Collaborative management of severe periodontal-endodontic lesion with intense lip sucking: a case report
Abstract Background Lip behaviors can lead to maxillofacial developmental disorders such as anterior open bite, posterior crossbite, increased overjet, and a higher risk of developing a Class II malocclusion. However, lip-sucking, a behavior often underreported and overlooked, may adversely affect t...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | BMC Oral Health |
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| Online Access: | https://doi.org/10.1186/s12903-025-05469-6 |
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| author | Yanfei Sun Xiaofang Zhao Mingchao Wang Xiangkun Sun Kunzhou Mei Yameng Zhang Yanwen Cui Fang Yang |
| author_facet | Yanfei Sun Xiaofang Zhao Mingchao Wang Xiangkun Sun Kunzhou Mei Yameng Zhang Yanwen Cui Fang Yang |
| author_sort | Yanfei Sun |
| collection | DOAJ |
| description | Abstract Background Lip behaviors can lead to maxillofacial developmental disorders such as anterior open bite, posterior crossbite, increased overjet, and a higher risk of developing a Class II malocclusion. However, lip-sucking, a behavior often underreported and overlooked, may adversely affect the periodontal health of permanent teeth in adolescents under extreme conditions if not promptly identified and managed. Case presentation We report a unique case of an 11-year-old boy with a severe periodontal-endodontic lesion on tooth 32, caused by prolonged, high-frequency, and high-intensity lip sucking. Initial clinical examination revealed gingival recession, Grade III mobility, deep periodontal pocket, and alveolar bone loss without obvious pathogenesis. The therapeutic schedule encompassed behavioral modification, the repeated application of various dental splints due to splint breakage caused by strong lip-sucking habits, and root canal therapy. The periodontal condition and tooth stability were improved through collaborative management. At the 18-month follow-up, improvements in dental stability, alveolar bone density, and reduced periodontal pocket depth were observed. Conclusions This is the first case report exploring the complex relationship between lip-sucking and dental health, emphasizing that severe oral habits can lead to serious dental consequences. Timely identification and intervention in managing oral habits can halt disease progression and ensure favorable outcomes. Additionally, this report offers treatment guidelines and recommendations for severe dental diseases caused by detrimental oral habits. |
| format | Article |
| id | doaj-art-b9909bb5aa34489b90d056b2dc6904c1 |
| institution | Kabale University |
| issn | 1472-6831 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj-art-b9909bb5aa34489b90d056b2dc6904c12025-01-26T12:54:58ZengBMCBMC Oral Health1472-68312025-01-012511810.1186/s12903-025-05469-6Collaborative management of severe periodontal-endodontic lesion with intense lip sucking: a case reportYanfei Sun0Xiaofang Zhao1Mingchao Wang2Xiangkun Sun3Kunzhou Mei4Yameng Zhang5Yanwen Cui6Fang Yang7Qingdao Municipal HospitalQingdao Municipal HospitalQingdao University of Science and TechnologyQingdao Municipal HospitalQingdao Municipal HospitalQingdao Municipal HospitalQingdao Municipal HospitalQingdao Municipal HospitalAbstract Background Lip behaviors can lead to maxillofacial developmental disorders such as anterior open bite, posterior crossbite, increased overjet, and a higher risk of developing a Class II malocclusion. However, lip-sucking, a behavior often underreported and overlooked, may adversely affect the periodontal health of permanent teeth in adolescents under extreme conditions if not promptly identified and managed. Case presentation We report a unique case of an 11-year-old boy with a severe periodontal-endodontic lesion on tooth 32, caused by prolonged, high-frequency, and high-intensity lip sucking. Initial clinical examination revealed gingival recession, Grade III mobility, deep periodontal pocket, and alveolar bone loss without obvious pathogenesis. The therapeutic schedule encompassed behavioral modification, the repeated application of various dental splints due to splint breakage caused by strong lip-sucking habits, and root canal therapy. The periodontal condition and tooth stability were improved through collaborative management. At the 18-month follow-up, improvements in dental stability, alveolar bone density, and reduced periodontal pocket depth were observed. Conclusions This is the first case report exploring the complex relationship between lip-sucking and dental health, emphasizing that severe oral habits can lead to serious dental consequences. Timely identification and intervention in managing oral habits can halt disease progression and ensure favorable outcomes. Additionally, this report offers treatment guidelines and recommendations for severe dental diseases caused by detrimental oral habits.https://doi.org/10.1186/s12903-025-05469-6Lip suckingPeriodontal-endodontic lesionsTooth looseningCase report |
| spellingShingle | Yanfei Sun Xiaofang Zhao Mingchao Wang Xiangkun Sun Kunzhou Mei Yameng Zhang Yanwen Cui Fang Yang Collaborative management of severe periodontal-endodontic lesion with intense lip sucking: a case report BMC Oral Health Lip sucking Periodontal-endodontic lesions Tooth loosening Case report |
| title | Collaborative management of severe periodontal-endodontic lesion with intense lip sucking: a case report |
| title_full | Collaborative management of severe periodontal-endodontic lesion with intense lip sucking: a case report |
| title_fullStr | Collaborative management of severe periodontal-endodontic lesion with intense lip sucking: a case report |
| title_full_unstemmed | Collaborative management of severe periodontal-endodontic lesion with intense lip sucking: a case report |
| title_short | Collaborative management of severe periodontal-endodontic lesion with intense lip sucking: a case report |
| title_sort | collaborative management of severe periodontal endodontic lesion with intense lip sucking a case report |
| topic | Lip sucking Periodontal-endodontic lesions Tooth loosening Case report |
| url | https://doi.org/10.1186/s12903-025-05469-6 |
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