Management of Edentulous Orofacial Dyskinesia

Singh, Bishnupati; Sinha, Namrata; Giri, Tapan Kumar; Chethan, Megha; Mahadevan, Vallabh; Tamrakar, Amit Kumar

doi:10.5005/jp-journals-10024-1729

Cited by 4 publications

(2 citation statements)

References 8 publications

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“…Compared to other forms of post-traumatic OMD, functional disability is usually minimal in patients with edentulous dyskinesia [57,58]. It is essential to be familiar with edentulous dyskinesia as the symptoms may potentially improve with restoration procedures or fitting dentures [59]. The phenomenology of edentulous dyskinesia often overlaps with that of tardive dyskinesia [60].…”

Section: Dystoniamentioning

confidence: 99%

Peripherally-induced Movement Disorders: An Update

Lenka¹,

Jankovic

2023

Tremor and Other Hyperkinetic Movements

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Background: Peripherally-induced movement disorders (PIMD) should be considered when involuntary or abnormal movements emerge shortly after an injury to a body part. A close topographic and temporal association between peripheral injury and onset of the movement disorders is crucial to diagnosing PIMD. PIMD is under-recognized and often misdiagnosed as functional movement disorder, although both may co-exist. Given the considerable diagnostic, therapeutic, and psychosocial-legal challenges associated with PIMD, it is crucial to update the clinical and scientific information about this important movement disorder.Methods: A comprehensive PubMed search through a broad range of keywords and combinations was performed in February 2023 to identify relevant articles for this narrative review. Results:The spectrum of the phenomenology of PIMD is broad and it encompasses both hyperkinetic and hypokinetic movements. Hemifacial spasm is probably the most common PIMD. Others include dystonia, tremor, parkinsonism, myoclonus, painful leg moving toe syndrome, tics, polyminimyoclonus, and amputation stump dyskinesia. We also highlight conditions such as neuropathic tremor, pseudoathetosis, and MYBPC1associated myogenic tremor as examples of PIMD.Discussion: There is considerable heterogeneity among PIMD in terms of severity and nature of injury, natural course, association with pain, and response to treatment. As some patients may have co-existing functional movement disorder, neurologists should be able to differentiate the two disorders. While the exact pathophysiology remains elusive, aberrant central sensitization after peripheral stimuli and maladaptive plasticity in the sensorimotor cortex, on a background of genetic (two-hit hypothesis) or other predisposition, seem to play a role in the pathogenesis of PIMD.

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Section: Dystoniamentioning

confidence: 99%

Peripherally-induced Movement Disorders: An Update

Lenka¹,

Jankovic

2023

Tremor and Other Hyperkinetic Movements

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show abstract

“…As well as removing teeth, dental clearance removes the sensory receptors from tooth endings, thus leading to altered sensation from the mouth. 4 In patients with tic disorder, an enhanced awareness of body sensations correlates with a premonitory urge to tic. 5 Therefore, dental clearance may have reduced our patient's urge to tic by reducing sensory input from the mouth.…”

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confidence: 99%