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Antidepressant-induced bruxism successfully treated with gabapentin
1Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas 75235-9101, USA.
Journal of the American Dental Association (1939)
|November 26, 1999
Summary
Antidepressant-induced bruxism, a common dental complaint, may be effectively treated with gabapentin. Dentists should screen for antidepressant use in patients experiencing bruxism.
Area of Science:
- Neuroscience
- Pharmacology
- Dental Medicine
Background:
- Bruxism is a frequent chief complaint in dental settings.
- Antidepressant medications are widely prescribed for mood disorders.
- Identifying iatrogenic causes of bruxism is crucial for effective management.
Observation:
- A case study details a patient with bipolar disorder experiencing bruxism, anxiety, insomnia, and tremor after initiating venlafaxine.
- The patient's symptoms, including bruxism, resolved after gabapentin was prescribed for anxiety.
Findings:
- Bruxism may be a secondary effect of antidepressant therapy, particularly venlafaxine.
- Gabapentin demonstrated efficacy in resolving antidepressant-induced bruxism in this case.
- The literature suggests a potential link between antidepressant use and bruxism.
Implications:
- Dentists should routinely inquire about antidepressant use in patients presenting with bruxism.
- Gabapentin presents a promising therapeutic option for managing antidepressant-induced bruxism.
- This highlights the importance of interdisciplinary communication between psychiatrists and dentists.