Patients with severe head injury esp , diffuse axonal injury may have associated bruxism which, to my experience, lasts for 10 -14 days. I have been studying these patients in recent years with trials of pramipexol and benzodiazapines. I have come across the botox inj studies as well. I wish to have suggestions from colleagues.
Regardless of bruxism origin -primary or postanoxic, postraumatic etc- botox seem to be effective in severe benzodiazepine non respondent cases
thanks Javier
can you please suggest me relevant references to the point. Whats your opinion about pramipexol.
Non-invasive treatment modalities with symptom appropriate ancillary care can be very efficacious. With any head injury the trigeminal system is ramped up and it interrupts afferent signals improperly, even normally innocuous signals. Well developed night guards can reduce the excessive motor intensity of V3 and possible on the over all upper quarter pain.
Svensson, P; Jadidi, F; Baad-Hansen, L; Sessle, B.J. Relationships between crainofacial pain and bruxism. Journal of Oral Rehabilitation, 07/2008, Volume 35, Issue 7, pp. 524 - 547.
Lobbezoo, F. Naeij, M. Bruxism is mainly regulated centrally, not peripherally. J Oral Rehabil, 2001. 28(12): p. 1085-91.
Thanks Sunil
Yes dopamine agonist does work. I used pramipexole myself. Can you please give me your reference for the application of bromocriptine.
Pratyush
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