目的:外周诱发的运动障碍(PIMD)是运动过度的运动障碍,可在身体一部分受伤后发生。这项研究旨在识别牙科或口腔外科手术后的口颌系统中的PIMD。
方法:回顾性评估了229例因口腔手术或牙科介入引发的PIMD患者(144名女性和85名男性;平均年龄:53.4岁)。
结果:手术与PIMD发病之间的平均潜伏期为14.3天。口腔外科(40.2%),包括拔牙,创伤治疗,和其他外科手术,是PIMD最常见的触发因素。随后是一般的牙科治疗,包括牙周,牙髓,和恢复性程序(36.7%),修复治疗(19.7%),和正畸治疗(3.5%)。PIMD包括口下颌肌张力障碍(73.8%),功能性(心因性)运动障碍(11.4%),口舌型运动障碍(7.9%),和半磁性痉挛(5.7%)。
结论:这些结果表明,即使是牙科手术后正常解剖或生理上的微小改变,也可能导致易感患者发生PIMD。
结论:牙科专业人员应该意识到,尽管很少,PIMD可以在各种牙科治疗后发展。如果出现这样的症状,主治医师应向患者适当解释,并向运动障碍专家提供适当的治疗或咨询。
OBJECTIVE: Peripherally induced movement disorders (PIMD) are hyperkinetic movement disorders that can occur after injury to a part of the body. This study aimed to identify PIMD in the stomatognathic system following dental or oral surgical procedures.
METHODS: A total of 229 patients with PIMD (144 women and 85 men; mean age: 53.4 years) triggered by oral surgical or dental interventions were evaluated retrospectively.
RESULTS: The average latency between the procedures and onset of PIMD was 14.3 days. Oral surgery (40.2%), including tooth extraction, trauma treatment, and other surgical procedures, was the most frequent
trigger of PIMD. This was followed by general dental treatment, including periodontal, endodontic, and restorative procedures (36.7%), prosthetic treatment (19.7%), and orthodontic treatment (3.5%). PIMD consisted of oromandibular dystonia (73.8%), functional (psychogenic) movement disorders (11.4%), orolingual dyskinesia (7.9%), and hemimasticatory spasms (5.7%).
CONCLUSIONS: These results suggest that even minor alterations in normal anatomy or physiology after dental procedures may result in PIMD in predisposing patients.
CONCLUSIONS: Dental professionals should be aware that although infrequently, PIMD can develop after various dental treatments. If such symptoms precipitate, the attending physician should properly explain them to the patient and provide appropriate treatment or consultation with a movement disorder specialist.