Suwaon Phumratprapin DDS, MDSc*
Affiliation : * Dental Department, Queen Sirikit National Institute of Child Health, Bangkok, Thailand
Objective : To describe the successful intervention with a ready-made fluoride tray for treatment of severe tongue biting
problem in a 3-year-old Wilms’ tumor child admitted in Surgical Intensive Care Unit (SICU).
Material and Method: The medical record of a tongue biting Wilms’ tumor child was retrospectively reviewed.
Results : The outcome was complete healing and regaining of normal tongue size and function without any complication. At the
follow-up, the patient could talk and swallow normally.
Conclusion : Ready-made fluoride trays as mouth guard can be successful in cases where patients are unable to have a
custom-made mouth guard due to severe tongue protrusion. It could also be applied to similar situations and should be
considered as another alternative treatment.
Keywords : Fluoride tray, Tongue biting
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