Temporomandibular disorders in patients with craniocervical dystonia

Arquivos de Neuro-Psiquiatria

André L. Costa¹  Lidiane S. Campos²  Marcondes C. França Jr.²  Anelyssa D'abreu² 

[1] ,State University of Campinas Department of Neurology Campinas SP ,Brazil

关键词: botulinum toxin;    cervical dystonia;    cranial dystonia;    temporomandibular disorders;    toxina botulínica;    distonia cervical;    distonia cranial;    disfunção temporomandibular;   

DOI  :  10.1590/S0004-282X2011000700009

来源: SciELO

【 摘 要 】

Temporomandibular disorders are a set of musculoskeletal dysfunctions within the masticatory system, with multiple etiologies. OBJECTIVE: Since craniocervical dystonia can involve the same neuromuscular structure as the temporomandibular joint, we sought to assess the correlation between temporomandibular disorders and craniocervical dystonia. METHOD: We applied the Research Diagnostic Criteria for Temporomandibular Disorders to 42 patients with craniocervical dystonia, in order to identify orofacial pain and temporomandibular characteristics on the day of botulinum toxin injection. RESULTS: Twenty-two patients (52.3%) reported temporomandibular joint pain; 24 (57.1%), joint sounds; 20 (47.6%), masticatory muscle pain; and 21 (50%), diminished jaw mobility. The patients with oromandibular dystonia presented temporomandibular disorders more frequently than did patients with other types of craniocervical dystonia (p<0.001). CONCLUSION: Temporomandibular disorders occur frequently in patients with oromandibular dystonia. Further studies should address the proper treatment of temporomandibular disorders associated with dystonia.

【 授权许可】

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