Bruxism in Acute Neurologic Illness

Purpose of Review While traditionally encountered in ambulatory settings, bruxism occurs in patients with a variety of acute neurologic illnesses including encephalitis, intracerebral hemorrhage, traumatic brain injury, hypoxic-ischemic encephalopathy, and acute ischemic stroke. Untreated bruxism in...

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Bibliographic Details
Published in:Current pain and headache reports 2021-06, Vol.25 (6), p.41-41, Article 41
Main Authors: Burke, Devin J., Seitz, Alison, Aladesuru, Oluwatobi, Robbins, Matthew S., Ch’ang, Judy H.
Format: Article
Language:English
Subjects:
Autoimmune diseases
Botulinum toxin
Brain damage
Coma
Encephalitis
Etiology
Headaches
Hemorrhage
Illnesses
Infections
Internal Medicine
Jaw
Medicine
Medicine & Public Health
Pain
Pain Medicine
Patients
Secondary Headache (M Robbins
Section Editor
Sleep
Stroke
Teeth
Topical Collection on Secondary Headache
Traumatic brain injury
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Summary:Purpose of Review While traditionally encountered in ambulatory settings, bruxism occurs in patients with a variety of acute neurologic illnesses including encephalitis, intracerebral hemorrhage, traumatic brain injury, hypoxic-ischemic encephalopathy, and acute ischemic stroke. Untreated bruxism in acute neurologic illness can lead to tooth loss, difficulty in mouth care resulting in recurrent aspiration pneumonia, endotracheal tube dislodgement, and even tongue laceration or amputation. Inpatient clinicians should be aware of the etiologies and management strategies for bruxism secondary to acute neurologic illness. Recent Findings Management strategies for bruxism are varied and include pharmacologic and non-pharmacologic therapies in addition to onabotulinumtoxinA (BoNT-A). Summary Bruxism impacts patients with a variety of acute neurologic illnesses, and emerging evidence suggests successful and safe treatment strategies.
ISSN:1531-3433
1534-3081
DOI:10.1007/s11916-021-00953-4