Evidence map›Paper›PMID 42473480›Full record

ArticleCureus2026

Customized Intraoral Appliances for Self-Inflicted Oral Injuries in Pediatric Neurological Disorders: A Case Series.

Alfaiciya Akber, Arun Mamachan Xavier, Balagopal Varma R, Suresh Kumar J, Parvathy Kumaran, Malini Venugopal, Nishna Thankappan

Abstract readCase Reports
In one paragraph

Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Alfaiciya AkberDepartment of Pedodontics and Preventive Dentistry, Amrita Vishwa Vidyapeetham School of Dentistry, Kochi, IND.
Arun Mamachan XavierDepartment of Pedodontics and Preventive Dentistry, Amrita Vishwa Vidyapeetham School of Dentistry, Kochi, IND.
Balagopal Varma RDepartment of Pedodontics and Preventive Dentistry, Amrita Vishwa Vidyapeetham School of Dentistry, Kochi, IND.
Suresh Kumar JDepartment of Pedodontics and Preventive Dentistry, Amrita Vishwa Vidyapeetham School of Dentistry, Kochi, IND.
Parvathy KumaranDepartment of Pedodontics and Preventive Dentistry, Amrita Vishwa Vidyapeetham School of Dentistry, Kochi, IND.
Malini VenugopalDepartment of Pedodontics and Preventive Dentistry, Amrita Vishwa Vidyapeetham School of Dentistry, Kochi, IND.
Nishna ThankappanDepartment of Pedodontics and Preventive Dentistry, Amrita Vishwa Vidyapeetham School of Dentistry, Kochi, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Self-inflicted oral injuries in children with neurological disorders represent a significant clinical concern due to their multifactorial impact on oral and systemic health. Neurological disorders, such as febrile infection-related epilepsy syndrome (FIRES) and glutaric aciduria type I, may cause dystonia, involuntary orofacial movements, and self-inflicted biting, resulting in oral trauma. Management typically requires an interdisciplinary approach combining behavioral and pharmacologic strategies with protective intraoral appliances and, in selected cases, to prevent further trauma and preserve function. Three pediatric cases with neurological disorders in this series presenting with self-inflicted oral injuries were successfully managed with a customized intraoral appliance. All children showed mucosal healing within 7-10 days and no recurrence of trauma during the periodic follow-ups. Customized appliances provided effective protection, durability, and hygiene compatibility.

Indexed as

dystoniafiresglutaric aciduria type iintraoral appliancepediatric dentistrypost-neurosurgical bruxismself-injurious behavior

Identifiers

PMID42473480
PMCPMC13381030

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