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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Introduction OMD is considered as a focal dystonia involving mouth, jaw, and tongue, manifested by involuntary muscle contractions producing repetitive, patterned movements of the involved structures.

Etiology, Diagnosis and Management of Oromandibular Dystonia: an Update for Stomatologists

However a marked bulge is still apparent on her right half of forehead region which could be due to the muscular hyperactivity with probable hypertrophy in the involved muscle, a feature which has not been reported in the previous reported literature. What Is Oromandibular Dystonia? Views Read Edit View history. From diagnosis through treatment, oromandibular roomandibular can be a challenge, and it takes a team of physicians, speech pathologists and dentists working together to help improve a patient’s quality of life.

Peripherally induced oromandibular dystonia.

Oromandibular dystonia – Wikipedia

On intraoral examination the episodes began with fine involuntary fasciculations in the right masseter and temporalis which progressed to severe dystonic contractions of the face and neck within few seconds causing grimacing of the face with difficulty in breathing following which the patient assumed a body posture holding the right side oromandiular face and neck gasping for breath, trying to open her mouth in an attempt to breath. The various therapeutic modalities which are promising in successfully controlling the dietonia are the therapeutic medications in the form of Botox injections, oral antidystonic therapies.

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. Journal List J Dent Shiraz v. There is inadequate evidence-based oromancibular about the efficacy of various medications currently being used for dystonia.


The diagnosis of dystonia is challenging, as recognition of clinical findings at the time of presentation is affected by several factors such as the psychological oromandobular of the patient and the training of the clinician.

Dental treatments can be the cause of onset or exacerbation of OMD.

Management of Oromandibular Dystonia: A Case Report and Literature Update

Mild fasciculations were felt along the muscles of neck. Dystonia is either idiopathic primary or follows a peripheral injury. Here’s more about it. Other parts of the body can experience similar contractions of muscles, resulting in awkward body positions. Jaw pain Tongue biting Wear on teeth from grinding Trauma to soft oral tissues Treatment for Oromandibular Dystonia OMD There is no ideal treatment for oromandibular dystonia, but a few approaches can help to alleviate symptoms.

Oromandibular dystonia after dental treatments: Its positive effects might be due to the proprioceptive stimulation. Find articles by Saeed Raoofi.

This page was last edited on 11 Novemberat Ill-fitting new denture, root-canal therapy, gingivectomy, crowns, tooth removal, apicoectomy, osteoctomy, TMJ arthroscopic surgery. However the relationship between changes in neural activity in these regions and the development of dystonia is still not clear [ 8 ]. Korean Assoc Oral Maxillofac Surg. Very few reported cases in Indian population exist as often these disorders are labeled psychogenic or characterized as temporomandibular disorders.

Surgical therapies are the last effort for individuals suffering from certain types of dystonia.

Physiotherapy is thought to promote brain re-wiring over time, so as to reduce the dystonic movements. Developmental disabilities make everyday dental care a challenge, and many patients with disabilities receive dental treatment from experienced providers in hospitals, state-operated facilities and nursing homes.

An distonis on the neurodynamics of dystonia. Ditsonia therapy modality including speech therapy, oromandibulat sensory devices and biofeedback, and so forth also have a positive role.

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Patient was revaluated for the muscular functions and advised to continue with the medications. Patients may not be aware of their problem and it can be misdiagnosed as a dental problem like denture problems, bruxism, or TMD;[ 211 ] therefore, the dentist should be familiar with signs and symptoms of OMD and refer the patients for more assessments.

Journal List Case Rep Dent v. These movements were more pronounced during clenching of posterior teeth and speech and chewing movements. It can also be categorized based on etiology. Dentists should also be familiar with special considerations when managing OMD patients.

What Is Oromandibular Dystonia? | ColgateĀ® Oral Care

Author information Lingual protrusion dystonia: The dystonia spread very fast to involve the larynx, causing life- threatening laryngospasm which was treated by intubation. According to Xu et al. Prosthetic treatment planning after controlling the problems of involved muscle with modalities such as BoNT injection yields satisfactory results.

The randomized controlled trials, case-control studies, case series, and single case reports containing a report on a clinical outcome were included. Some novel methods employed to relieve this syndrome have led to certain cure or improvement of symptoms in several cases.

Journal of Neurology Neurosurgery and Psychiatry. The relationship between trauma and idiopathic torsion dystonia.

Duo to various dental treatment options, all people are somehow being involved in dental treatments, with which OMD is likely to coincide. Since the root of the problem is neurological, doctors have explored sensorimotor retraining activities to enable the brain to “rewire” itself and eliminate dystonic movements.

Few investigations on BoNT injection before implant insertion demonstrated satisfactory results. Support Center Support Center.