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Oral Health Made Simple: Your Prescription For Knowledge
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Step 1 Prevent ProblemsSimplestepsPrevent Problems
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Lip Biting

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space placeholder.What Is It?.
space placeholder.Symptoms.
space placeholder.Diagnosis.
space placeholder.Expected Duration.
space placeholder.Prevention.
space placeholder.Treatment.
space placeholder.When To Call a Professional.
space placeholder.Prognosis.
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space placeholder.What Is It?
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You probably have heard the expression: "I had to bite my lip to keep from saying anything." Lip biting is a common habit. Many people bite or lick their lips when they are nervous or concentrating on something. You may bite your lip accidentally and then use your tongue and teeth to play with the sore spot.

In most cases these actions are harmless, but some people do them often enough to cause injury. Lip-biting syndrome refers to chronic (long-term) oral habits that lead to injuries of the lips, including dryness, peeling and soreness. Besides biting and licking the lips, the syndrome also includes more severe behaviors such as picking at the lips with fingernails.

Many people with this problem can injure their lips without even realizing it — for example, when they are stressed or worried — and may not immediately connect their symptoms with the habit.

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space placeholder.Symptoms
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Symptoms include soreness, peeling, dryness, inflammation and general discomfort of the lips. Usually, the lower lip is more damaged than the upper lip because it's more common for people to lick and bite their lower lip. The symptoms range from very mild to severe. People with severe self-inflicted lip injuries may have psychiatric problems.

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space placeholder.Diagnosis
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There are some medical problems that also cause swelling or dryness and cracking of the lips, and can be confused with lip biting. These include allergies to cosmetics, flavorings or food; Crohn's disease; and sarcoidosis. There is also a localized disease of the lips called chelitis granulomatosa, which causes progressive enlargement of the lips.

Inflammation, peeling and flaking of the lips, chronic ulcers, and white areas on the lips can be caused by overexposure to the sun. These sun-related lesions can lead to lip cancer. However, there is no evidence that lip biting increases the risk of lip cancer. If your dentist or doctor thinks you may have an underlying disease causing your symptoms, he or she will biopsy your lip by removing a very small piece of tissue for examination under a microscope. The results of the biopsy will show whether the lesions are cancerous, or are part of a larger medical problem.

If you do not have a medical problem that is causing problems with your lips, your dentist will diagnose lip-biting syndrome by asking questions about your medical history and oral habits.

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space placeholder.Expected Duration
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The injuries caused by lip biting will heal once the behavior is stopped.

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space placeholder.Prevention
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Because lip-biting syndrome is caused by oral habits, stopping the habits is the only way to prevent it.

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space placeholder.Treatment
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Some people can stop the habits once they are made aware of them, and that is all the treatment they need. Their lips will heal on their own.

Other people cannot stop as easily. They may not be able to control the habit, or may be doing it in their sleep. For these people, dentists can provide soft splints to place on the teeth at night, which will help prevent injury. Moisturizing creams placed on the lips also can help. In some cases, medication to address an underlying psychological condition is required.

If your lips are inflamed, your dentist or doctor may prescribe a topical steroid cream.

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space placeholder.When To Call a Professional
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If you notice excessive dryness, blistering or inflammation of your lips, see your dentist or physician.

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space placeholder.Prognosis
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If you can control the lip biting or other behaviors, the outlook for complete healing is excellent. If not, the outlook is poorer. In severe cases, you may need to visit a psychiatrist and take medication to help you stop the habit.

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