Tardive Dyskinesia, Oral Parafunction, and Implant-Supported Rehabilitation

Lumetti, Simone; Ghiacci, Giulia; Macaluso, G M; Amore, Mario; Galli, Carlo; Calciolari, Elena; Manfredi, Edoardo

doi:10.1155/2016/7167452

Cited by 7 publications

(9 citation statements)

References 59 publications

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“…These movements can also occur in other body parts and may manifest during wakefulness and sleep. 197 TD and other abnormalities of oral mobility can also increase implant or tooth loads. These heavy TD-induced functional forces may fail the implants or implant-supported prostheses.…”

Section: Osteoradionecrosismentioning

confidence: 99%

Dental implant considerations in patients with systemic diseases: An updated comprehensive review

Mosaddad,

Talebi,

Keyhan

et al. 2024

J of Oral Rehabilitation

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BackgroundVarious medical conditions and the drugs used to treat them have been shown to impede or complicate dental implant surgery. It is crucial to carefully monitor the medical status and potential post‐operative complications of patients with systemic diseases, particularly elderly patients, to minimize the risk of health complications that may arise.AimThe purpose of this study was to review the existing evidence on the viability of dental implants in patients with systemic diseases and to provide practical recommendations to achieve the best possible results in the corresponding patient population.MethodsThe information for our study was compiled using data from PubMed, Scopus, Web of Science and Google Scholar databases and searched separately for each systemic disease included in our work until October 2023. An additional manual search was also performed to increase the search sensitivity. Only English‐language publications were included and assessed according to titles, abstracts and full texts.ResultsIn total, 6784 studies were found. After checking for duplicates and full‐text availability, screening for the inclusion criteria and manually searching reference lists, 570 articles remained to be considered in this study.ConclusionIn treating patients with systemic conditions, the cost–benefit analysis should consider the patient's quality of life and expected lifespan. The success of dental implants depends heavily on ensuring appropriate maintenance therapy, ideal oral hygiene standards, no smoking and avoiding other risk factors. Indications and contraindications for dental implants in cases of systemic diseases are yet to be more understood; broader and hardcore research needs to be done for a guideline foundation.

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Section: Osteoradionecrosismentioning

confidence: 99%

Dental implant considerations in patients with systemic diseases: An updated comprehensive review

Mosaddad,

Talebi,

Keyhan

et al. 2024

J of Oral Rehabilitation

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“…Such dental problems as attritions and abfractions are very frequent in people with TD, 36 , 37 as are pain from myalgia, temporomandibular joint dysfunction, traumatic lesions, tooth wear, and impaired retention of prosthetic devices 38 39 Respiratory movements may be affected, with altered rhythmic patterns leading to hyperventilation and hypoventilation 40 .…”

Section: Speech Dentition Respirationmentioning

confidence: 99%

Tardive dyskinesia: motor system impairments, cognition and everyday functioning

2017

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The recent approval of treatments for tardive dyskinesia (TD) has rekindled interest in this chronic and previously recalcitrant condition. A large proportion of patients with chronic mental illness suffer from various degrees of TD. Even the newer antipsychotics constitute a liability for TD, and their liberal prescription might lead to emergence of new TD in patient populations previously less exposed to antipsychotics, such as those with depression, bipolar disorder, autism, or even attention deficit hyperactivity disorder. The association of TD with activity limitations remains poorly understood. We review potential new avenues of assessing the functional sequelae of TD, such as the performance of instrumental activities of daily living, residential status, and employment outcomes. We identify several mediating aspects, including physical performance measures and cognition, that may represent links between TD and everyday performance, as well as potential treatment targets.

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“…TD symptoms are characterized by involuntary, repetitive, and rapid movements, which may involve chewing motions, cheek puffing, tongue protrusion, puckering of the lips, and rapid eye blinking [4]. Movements of other body segments like arms, fingers and trunk may also occur, and symptoms may appear during sleep and/or wakefulness [5]. While, the exact etiologic mechanism of TD is not fully known, one hypothesis proposes that it is due to the drug-induced up-regulation of dopamine (D2) receptors [6,7].…”

Section: Introductionmentioning

confidence: 99%

“…While, the exact etiologic mechanism of TD is not fully known, one hypothesis proposes that it is due to the drug-induced up-regulation of dopamine (D2) receptors [6,7]. TD may have dental implications, as repetitive motion of the lips and tongue causes attritions and abfractions on natural teeth [5]. auditory hallucinations, symptoms of depression including sadness and indecision, manic episodes, and issues with personal relationships.…”

Section: Introductionmentioning

confidence: 99%

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Diagnosis of Tardive Dyskinesia in an Oral Surgical Office

Prabhu¹,

Sameh²,

Kevin³

et al. 2018

Clin Med Rev Case Rep

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Tardive dyskinesia (TD) presents as uncontrolled, repetitive movements of the body, typically beginning with orofacial structures, due to antipsychotic medications. The two classes of antipsychotics, atypical and typical, are mainly distinguished by their likelihood of producing extrapyramidal side effects (EPS), with atypical producing lower rates. Our case discusses a patient who presented at our clinic for dental extractions. Pre-operative consultation presented the rapid, repetitive tongue, lip, and cheek movements characteristic of tardive dyskinesia. An extensive search through her medical history showed long-term antipsychotic usage. After a consultation revealed she had never seen a psychiatrist outside of acute care centers, we referred her to a psychiatrist to evaluate her medications as she had been taking a typical antipsychotic. During the follow-up appointment, our patient's tardive diagnosis was confirmed by a psychiatrist and she had been prescribed an atypical antipsychotic. The clinical implications of this report are to encourage dental professionals to understand the medications associated with mental illnesses, as they can significantly affect oral health and other motor functions. Although we were unable to prevent the onset of tardive dyskinesia in our patient, her case serves as a cautionary reminder of the consequences when mental illnesses go unchecked and how dental professionals can potentially prevent a life-changing condition in their patients.

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Tardive Dyskinesia, Oral Parafunction, and Implant-Supported Rehabilitation

Cited by 7 publications

References 59 publications

Dental implant considerations in patients with systemic diseases: An updated comprehensive review

Dental implant considerations in patients with systemic diseases: An updated comprehensive review

Tardive dyskinesia: motor system impairments, cognition and everyday functioning

Diagnosis of Tardive Dyskinesia in an Oral Surgical Office

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