Journal of Rehabilitation Research & Development (JRRD)

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Volume 51 Number 4, 2014
   Pages 661 — 664

Abstract — Botulinum toxin injection for bruxism associated with brain injury: Case report

Serdar Kesikburun, MD;* Rıdvan Alaca, MD; Berke Aras, MD; İlknur Tuğcu, MD; Arif Kenan Tan, MD

Department of Physical Medicine and Rehabilitation, Gülhane Military Medical Academy, Turkish Armed Forces Rehabilitation Center, Ankara, Turkey

Abstract — Bruxism is involuntary grinding of the teeth and can occur as a complication of brain injury. If untreated, bruxism can lead to severe occlusal trauma. Herein, we present a patient with traumatic brain injury and nocturnal bruxism that was treated with botulinum toxin injection. A 21 yr old male patient with traumatic brain injury from a car accident was admitted to our inpatient rehabilitation unit. He had a history of coma for 2 wk in the intensive care unit. The initial cranial computed tomography scan indicated a superior thalamic hemorrhage. On admission to our department 3 mo postinjury, his mental status was good and he was able to walk without assistance, but he had mild ataxia. He complained about severe teeth grinding at night, which began 2 mo postinjury. Botulinum toxin-A was injected into the masseter muscles (20 U in each muscle) and temporalis muscles (15 U in each muscle) bilaterally. A decrease in bruxism was reported within 3 d. Clinical improvement persisted at assessment 4 mo posttreatment. Botulinum toxin injection can be used as an effective treatment for bruxism associated with brain injury.

Key words:botulinum toxin, bruxism, bruxism treatment, case report, complication, masseter muscle, temporalis muscle, tooth clenching, tooth grinding, traumatic brain injury.


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This article and any supplemental material should be cited as follows:
Kesikburun S, Alaca R, Aras B, Tuğcu İ, Tan AK. Botulinum toxin injection for bruxism associated with brain injury: Case report. J Rehabil Res Dev. 2014;51(4):661–64.
http://dx.doi.org/10.1682/JRRD.2013.10.0218
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Last Reviewed or Updated  Tuesday, July 29, 2014 2:41 PM

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