Orofacial dyskinesia: Effective prosthetic therapy

Sutcher, H; Beatty, Robert A.; Underwood, Robert B.

doi:10.1016/0022-3913(73)90180-7

Cited by 15 publications

(7 citation statements)

References 13 publications

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“…The insertion of dentures in these subjects has been described to relieve oral movements even marked in intensity 18. In different case reports, occlusal treatment has also ameliorated oral drug‐induced TD,19–21 and oral dyskinesia displayed by subjects with Down's syndrome and orofacial dysmorphology 22. All our ED cases were wearing a complete set of dentures.…”

Section: Discussionmentioning

confidence: 84%

Pain and denture condition in edentulous orodyskinesia: Comparisons with tardive dyskinesia and control subjects

et al. 2008

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Edentulous orodyskinesia (ED) is a neglected source of aimless oral movements that may be confused with tardive dyskinesia (TD). We attempted to clarify the clinical features, significance, and orodental factors in relation to ED. Fourteen ED subjects, 13 TD patients, and 15 age-matched controls self-assessed their oral pain perception, condition, and function using a visual analogue scale. Dyskinesias were classified and rated by a neurologist. Perioral thermal and pressure pain threshold studies, and a standardized orodental examination, were conducted blind to subject group. The perceived oral pain level was low in all groups, and those reporting a significant intensity level of pain (>or=50th percentile) were few. The pain thresholds in both dyskinetic groups were comparable to control values. All ED cases wore a complete set of dentures, considered a current source of problems by 85.7% of them. ED cases commonly displayed inadequate dental occlusal relationship (P = 0.014 vs. controls; P = 0.036 vs. TD) and an overclosed vertical dimension (P = 0.006 vs. controls) as well as unstable and unretentive dentures. ED was limited to the oral region, spared the tongue when the mouth is open, and was never severe in our patients. ED has distinct movement characteristics and is often associated with inadequate dentures and biomechanical sources of denture instability. The contribution of the foregoing findings to the expression of oral dyskinesia warrants further studies.

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Section: Discussionmentioning

confidence: 84%

Pain and denture condition in edentulous orodyskinesia: Comparisons with tardive dyskinesia and control subjects

et al. 2008

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“…Disruption of sensation, particularly of the proprioceptive system, in the stomatognathic complex may play an important role in the etiology of OFD. 3 There is a controversy over which of the various components of the stomatognathic complex is most important in proprioception and in the The significance of the edentulous state of these patients in their abnormal muscle function has been previously overlooked. This could be due to the common misconception that loss of teeth is a normal concomitant of aging.…”

Section: Discussionmentioning

confidence: 99%

Management of Edentulous Orofacial Dyskinesia

Singh

Sinha

Giri

et al. 2015

The Journal of Contemporary Dental Practice

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Edentulous orofacial dyskinesia is a rare condition, characterized by involuntary rhythmic movements of the mandible and presents an embarrassing situation for the patient. Edentulism has been considered as one of the proponents of these irregular movements, and rehabilitation of these patients with complete denture-fabrication using traditional technique restores the masticatory inefficiency and the esthetic component of the patient. Surprisingly, these movements disappear during the clinical steps of complete denture-fabrication and upon insertion of the dentures. Disturbances in the proprioception following loss of tooth may be a contributory factor for edentulous dyskinesia.

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“…Difficulty in obtaining an accurate preliminary impression may be encountered in patients suffering from movement disorders with orofacial manifestations, 28 for example, Parkinson's disease 29 . Lack of patient cooperation may hinder impression making, which can occur when treating uncooperative children, 30 geriatric patients with special needs, 22 or difficult denture patients 31 . Sectional impressions are indicated for patients with unfavorable oral anatomy, such as in irregularly resorbed edentulous arches, uneven location of teeth, or unusually small or large arches 18 …”

Section: Discussionmentioning

confidence: 99%

“…29 Lack of patient cooperation may hinder impression making, which can occur when treating uncooperative children, 30 geriatric patients with special needs, 22 or difficult A L T E R N A T I V E I M P R E S S I O N T E C H N I Q U E denture patients. 31 Sectional impressions are indicated for patients with unfavorable oral anatomy, such as in irregularly resorbed edentulous arches, uneven location of teeth, or unusually small or large arches. 18 A drawback of the technique described is that the impression procedure has to be performed twice for the same dental arch.…”

Section: Discussionmentioning

confidence: 99%

An alternative impression technique for individuals with special care needs

Topouzelis¹,

Kotsiomiti²,

Arhakis³

2010

Special Care in Dentistry

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Impression making may be complicated in individuals with limited ability to cooperate with caregivers. An alternative technique for obtaining full-arch casts from sectional preliminary impressions is described. The technique is a modification of the procedure advocated for impression making in subjects with limited mouth opening. A pair of partial stock trays is selected to fit the right and left side of the arch. Two sectional irreversible hydrocolloid impressions are made separately. The first cast is placed into the second impression prior to pouring, to obtain a cast of the complete arch. The procedure was used during the treatment of an uncooperative young patient with Lesch-Nyhan Syndrome and provided a simple and reliable means to obtain the diagnostic cast of the mandibular teeth. It is recommended not only for uncooperative patients, but also for patients with special needs; such as those with anatomical restrictions, functional impairment, and movement disorders.

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Orofacial dyskinesia: Effective prosthetic therapy

Cited by 15 publications

References 13 publications

Pain and denture condition in edentulous orodyskinesia: Comparisons with tardive dyskinesia and control subjects

Pain and denture condition in edentulous orodyskinesia: Comparisons with tardive dyskinesia and control subjects

Management of Edentulous Orofacial Dyskinesia

An alternative impression technique for individuals with special care needs

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