Utilizing the concept of geste antagoniste for conservative management of oro-mandibular tardive dyskinesia: a case report and mini-review

Arwa Farag, Robert W. Mier, Leopoldo P. Correa

Research output: Contribution to journalJournal articlepeer-review

3 Scopus citations

Abstract

Objective: This case report highlights the implication of the concept of “geste antagoniste” in conservatively managing oromotor dysfunction and its complications. Clinical presentation: A 66-year-old female with a 1-year history of tardive dyskinesia (TD) was referred to the Craniofacial Pain Department (CPC) at Tufts University School of Dental Medicine for management of sore labial/lingual mucosa secondary to excessive daytime involuntary activity of the tongue, lips, and mandible. A detailed head/neck examination revealed excessive involuntary movements of the tongue, lips, and mandible with generalized tenderness of her masticatory muscles. No TMJ or bone pathology was evident in a panoramic radiograph. Intervention: A lower daytime appliance with bilateral posterior contacts was fabricated to protect her oral mucosa. On reevaluation, excessive movement of the jaw/tongue was significantly reduced with the presence of the appliance in her mouth. Face/neck muscle tenderness was also greatly reduced. Conclusion: The use of oral appliance therapy in TD patients plays an important role in protecting the teeth/oral mucosa. The subsequent inhibition of excessive motor activity is proposed and should be further investigated.

Original languageEnglish
Pages (from-to)338-342
Number of pages5
JournalCranio - Journal of Craniomandibular Practice
Volume34
Issue number5
DOIs
StatePublished - 2 Sep 2016

Keywords

  • Antipsychotic medications
  • Geste antagoniste
  • Motor dysfunction
  • Oral appliance
  • Oro-mandibular movement
  • Orofacial pain
  • Tardive dyskinesia

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