Oromandibular Dystonia Revisited: A Review and a Unique Case

Balasubramaniam, Ramesh; Rasmussen, Jared; Carlson, Lyle W.; Sickels, Joseph E. Van; Okeson, Jeffrey P.

doi:10.1016/j.joms.2006.11.028

Cited by 43 publications

(60 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The differential diagnosis with TMJ disorders (such as bruxism or spontaneous condylar dislocation), hemifacial spasm and psychological disorders is necessary (10). Although this is an infrequent pathological entity, the dentist should be familiar with the symptomatology as it is often misdiagnosed as a "dental problem" and may cause considerable functional and psychosocial disability (8).…”

Section: Diagnosismentioning

confidence: 99%

“…At present there is no etiologic treatment for OMD (10). Oral medication is the usual first line of treatment.…”

Section: Treatmentmentioning

confidence: 99%

“…Operative therapies include peripheral and central nervous system procedures and are generally a last resort for individuals suffering with certain types of dystonia (10). In some patients with peripherally induced OMD, arthroscopy and other TMJ surgeries have been performed, although without obtaining satisfactory results, and in some cases the condition worsened (8).…”

Section: Treatmentmentioning

confidence: 99%

See 2 more Smart Citations

Oromandibular dystonia: A dental approach

Maestre-Ferrín¹,

Burguera²,

Peñarrocha-Diago³

et al. 2009

Med Oral

View full text Add to dashboard Cite

Oromandibular dystonia consists of prolonged spasms of contraction of the muscles of the mouth and jaw. Primary idiopathic forms and secondary forms exist. Secondary dystonia develops due to environmental factors; some cases of cranial dystonia after dental procedure have been reported, but the causal relationship between these procedures and dystonia remains unclear. Traumatic situations in the mouth, such as poor aligned dentures or multiple teeth extractions may cause an impairment of proprioception of the oral cavity, leading to subsequent development of dystonia. The clinical characteristics of oromandibular dystonia are classified according to the affected muscles. The muscles involved may be the muscles of mastication, muscles of facial expression, or the muscles of the tongue. At present, there is no known cure for OMD. The mainstay of treatment for most focal dystonia is botulinum toxin injections. It is important for the dentist to be familiar with oromandibular dystonia, as it can develop after dental treatment and is often misdiagnosed as a dental problem.

show abstract

Section: Diagnosismentioning

confidence: 99%

“…At present there is no etiologic treatment for OMD (10). Oral medication is the usual first line of treatment.…”

Section: Treatmentmentioning

confidence: 99%

Section: Treatmentmentioning

confidence: 99%

See 1 more Smart Citation

Oromandibular dystonia: A dental approach

Maestre-Ferrín¹,

Burguera²,

Peñarrocha-Diago³

et al. 2009

Med Oral

View full text Add to dashboard Cite

show abstract

“…The etiology of OMD is unknown. 1 OMD can be idiopathic, tardive or secondary to another movement or neurological disorder. 2 Due to absence of gold standard for validity of the diagnosis, OMD may be misdiagnosed as TMD.…”

mentioning

confidence: 99%

“…4 Medication, in early stage, may be effective for controlling the dystonic movements. 1 Hanagasi et al studied benefit of clozapine (dibenzodiazepine) in patients with OMD. 5 In this case, I want to present a patient with oromandibular dystonia, whose disorder was diagnosed and the first phase treatment was started in my clinic.…”

mentioning

confidence: 99%