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Abstract. OBJECTIVES Oromandibular dystonia (OMD) is a focal dystonia manifested by involuntary muscle contractions producing repetitive, patterned mouth. Oromandibular dystonia is a form of focal dystonia affecting the mouth, jaw and tongue, and in this disease it is hard to speak. It is associated with bruxism. Oromandibular dystonia causes spasms of the jaw, lips, and tongue muscles. This dystonia can cause problems with speech and swallowing.

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Focal dystonia of oromandigular jaw and the differential diagnosis of unilateral jaw and masticatory spasm. The complaint of ill-fitting full dentures in these patients should be taken seriously. Introduction Dystonia is the manifestation of involuntary lasting severe muscle contractions, which lead to rhythmic and atypical movements in different parts of the body.

Loss of teeth and occlusal alteration. Oromandibular dystonia is a form of focal dystonia affecting the mouth, jaw and tongue, and in this disease it is hard to speak. Tongue suturing, tongue protection with bite guard, composite oromandibuoar for shaping sharp teeth, partial glossectomy, no dental extractions.

Saeed Raoofi 1 Dept. For jaw opening dystonia the lateral pterygoid oromandibulr is injected with 45 units of BTX-A, by an intraoral injection approach following the ramus of the mandible to locate the lateral pterygoid and injecting approximately 45 units on each side.

A differential diagnosis of facial myokymia, facial motor seizures, myoclonus, muscular spasms, and tardive dystonia was considered. Distonnia was suggested as an effective and relatively simple modality of treatment.


Peripherally-induced dystonia is usually not recognized, especially if the trauma is relatively trivial or the duration between the trauma and the onset of dystonia lasts longer than a few days.

Management of Oromandibular Dystonia: A Case Report and Literature Update

N Oeomandibular Dent J. Clinical presentations depend on the affected muscles, as well as the severity and distribution of OMD. It is not intended to be a substitute for professional advice, diagnosis or treatment. Find articles by Maryam Najafi. Positioning a block between the upper and lower jaw holds them in a better position to control the involuntary muscle contractions.

J Neurol Neurosurg Psychiatry. MRI brain scan Figure 2 revealed no focal pathology. Botulinum toxin has been used in treatment. The Ultimate burden on oral health is of significant interest to the dentist as a vast range of dental implications are reported in the past literature in the form of Attritions, TMJ dysfunctions, increased cares risk, denture instability, loss of multiple teeth, alveolar atrophy, damage to restorations, and marginal to distpnia periodontitis.

No focal pathology was detected in MRI of brain Figure 2. Complete treatment oromandlbular OMD.

What Is Oromandibular Dystonia? | Colgate® Oral Care

OMD patients may refer to dentists with involuntary jaw movements and intraoral presentations. This response is well recognized in musicians.

Case Report A year-old female patient visited the Department of Oral Medicine and Radiology with a chief complaint of spontaneous, painful constrictive movements on her right side of face with a feeling of constriction in her neck leading to difficulty in breathing.

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Ten cases had family history of movement disorders, prior exposure oromandiblar neuroleptic drugs, and associated dystonia affecting other regions. Life-threatening dsitonia failure due to cranial dystonia after dental procedure distoni a patient with multiple system atrophy. At the 3-month recall, the symptoms had returned with less intensity. Clinical and Experimental Otorhinolaryngology.

By definition, all cases of “dystonia plus” are secondary, although the etiology eg, neuroleptics, Wilson diseaseneuroacanthocytosistrauma may not always be obvious. On oromandibjlar frank fasciculations were appreciated along the body of masseter and anterior and posterior bands of temporalis. National Center for Biotechnology InformationU.

The symptoms only occur during activities such as speaking or mastication. J Oral Maxillofac Surg. Furthermore, it can also be classified into the affected body parts depending on anatomical regions of distribution [ 14 — 6 ].

Follow-up visits at six-month period revealed complete absence of the dystonic contractions. A Bull-Shaped Tooth Taurodontism is an unusual developmental phenomenon that most often affects the permanent teeth. Adverse effects reported are dry mouth, dysphagia, lethargy, generalized weakness, and dysphonia.