Rurs’ elbow guard and vestibular screen-an innovative combined approach for management of lip picking and lip biting habits

Lip picking is an impulse controlled psychological disorder characterized by the recurring urge to pick one’s own lips and this problem is often to the level that harm is caused. It may co-exist with lip biting habit. Unless these habits are intervened they would manifest into more serious degrading oral health conditions. We present a case of these two habits co-existing in a pediatric patient, which were managed by the customized fabrication of a RURS’ elbow guard to prevent the hand from reaching the lips fully. An oral screen was also fabricated to obstruct the dental arch from causing further damage to the lip due to self-induced obsessive biting habit. Significance of clinical application of these two appliances lie in the fact that they not only provide barriers to these repetitive habitual reflexes but they also serve as reminders for abstaining from such habits. Besides, these appliances are also quite simple to fabricate requiring commonly available dental materials.