Low-Dose Aripiprazole in the Treatment of SSRI-Induced Bruxism

Oulis, Panagiotis; Dimitrakopoulos, Stefanos; Konstantakopoulos, George; Tsaltas, Eleftheria; Kollias, Konstantinos

doi:10.1176/appi.neuropsych.11070175

Cited by 20 publications

(15 citation statements)

References 4 publications

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“…Studies were conducted in USA (5 articles), India (2 articles), Brazil (2 articles), Japan (2 articles), Spain (1 article), Korea (1 article), Canada/New Zealand (1 article), Greece (1 article), China (1 article), and Canada (1 article). Of the 17 included studies [ 6 – 22 ], 8 studies were case reports [ 6 – 13 ], while 5 studies were cross-sectional studies [ 14 – 18 ], 1 study was longitudinal cohort study [ 19 ], and 3 studies were case-control studies [ 20 – 22 ].…”

Section: Resultsmentioning

confidence: 99%

“…All patients accepted the dental treatment except for one patient, where dental treatment was conducted after taking parent consent [ 7 ]. All cases (except two cases [ 7 , 13 ]) reported at least one obsessions or compulsions symptom according to the NIMH. Fear of germs and contamination was reported in the works of Ahuja et al [ 6 ], Chandna et al [ 8 ], Michael [ 11 ], and Vieira et al [ 12 ].…”

Section: Resultsmentioning

confidence: 99%

“…Out of the eight evaluated case reports, seven showed low risk of bias, while one case report [ 10 ] showed moderate risk of bias. The overall scores for case reports were as follows: 75% for studies of Ahuja et al [ 6 ], Castellanos-Cosano et al [ 7 ], and Chandna et al [ 8 ]; 87.5% for studies of Fontenelle and Leite [ 9 ], Michael [ 11 ], Vieira et al [ 12 ], and Oulis et al [ 13 ]; and 62.5% for the study of Herren and Lindroth [ 10 ]. Of the five analyzed cross-sectional studies, four articles were scored as low risk of bias, while one article [ 17 ] showed moderate risk of bias.…”

Section: Resultsmentioning

confidence: 99%

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The Behavior of Patients with Obsessive-Compulsive Disorder in Dental Clinics

Elkamash

Abuohashish

2021

International Journal of Dentistry

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Objectives. This review documents published obsessive-compulsive disorder (OCD) cases with dental and oral conditions with potential impact on the dental procedure. The research question was, what are the psychiatric and behavioral features of people with OCD that might affect dental sessions? Methods. This review followed the PRISMA guidelines (PROSPERO registration No. CRD42020212371). Six databases (PubMed, Scopus, Web of Science, LILACS, Cochrane Library, and PsycINFO) were screened for published clinical studies that report dental patients with obsessions or compulsions behaviors as identified by National Institute of Mental Health (NIMH). Inclusion of the studies was performed according to the eligibility criteria. The quality evaluation was carried out using the Joanna Briggs Institute’s (JBI) Critical Appraisal Checklist. The results were qualitatively assessed for synthesis. Results. After elimination of duplication, 530 articles were screened, and 35 articles were evaluated for eligibility. 17 studies met the inclusion criteria (8 case reports, 5 cross-sectional studies, 1 longitudinal cohort study, and 3 case-control studies) and were included in the review. All case reports demonstrated symptoms of obsessions or compulsions such as fear of germs and contamination, aggressive thoughts, having things symmetric in perfect order, excessive cleaning or handwashing, repeatedly checking things, and compulsive counting. OCD-related behavior was assessed in the included clinical investigations using standardized protocols such as Florida Obsessive-Compulsive Inventory, Symptom Checklist-90-Revised, 4-item Corah Dental Anxiety Scale, Diagnostic and Statistical Manual of Mental Disorders, and the Crown Crisp Experimental Index. Quality assessment of the 17 included articles revealed 14 articles with low risk of bias and 3 articles with moderate risk of bias. Conclusion. The reported OCD symptoms may implement psychological difficulties during dental procedures without affecting the outcome. Although there was no contraindication for planning or performing dental treatments for a patient with OCD, dental-related procedures and protocols might be modified for successful dental appointments.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The Behavior of Patients with Obsessive-Compulsive Disorder in Dental Clinics

Elkamash

Abuohashish

2021

International Journal of Dentistry

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“…Drugs acting on the serotoninergic system (tricyclic antidepressants and selective serotonin reuptake inhibitors) are also reported to influence bruxism, although less frequently than those acting on the dopamine system. Since the above‐mentioned review, three papers have been published . As a whole, no epidemiological data indicate the rate of bruxism in tardive dyskinesia or dystonia except from clinical reports in schizophrenic patients …”

Section: Resultsmentioning

confidence: 99%

Bruxism in Movement Disorders: A Comprehensive Review

Ella

Ghorayeb²,

Burbaud

et al. 2016

Journal of Prosthodontics

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Bruxism is an abnormal repetitive movement disorder characterized by jaw clenching and tooth gnashing or grinding. It is classified into two overlapping types: awake bruxism (AB) and sleep bruxism (SB). Theories on factors causing bruxism are a matter of controversy, but a line of evidence suggests that it may to some extent be linked to basal ganglia dysfunction although so far, this topic has received little attention. The purpose of this article was to review cases of bruxism reported in various movement disorders. The biomedical literature was searched for publications reporting the association of bruxism with various types of movement disorders. As a whole, very few series were found, and most papers corresponded to clinical reports. In Parkinsonian syndromes, AB was rarely reported, but seems to be exacerbated by medical treatment, whereas SB is mainly observed during non-REM sleep, as in restless leg syndrome. AB is occasionally reported in Huntington's disease, primary dystonia, and secondary dystonia; however, its highest incidence and severity is reported in syndromes combining stereotypies and cognitive impairment, such as Rett's syndrome (97%), Down syndrome (42%), and autistic spectrum disorders (32%). Taken as a whole, AB seems to be more frequent in hyperkinetic movement disorders, notably those with stereotypies, and is influenced by anxiety, suggesting an involvement of the limbic part of the basal ganglia in its pathophysiology.

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“…However, none of those medications have been reported to induce DB. Given that there are increasing reports of DB associated with antidepressant drugs (paroxetine[13], sertraline[14], fluvoxamine[15], venlafaxine[16], fluoxetine[17], and atomoxetine[18]), our clinical impression was that the patient's DB was secondary to venlafaxine use. The cause-and-effect relationship is supported by the following observations: (1) The patient exhibited no previous history of bruxism or other movement disorder before taking venlafaxine; (2) Duloxetine 60 mg/d was irregularly taken for 2 mo without occurrence of DB; and (3) DB occurred 4 mo after switching from duloxetine 60 mg/d to venlafaxine 150 mg/d.…”

Section: Discussionmentioning

confidence: 99%

Long-term follow-up of a patient with venlafaxine-induced diurnal bruxism treated with an occlusal splint: A case report

Chen¹,

Yan²

2019

WJCC

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BACKGROUND Bruxism is a jaw-muscle activity characterized by the clenching or grinding of teeth. It can be divided into nocturnal bruxism and diurnal bruxism (DB). DB secondary to antidepressants is rare and refractory. Reports associated with antidepressant-induced DB are mostly anecdotal without long-term follow-up. The effect of drug intervention on antidepressant-induced DB is still contested. We herein report the first case of successful treatment of venlafaxine-induced DB with an occlusal splint. CASE SUMMARY This case report describes detailed 7-year follow-up of a patient with venlafaxine-induced DB treated with an occlusal splint. The patient who complained about involuntary daytime tooth grinding after taking venlafaxine for a period of 4 mo and was diagnosed with venlafaxine-induced DB. Subsequently, an occlusal splint with modified bilateral buccal-pterygoid pads was used to treat his tooth grinding and to protect the dental structures from tooth wearing. The patient reported remission of symptoms after several months of treatment. His grinding activity was gradually and stably controlled after 2 years, with an almost complete recovery from DB after 6 years. CONCLUSION The maxillary buccal-pterygoid splint can be used as a noninvasive approach to treat venlafaxine-induced DB.

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Low-Dose Aripiprazole in the Treatment of SSRI-Induced Bruxism

Cited by 20 publications

References 4 publications

The Behavior of Patients with Obsessive-Compulsive Disorder in Dental Clinics

The Behavior of Patients with Obsessive-Compulsive Disorder in Dental Clinics

Bruxism in Movement Disorders: A Comprehensive Review

Long-term follow-up of a patient with venlafaxine-induced diurnal bruxism treated with an occlusal splint: A case report

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