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. Author manuscript; available in PMC: 2015 Sep 1.
Published in final edited form as: Mov Disord Clin Pract. 2014 Sep;1(3):225–229. doi: 10.1002/mdc3.12040

Figure 1.

Figure 1

Oral self-injurious behavior in LND. Panel A shows the typical appearance of chronic lip biting with tissue loss, hypertrophic scarring, and fresh lesions. Panel B shows a partial amputation of a digit by a patient who got free of his protective straps while unrestrained. Panel C shows the consequences for a patient where dental extraction was delayed. Panel E shows permanent loss of tongue tissue from severe biting during a period of device failure. Panels D and F show typical examples of the cosmetic appearance of some devices recommended to prevent SIB. Whether these devices have a better cosmetic appearance than the edentulous state seems a matter of debate.