Fabrication of Mouthguard in Patient with Severe Mouth Opening Limitation for Autoimmune Encephalitis before Electroconvulsive Therapy (Case Report)

Kim, Ju-Sik

doi:2022.60.2.91

J Korean Dent Assoc > Volume 60(2); 2022 > Article

Journal of Korean Dental Association 2022;60(2):91-100.
DOI: https://doi.org/10.22974/jkda.2022.60.2.003 Published online January 31, 2022.

개구제한이 심한 자가면역뇌염 환자에서의 전기경련요법 전 구강보호장치의 제작

김주식

서울대학교병원 (본원)치과, 서울대학교치과병원 파견

Fabrication of Mouthguard in Patient with Severe Mouth Opening Limitation for Autoimmune Encephalitis before Electroconvulsive Therapy (Case Report)

Ju-Sik Kim

Department of Dentistry, Seoul National University Hospital Dispatched by Seoul National University Dental Hospital

Correspondence: Ju-Sik Kim, Tel: +82-2-2072-1078, Fax: +82-2-6072-5258,
Email: ofjesus@hanmail.net

Abstract

Mouthguards have been fabricated for protecting oral structures from outer forces. The best type of mouthguard is custom-made by dentists with impression technique. But boil-and-bite mouthguards have been also used, because of economic cause or difficulty in impression taking or emergency of the case. Author has found-ed that rigid boil-and-bite mouthguard can provide a suitable retention when it is moulded by dentist. There is a case that rigid boil-and-bite mouthguard was successfully used to provide mouth protection of a patient with severe mouth opening limitation due to autoimmune encephalitis during electroconvulsive therapy. In conclu- sion, the rigid boil-and-bite mouthguard moulded by dentist can be one of the effective treatment options when impression taking is difficult or mouthguard is urgently needed.

Key Words: Mouthguard; Mouth Protector; Electroconvulsive therapy; Autoimmune encephalitis