Dental treatment of patients with Gilles de la Tourette's syndrome.
Gilles de la Tourette's syndrome, a familial neurologic disorder with onset in early life, is characterized by chronic intermittent motor and vocal tics. Many of the orofacial tics and compulsive behaviors seen in this disorder may cause destructive oral lesions. The medications used in treating the syndrome may adversely interact with dental therapeutic agents, frequently cause hyposalivation associated with the development of dental caries and periodontal disease, and may produce tardive dyskinesia with buccolingual choreiform movements. The oral signs and symptoms associated with the syndrome are reviewed, and modifications in dental treatment on the basis of the patient's behavioral alterations, and current drug therapy are suggested.
Friedlander
A H
AH
Veterans Affairs Medical Center, Sepulveda, CA 91343.
Cummings
J L
JL
D002012:Bruxism / Q000209:etiology; D003730:Dental Care for Persons with Disabilities; D003777:Dental Prophylaxis; D004347:Drug Interactions; D006801:Humans; D013705:Temporomandibular Joint Disorders / Q000209:etiology; D005879:Tourette Syndrome / Q000150:complications / Q000188:drug therapy; D014987:Xerostomia / Q000139:chemically induced