In Japan, oromandibular dystonia is often misdiagnosed as temporomandibular disorders, bruxism, or psychogenic disorder. Most cases diagnosed by dentists or oral surgeons have been treated with dental appliances or unnecessary surgery. Delay in an accurate diagnosis and appropriate treatment has resulted in aggravation of oromandibular dystonia.
In the US, mainly neurologists (movement disorder specialist if possible), but also seen by dentists and ENTs.
Dear Dr. Jason Margokesky,
Thank you very much for your reply.
Do dentists inject botulinum toxin?
Best regards,
Kazuya Yoshida
I agree with Dr. Margolesky, and would also add speech and language pathologist. In my facility, botox injection has been done by the neurologist. ~Deanna, ANP-BC
Dear Dr. Deanna Grenier-Mullins,
Thank you very much for your answer.
It is easy to inject botulinum toxin into the masseter or temporalis muscles. However, for neurologists it might be difficult to inject Botox into the lateral and medial pterygoid muscles or genioglossal muscle.
Best regards,
Kazuya Yoshida
Dear Dr. Xin Wang,
Thank you very much for your information in China.
In Japan, some acupuncturists treat dystonia.
I think that acupuncture is more active in China.
Best regards,
Kazuya Yoshida
Hi, Dr. Kazuya Yoshida , I believe that the question your asking is very hard to narrow down. Mostly, because there is not much literature discussing all oromandibular movements variants from a clinically-oriented standpoint. I, a colleague, and a very known Chilean movement disorders neurologist just uploaded a chapter of our authorship discussing the subject in detail from a clinically based perspective. We would like to invite you to read our chapter and give us your input. My best
Dr. Skármeta
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