Oromandibular dystonia induced by olanzapine and mirtazapine: A case report

IF 0.6 Q4 DENTISTRY, ORAL SURGERY & MEDICINE Oral Science International Pub Date : 2023-09-27 DOI:10.1002/osi2.1216
Yojiro Umezaki, Rui Egashira, Haruhiko Motomura, Toru Naito
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Abstract

Abstract Background Dystonia has been reported as an adverse effect of antipsychotic medications; however, dentists rarely detect the symptoms because of the complexity of complaints. Case Presentation A 74‐year‐old woman presented with an open bite and jaw pain. She reported a history of depression and was being treated with medication including olanzapine. We diagnosed the patient with oromandibular dystonia. Her psychiatrist withdrew olanzapine treatment following consultation, and the open bite and jaw pain were resolved. Conclusion Dentists should consider oromandibular dystonia when a patient taking antipsychotic medication complains of an open bite. Irreversible procedures should be avoided in these patients.
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奥氮平与米氮平致口腔下颌肌张力障碍1例
背景肌张力障碍已被报道为抗精神病药物的不良反应;然而,牙医很少发现症状,因为投诉的复杂性。病例介绍一名74岁女性,因开放性咬伤和颌骨疼痛而就诊。她有抑郁症病史,正在接受包括奥氮平在内的药物治疗。我们诊断患者为口腔下颌肌张力障碍。她的精神科医生会诊后停用奥氮平治疗,开放性咬伤和颌骨疼痛得到解决。结论当服用抗精神病药物的患者出现开放性咬伤时,牙医应考虑口腔颌面肌张力障碍。这些患者应避免不可逆转的手术。
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来源期刊
Oral Science International
Oral Science International DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
1.00
自引率
20.00%
发文量
43
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