Peripherally induced movement disorders in the stomatognathic system after oral surgical or dental procedures.

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Oral and Maxillofacial Surgery-Heidelberg Pub Date : 2024-12-01 Epub Date: 2024-08-01 DOI:10.1007/s10006-024-01285-4

Kazuya Yoshida

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引用次数: 0

Abstract

Objectives: Peripherally induced movement disorders (PIMD) are hyperkinetic movement disorders that can occur after injury to a part of the body. This study aimed to identify PIMD in the stomatognathic system following dental or oral surgical procedures.

Materials and methods: A total of 229 patients with PIMD (144 women and 85 men; mean age: 53.4 years) triggered by oral surgical or dental interventions were evaluated retrospectively.

Results: The average latency between the procedures and onset of PIMD was 14.3 days. Oral surgery (40.2%), including tooth extraction, trauma treatment, and other surgical procedures, was the most frequent trigger of PIMD. This was followed by general dental treatment, including periodontal, endodontic, and restorative procedures (36.7%), prosthetic treatment (19.7%), and orthodontic treatment (3.5%). PIMD consisted of oromandibular dystonia (73.8%), functional (psychogenic) movement disorders (11.4%), orolingual dyskinesia (7.9%), and hemimasticatory spasms (5.7%).

Conclusions: These results suggest that even minor alterations in normal anatomy or physiology after dental procedures may result in PIMD in predisposing patients.

Clinical relevance: Dental professionals should be aware that although infrequently, PIMD can develop after various dental treatments. If such symptoms precipitate, the attending physician should properly explain them to the patient and provide appropriate treatment or consultation with a movement disorder specialist.

查看原文本刊更多论文

口腔外科或牙科手术后外周引起的口颌系统运动障碍。

目的：外周诱发运动障碍（PIMD）是指身体某部位受伤后可能出现的过度运动障碍。本研究旨在确定牙科或口腔外科手术后口腔系统的 PIMD：对 229 名因口腔手术或牙科干预引发的 PIMD 患者（144 名女性和 85 名男性；平均年龄：53.4 岁）进行了回顾性评估：结果：手术与 PIMD 发病之间的平均潜伏期为 14.3 天。口腔手术（40.2%），包括拔牙、外伤治疗和其他外科手术，是诱发 PIMD 的最常见原因。其次是普通牙科治疗，包括牙周、牙髓和修复程序（36.7%）、修复治疗（19.7%）和正畸治疗（3.5%）。PIMD包括口颌肌张力障碍（73.8%）、功能性（精神性）运动障碍（11.4%）、口唇运动障碍（7.9%）和半咀嚼痉挛（5.7%）：这些结果表明，即使是牙科手术后正常解剖学或生理学的轻微改变，也可能导致易感患者出现 PIMD：临床相关性：牙科专业人员应该意识到，尽管并不常见，但在各种牙科治疗后也可能出现 PIMD。如果此类症状突然出现，主治医生应向患者做出适当解释，并提供适当的治疗或咨询运动障碍专科医生。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Oral and Maxillofacial Surgery-Heidelberg DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.20

自引率

5.60%

发文量

118

期刊介绍： Oral & Maxillofacial Surgery founded as Mund-, Kiefer- und Gesichtschirurgie is a peer-reviewed online journal. It is designed for clinicians as well as researchers.The quarterly journal offers comprehensive coverage of new techniques, important developments and innovative ideas in oral and maxillofacial surgery and interdisciplinary aspects of cranial, facial and oral diseases and their management. The journal publishes papers of the highest scientific merit and widest possible scope on work in oral and maxillofacial surgery as well as supporting specialties. Practice-oriented articles help improve the methods used in oral and maxillofacial surgery.Every aspect of oral and maxillofacial surgery is fully covered through a range of invited review articles, clinical and research articles, technical notes, abstracts, and case reports. Specific topics are: aesthetic facial surgery, clinical pathology, computer-assisted surgery, congenital and craniofacial deformities, dentoalveolar surgery, head and neck oncology, implant dentistry, oral medicine, orthognathic surgery, reconstructive surgery, skull base surgery, TMJ and trauma.Time-limited reviewing and electronic processing allow to publish articles as fast as possible. Accepted articles are rapidly accessible online.Clinical studies submitted for publication have to include a declaration that they have been approved by an ethical committee according to the World Medical Association Declaration of Helsinki 1964 (last amendment during the 52nd World Medical Association General Assembly, Edinburgh, Scotland, October 2000). Experimental animal studies have to be carried out according to the principles of laboratory animal care (NIH publication No 86-23, revised 1985).