The Use of Botulinum Toxin-A in the Treatment of Severe Bruxism in a Patient with Autism: A Case Report

被引:27
作者
Monroy, Phillip G. [1 ]
da Fonseca, Marcio A. [1 ]
机构
[1] OSU Columbus Childrens Hosp, Sect Pediat Dent, Columbus, OH 43205 USA
关键词
Botulinum toxin; bruxism; special needs; austic disorder; botox;
D O I
10.1111/j.1754-4505.2006.tb01508.x
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
This case report describes an alternative method for reducing bruxism in a special needs patient who was not a candidate for an intraoral appliance. Bruxism is often seen in patients with special needs and can result in excessive dental wear, temporomandibular joint pain, avulsion of teeth and other problems. Current methods of management are not typically effective in this population because most require patient compliance. An 11-year-old male diagnosed with autism and Bannayan-Zonana syndrome received bilateral injections of botulinum toxin type-A (Botox (R) Allergan Pharmaceuticals, Irvine CA) in the masseter muscle. The patient's condition was followed up via post-operative telephone interviews with the parents for 60 days. A reduction in the frequency and severity of bruxism was reported. The only side effects noted were soreness at the injection site and mild, temporary drooling. Although further research is required to determine the optimal doses and injection frequency, botulinum toxin type-A appears to be an alternative method for controlling bruxism in the special needs population.
引用
收藏
页码:37 / 39
页数:3
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