Oral rehabilitation with osseointegrated implants in a patient with oromandibular dystonia with blepharospasm (Brueghel's syndrome): a patient history

Int J Oral Maxillofac Implants. Jan-Feb 2001;16(1):115-7.


Oromandibular dystonia with blepharospasm (also known as Brueghel's syndrome, Meige's syndrome, or idiopathic orofacial dystonia) is characterized by intense and involuntary spasms of the orofacial muscles, with a frequent loss of teeth and occlusal alterations that worsen the dystonic manifestations and cause mucosal lesions that can lead to complete edentulism. The history of a patient with oromandibular dystonia who was rehabilitated with mandibular overdentures supported by endosteal implants is presented. Oral rehabilitation with implant-supported overdentures improved the situation, despite serious problems with instability. Mandibular overdentures supported by endosteal implants were satisfactorily used to re-establish occlusion, ensuring prosthetic stability and improving the dynamics of the masticatory muscles.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Dental Implantation, Endosseous*
  • Dental Implants*
  • Dental Occlusion
  • Dental Prosthesis, Implant-Supported
  • Denture Retention
  • Denture, Complete, Lower
  • Denture, Complete, Upper
  • Denture, Overlay
  • Female
  • Follow-Up Studies
  • Humans
  • Jaw, Edentulous / rehabilitation
  • Jaw, Edentulous / surgery
  • Mandible / surgery
  • Mastication / physiology
  • Masticatory Muscles / physiopathology
  • Maxilla / surgery
  • Meige Syndrome / physiopathology
  • Meige Syndrome / rehabilitation*
  • Mouth Rehabilitation*
  • Speech / physiology


  • Dental Implants