What Is Oromandibular Dystonia? Its Causes, Symptoms And Treatment

Abstract

Dystonia is a disorder that makes the muscle contract involuntary. This can cause dull or winding movements. The condition can influence one part of the body such as focal dystonia, two or more parts or it can affect the whole body which is known as general dystonia. Muscle spasms can vary from mild to extreme. These spasms can be painful and can disturb everyday tasks. One of the conditions of dystonia is Oromandibular Dystonia. Oromandibular Dystonia is an uncommon development problem when the muscles contract abnormally, causing unusual, frequently monotonous, developments as well as postures in the jaw, face and tongue. By and large, around three individuals out of every million have Oromandibular Dystonia. In the following text, we shall look into some details of the condition as well as its management.

Introduction

Oromandibular Dystonia is an uncommon condition that causes uncontrollable muscle contraction in the jaws, tongue and face. The contractions may occur while opening and closing jaws and with tongue movement. These involuntary contractions can make biting and talking very troublesome. Different parts of the body can likewise encounter contractions of muscles. Tongue dystonia also called lingual dystonia is a particular sort of oromandibular dystonia when the contractions of the tongue muscle are stimulated by eating and speaking. One more term used to portray Oromandibular Dystonia is cranial dystonia. Cranial dystonia is an expansive depiction for any region of the mouth and face. In Ayurveda, the condition can be compared with vata dosha vitiation as all the movements of the body and within the body are governed by vata dosha. Therefore involuntary movements or contractions are due to vitiated vata dosha in Oromandibular Dystonia.

Causes of Oromandibular Dystonia

• Specialists believe dystonia results from signals emerging from the brain that prompt muscles to contract improperly and involuntarily. Though, the specific justification for why the brain conveys these extreme signals isn’t totally understood.
• Oromandibular dystonia might be secluded (essential), implying that it is the main present neurological problem, regardless of a family ancestry. Instances of acquired oromandibular/cranial dystonia have been accounted for, frequently related to summed up dystonia. Oromandibular dystonia may likewise be acquired from secondary causes, for example, drug induced or conditions like Wilson’s disease. Drug-induced dystonia frequently first appears as side effects in the facial muscles.

Symptoms Of Oromandibular Dystonia

Symptoms can shift from gentle to serious and might in fact vary from one day to another. The contractions and movements of Oromandibular Dystonia can impact the body and the mouth and impede eating and drinking. Weakness is additionally normal because of the energy expected to talk and keep up with the place of the jaw.

Oromandibular Dystonia may cause:

• Mouth to open automatically or involuntarily
• Jaw to hold shut
• Lower jaw to move towards one side or to the back
• Involuntary movements in the longue, lips and face

Related dental issues include:

• Jaw pain
• Biting of the tongue
• Wear on teeth from grinding
• Trauma to the buccal mucosa

Investigations

• TMJ tomographic projections
• Electromyography
• CT Brain
• Blood work

Management

• Medications such as clonazepam, carbamazepine, diazepam, trihexyphenidyl,baclofen and tetrabenazine.
• Botulinum injection in the temporalis, lateral pterygoid muscles and masseter.

Ayurvedic Management

Oromandibular Dystonia is a condition caused by vitiated vata dosha. Therefore, the condition is managed by pacifying vata dosha through herbs and herbal formulations.

• Vatagajankusha Rasa and Vata Vidhwansan Rasa are ske of the formulations available for the vata dosha pacificaton which manages the condition of vata vitiation. As Oromandibular Dystonia is also a condition o9f vata vitiation therefore, these are helpful in the condition.
• Prasarini Taila, Narayana Taila Bala taila are important oil formulations which are useful in vata pacification as well as Oromandibular Dystonia.

Herbal Remedies for Oromandibular Dystonia by Planet Ayurveda

Planet Ayurveda is a renowned GMP certified, ISO 9001:2015 certified and US-FDA registered Ayurvedic Company, which adhered to the objective of manufacturing quality Ayurvedic products as described in the various ancient texts of Ayurveda. formulations are manufactured without additives and preservatives and other kinds of chemicals or artificial flavouring agents which have a number of side effects on the human body. Products prepared at Planet Ayurveda are pure and do not contain any kind of adulteration. The products are purely organic and vegetarian and gluten free. Planet Ayurveda has manufactured some of the classical products which are helpful in managing Oromandibular Dystonia.

Following is the list of products that are helpful in Oromandibular Dystonia:

1. RASRAJ RAS
2. YOGRAJ GUGGUL
3. VRIHAT VATCHINTAMANI RAS
4. BOSWELLIA CURCUMIN
5. DHANWANTARAM CAPSULES

Product Description

1. RASRAJ RAS

Rasraj Ras is a classical herbomineral formulation. It is composed of Parada (purified mercury), swarna (gold calx), loha bhasma (calx of iron), vanga (tin calx), ksheer kakoli (Fritillaria roylei), lavanga (Syzygium aromaticum), kakmachi (Solanum nigrum) etc. it possesses antioxidant, analgesic, immune modulating and antiinflammatory properties.

Dosage: One tablet twice a day to be chewed with little milk.

2. YOGRAJ GUGGUL

Yograj Guggul is a classical ayurvedic proprietary medicine. It is a helpful formulation in the conditions of the musculoskeletal system and neurological system. It is composed of the herbs guggul (Commiphora mukul), amalaki (Emblica officinalis), bibhitaki (Terminalia bellirica), haritaki (Terminalia chebula), vidang (Embelia ribes), ela (Elettaria cardamomum), gokshur (Tribulus terrestris), shunthi (Zingiber officinale) etc. The herbs of the formulation possess properties that promote muscle and nerve health. It benefits a person suffering from Oromandibular Dystonia as it stops involuntary contraction of the muscles and its associated symptoms.

Dosage: Two tablets twice a day with lukewarm water after meals.

3. VRIHAT VATCHINTAMANI RAS

Vrihat Vatchintamani Ras is a classical Ayurvedic mineral formulation. The formulation is made up of Rajata Bhasma (silver calx), Swarna Bhasma (gold calx), Loha Bhasma (iron ash), Abhrak Bhasma (mica ash), Suta Bhasma (compound of purified mercury and purified sulphur), Mukta Bhasma (pearl calx) and Pravala Bhasma (coral calcium). It also has juice extract of Aloe vera. It is beneficial in demyelinating conditions of nerves. It is useful in neuropathies. It corrects neuritis. As the name of the formulation suggests it helps in vata pacification therefore helps in correcting the conditions caused by vata vitiation. Therefore, Vrihat Vatchintamani Ras is beneficial in Oromandibular Dystonia.

Dosage: One tablet twice a day to be chewed with little milk.

4. BOSWELLIA CURCUMIN

Boswellia Curcumin capsules are filled with the goodness of herbs shallaki (Boswellia serrata) and haridra (Curcuma longa). Both the herbs possess antiinflammatory, analgesic and antipyretic properties. Boswellia Curcumin capsules help in alleviating the symptoms caused by the condition of Oromandibular Dystonia.

Dosage: One capsule twice daily after meals with plain water.

5. DHANWANTARAM CAPSULES

Dhanwantaram Capsules are soft gel capsules filled with oil preparation. It is filled with Dhanwantaram taila which is an ayurvedic oil that is consumed orally for the management of various neurological conditions. The capsule contain the properties of bala (Sida cordifolia), kiulatha (Dolichos biflorus), agnimantha (Clerodendrum phlomidis), prasarini (Paederia foetida), brihati (Solanum indicum), manjistha (Rubia cordifolia), sariva (Hemidesmus indicus) and others. All the herbs are known to aid neurological health. Furthermore Dhanwantaram Capsules pacifies the vitiated vata dosha and helps in reducing the involuntary contractions of the muscle.

Dosage: One capsule twice daily after meals with plain water.

Conclusion

Oromandibular Dystonia is a condition of unknown aetiology. Oromandibular Dystonia is characterized by an uncontrollable or involuntary muscle spasm or contraction of the face, tongue or lips. The condition is troublesome as it causes pain and discomfort while speaking and eating. There are anticonvulsants available in the contemporary system of medicine which provides temporary relief from the symptoms but there is no cure. Whereas in Ayurveda, treatment depends on the pacification of the vata dosha which is the culprit of the condition. Planet Ayurveda is firmly attached to its objective of providing relief to the patients suffering from ailments that are hard to manage. Similarly the condition of Oromandibular Dystonia is one of them and above mentioned medicines are helping the patients suffering from the same.