Orthodontic considerations for managing patients with functional movement disorders: a narrative review and clinical guide.

IF 1.8 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Frontiers in dental medicine Pub Date : 2025-08-07 eCollection Date: 2025-01-01 DOI:10.3389/fdmed.2025.1628802
Thikriat Al-Jewair, Ajola Zylalaj, Arash Poursattar Bejehmir
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引用次数: 0

Abstract

Background: Functional Movement Disorder (FMD) is a neurological condition involving involuntary movements without structural brain or nerve damage. It can significantly affect the craniofacial region, disrupting facial and oral motor functions and complicating dental and orthodontic care. This narrative review outlines the clinical presentation of FMD, emphasizing its relevance in orthodontics and offering a clinical management guide.

Findings: A systematic approach is proposed, detailing strategies from the initial screening visit through active treatment, retention, and post-retention stages. Key strategies include using fixed appliances for better control, scheduling shorter visits to reduce symptom aggravation, and incorporating distraction techniques. Collaborative care with neurologists, psychiatrists, psychologists, physical therapists, and dental professionals is vital, addressing both motor and psychological factors.

Conclusion and relevance: Specialized training, improved diagnostic methods, and customized treatment plans are crucial for managing FMD in orthodontics. These efforts are necessary to optimize care and outcomes for affected patients.

Abstract Image

管理功能性运动障碍患者的正畸考虑:叙述回顾和临床指南。
背景:功能性运动障碍(FMD)是一种涉及无意识运动的神经系统疾病,无结构性脑或神经损伤。它可以显著影响颅面区域,扰乱面部和口腔运动功能,并使牙科和正畸护理复杂化。本文概述口蹄疫的临床表现,强调其与正畸学的相关性,并提供临床管理指南。研究结果:提出了一种系统的方法,详细介绍了从最初的筛查访问到积极治疗、保留和保留后阶段的策略。关键策略包括使用固定器具以更好地控制,安排更短的就诊时间以减少症状加重,并结合分散注意力的技术。与神经学家、精神病学家、心理学家、物理治疗师和牙科专业人员的合作护理至关重要,解决运动和心理因素。结论及意义:专业培训、改进诊断方法和定制治疗方案是治疗口腔口蹄疫的关键。这些努力对于优化受影响患者的护理和结果是必要的。
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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CiteScore
2.10
自引率
0.00%
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审稿时长
13 weeks
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