Peñarrocha M, Sanchis J M, Rambla J, Sánchez M A
Valencia University Dental School, Spain.
Int J Oral Maxillofac Implants. 2001 Jan-Feb;16(1):115-7.
Oromandibular dystonia with blepharospasm (also known as Brueghel's syndrome, Meige's syndrome, or idiopathic orofacial dystonia) is characterized by intense and involuntary spasms of the orofacial muscles, with a frequent loss of teeth and occlusal alterations that worsen the dystonic manifestations and cause mucosal lesions that can lead to complete edentulism. The history of a patient with oromandibular dystonia who was rehabilitated with mandibular overdentures supported by endosteal implants is presented. Oral rehabilitation with implant-supported overdentures improved the situation, despite serious problems with instability. Mandibular overdentures supported by endosteal implants were satisfactorily used to re-establish occlusion, ensuring prosthetic stability and improving the dynamics of the masticatory muscles.
伴有眼睑痉挛的口下颌肌张力障碍(也称为勃鲁盖尔综合征、梅杰综合征或特发性口面部肌张力障碍)的特征是口面部肌肉强烈且不自主地痉挛,常伴有牙齿脱落和咬合改变,这会使肌张力障碍表现恶化,并导致黏膜病变,进而可能导致全口无牙。本文介绍了一名口下颌肌张力障碍患者的病史,该患者接受了由骨内种植体支持的下颌覆盖义齿修复。尽管存在严重的稳定性问题,但种植体支持的覆盖义齿进行口腔修复改善了病情。骨内种植体支持的下颌覆盖义齿被成功用于重建咬合,确保了假体稳定性并改善了咀嚼肌的动态功能。