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A Journal on Internal Medicine

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Panminerva Medica 1998 June;40(2):154-6


language: English

Tardive dyskinesia: dental prosthetic therapy

Sutcher H., Soderstrom J., Perry R., Das A.*

From the Department of Restorative Dentistry, College of Dentistry, University of Illinois, Chicago * Oral Medicine and Diagnostic Sciences University of Illinois, Chicago, USA


The ­object of this study was to dem­on­strate that the den­tal pros­thet­ic ther­a­py that has long been shown to be effec­tive in the treat­ment of idiopathic or Spontaneous Oro­fa­cial Dys­ki­ne­sia (SOFD) was also effec­tive in the treat­ment of the oro­fa­cial man­i­fes­ta­tions of Tardive Dyskinesia (TD). This pre­lim­i­nary work con­sist­ed of eval­u­a­tion of the ­results of den­tal pros­thet­ic treat­ment pro­vid­ed to TD ­patients at the University of Illinois, College of Dentistry at Chicago. All ­patients who pre­sent­ed dem­on­strat­ing oro­fa­cial man­i­fes­ta­tions of TD were accept­ed for treat­ment. No stan­dard den­tal appli­ance ­exists to treat ­either SOFD or TD. Each case ­requires an indi­vid­u­al­ized ­approach. Natural teeth ­should be main­tained ­because the more nat­u­ral teeth ­present, the easi­er it is to fab­ri­cate a ­stable and effec­tive pros­the­sis, and TD ­occurs with great­er fre­quen­cy and sever­ity in eden­tu­lous than in den­tu­lous ­patients. Effective treat­ment of such ­patients ­requires the den­tist to be flex­ible and tail­or his ther­a­py to idio­syn­cra­sies of each case, rath­er than being wed­ded to rigid the­o­ries of what is sup­posed to be appro­pri­ate treat­ment and appli­ance ­design. Two rep­re­sen­ta­tive cases of treat­ment of TD with den­tal pros­the­ses are pre­sent­ed. Prosthetic den­tal ther­a­py ­should be con­sid­ered in the man­age­ment of the oro­fa­cial man­i­fes­ta­tions of Tardive Dyskinesia ­because it often is effec­tive and has no known side ­effects. Since the treat­ment ­described here is pros­thet­ic, any team ­approach to the treat­ment of TD ­should ­include an inter­est­ed general dentist or prosthodontist.

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