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Distonias oromandibulares

Authors: Reis, Ana Filipa Moreira;

Distonias oromandibulares

Abstract

As distonias oromandibulares (DOM) são desordens neuromusculares raras que consistem em espasmos prolongados derivados de contrações dos músculos da cavidade oral e da mandíbula. Os músculos envolvidos podem ser os da mastigação, os da expressão facial ou até mesmo os da língua. Atualmente a fisiopatologia ainda não é clara e não existe tratamento que a elimine. Contudo, para a maioria das distonias focais, como é o caso da distonia oromandibular, os tratamentos variam entre a utilização de fármacos pela via sistémica e através de injeções de toxina botulínica aplicadas localmente. Esta revisão bibliográfica narrativa teve como objetivo principal identificar as características clinicas da DOM e diferenciá-la de patologias com manifestações clínicas sobreponíveis. Desta forma poderá realizar-se uma anamenese eficiente que permita ao Médico Dentista detetar fatores desencadeantes e, principalmente, ajudar a manter uma boa qualidade de vida aos doentes com DOM. Para a sua realização utilizaram-se as seguintes palavras- chave: : “dystonia”, “oromandibular dystonia”, “movement disorders”, “muscular dystonia”, “sensory tricks”, “motion syndrome”, “lateral pterygoid muscle dystonia”, “pathophysiology”, “clinical characteristics”, “general characteristics”, “functional characteristics”, “diagnosis”,”treatment”, “botulinum toxin”, “Wilson disease”, “Meige syndrome”, “Towrettê syndrome”, “Ataxia type 8”, “blepharospasms”. nas suas mais diversas combinações. É de extrema importância que o médico dentista esteja informado sobre as DOM, dado que, elas podem manifestar-se após tratamentos dentários e serem frequentemente mal diagnosticadas. The oromandibulares dystonias (OMD) are rare neuromuscular disorders that consist in long spasms derivative from the contraction of the muscles of the mouth and jaw. The muscles involved may be the mastication muscles, facial expression muscles or even the tongue muscles. Currently, the pathophysiology is still unclear and there is no known treatment. However, for most focal dystonias, such as oromandibular dystonia, the treatment varies between the use of drugs for systemically and locally by injection of botulinum toxin. . This narrative literature review aims to identifying the clinical characteristics of OMD and knowing how to differentiate them from diseases with overlapping clinical manifestations. So, an efficient anamnesis allows the Dentist to detect triggers and mainly, helps to maintain a good quality of life of the patient with OMD. For this review were used the following key words: : “dystonia”, “oromandibular dystonia”, “movement disorders”, “muscular dystonia”, “sensory tricks”, “motion syndrome”, “lateral pterygoid muscle dystonia”, “pathophysiology”, “clinical characteristics”, “general characteristics”, “functional characteristics”, “diagnosis”,”treatment”, “botulinum toxin”, “Wilson disease”, “Meige syndrome”, “Towrettê syndrome”, “Ataxia type 8”, “blepharospasms” in diverse combinations. It is extremely important that dentist is informed with OMD, since they can manifest after the following dental treatments and are often misdiagnose.

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Portugal
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Keywords

Clinical characteristics, Muscular dystonia, Sensory tricks, Pathophysiology, Meige syndrome, Treatment, Dystonia, Oromandibular dystonia, Motion syndrome, Lateral pterygoid muscle dystonia, Botulinum toxin, General characteristics, Diagnosis, Ataxia type 8, Blepharospasms, Movement disorders, Functional characteristics, Towrettê syndrome, Wilson disease

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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