002648:Child; D006801:Humans; D054020:Lasers, Gas; D008046:Lip / Q000293:injuries* / Q000601:surgery*; D028022:Low-Level Light Therapy; D008297:Male; D014945:Wound Healing / Q000528:radiation effects