Contribution of orodental status to the intensity of orofacial tardive dyskinesia: An interdisciplinary and video-based assessment
Identifieur interne : 003E87 ( Main/Exploration ); précédent : 003E86; suivant : 003E88Contribution of orodental status to the intensity of orofacial tardive dyskinesia: An interdisciplinary and video-based assessment
Auteurs : Philippe Girard [Canada] ; Claude Monette [Canada] ; Louise Normandeau [Canada] ; Tania Pampoulova [Canada] ; Pierre H. Rompre [Canada] ; Pierre De Grandmont [Canada] ; Pierre J. Blanchet [Canada]Source :
- Journal of psychiatric research [ 0022-3956 ] ; 2012.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
Background: Tardive dyskinesia (TD) is a neurological motor complication eventually arising in one-third of patients chronically exposed to antipsychotic drugs. Some orodental peripheral factors have been reported to influence TD. Objective: To measure orodental factors such as temporomandibular joint function, static occlusal contacts, and denture condition, and attempt correlations with orofacial TD intensity. Methods: In this exploratory cross-sectional pilot study, 31 subjects between 30 and 75 years of age were divided in two groups displaying minimal to mild, or moderate to severe orofacial TD, respectively, and underwent a detailed oral, dental, and prosthetic evaluation to capture various aspects of oral health compared between the two groups. Blinded video-based TD ratings along a validated scale were obtained to compare dentulous and edentulous subjects, and contrast TD intensity in complete denture wearers with and without their own prostheses. Results: None of the factors examined tightly correlated with orofacial TD intensity. However, edentulism was associated with a higher median orofacial TD rating compared to the dentulous group (p = 0.001). Further, a significant intra-subject difference was observed in the edentulous subjects rated with their own complete dentures in place or not (p = 0.028), the dentures attenuating the mean orofacial ratings by 21.8 ± 7.3%. Conclusion: Of all orodental factors considered, only edentulism and complete denture wearing influenced oral TD expression, calling for the close monitoring of the dental status in antipsychotic drug-exposed patients to prevent tooth loss. Further studies to measure the impact of an adequate prosthodontic rehabilitation in edentulous subjects with orofacial TD seem warranted.
Affiliations:
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<term>Interdisciplinary field</term>
<term>Late</term>
<term>Motor control</term>
<term>Neuroleptic</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Dyskinésie</term>
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<term>Interdisciplinaire</term>
<term>Evaluation</term>
<term>Neuroleptique</term>
<term>Pharmacothérapie</term>
<term>Antipsychotique</term>
<term>Schizophrénie</term>
<term>Edentation</term>
<term>Occlusion</term>
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<front><div type="abstract" xml:lang="en">Background: Tardive dyskinesia (TD) is a neurological motor complication eventually arising in one-third of patients chronically exposed to antipsychotic drugs. Some orodental peripheral factors have been reported to influence TD. Objective: To measure orodental factors such as temporomandibular joint function, static occlusal contacts, and denture condition, and attempt correlations with orofacial TD intensity. Methods: In this exploratory cross-sectional pilot study, 31 subjects between 30 and 75 years of age were divided in two groups displaying minimal to mild, or moderate to severe orofacial TD, respectively, and underwent a detailed oral, dental, and prosthetic evaluation to capture various aspects of oral health compared between the two groups. Blinded video-based TD ratings along a validated scale were obtained to compare dentulous and edentulous subjects, and contrast TD intensity in complete denture wearers with and without their own prostheses. Results: None of the factors examined tightly correlated with orofacial TD intensity. However, edentulism was associated with a higher median orofacial TD rating compared to the dentulous group (p = 0.001). Further, a significant intra-subject difference was observed in the edentulous subjects rated with their own complete dentures in place or not (p = 0.028), the dentures attenuating the mean orofacial ratings by 21.8 ± 7.3%. Conclusion: Of all orodental factors considered, only edentulism and complete denture wearing influenced oral TD expression, calling for the close monitoring of the dental status in antipsychotic drug-exposed patients to prevent tooth loss. Further studies to measure the impact of an adequate prosthodontic rehabilitation in edentulous subjects with orofacial TD seem warranted.</div>
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