Melis M, Zawawi K H
Private Practice, Cagliari, Italy.
Craniofacial Pain and Headache Center, School of Dental Medicine, Tufts University, Boston, MA, USA.
J Oral Rehabil. 2015 Oct;42(10):779-85. doi: 10.1111/joor.12309. Epub 2015 May 21.
Occlusal dysesthesia (OD) is a disorder characterised by the sensation of uncomfortable bite with no obvious occlusal discrepancy. It is usually associated with emotional distress and is elicited by dental occlusal procedures. Multiple dental treatments are often provided to try to resolve the symptoms, but the outcome is usually dissatisfying for the dentist and disappointing for the patient. To summarise the specific features of OD, a PubMed search was carried out looking for all papers related to the topic. The references from the studies selected and from review articles were also examined for further relevant papers. A total of 138 articles were first identified, of which 18 of them were considered relevant to the topic. This article reviews the epidemiology, taxonomy and etio-pathophysiology, symptomatology, diagnosis and treatment of OD, with special relevance to issues of clinical importance and dental therapy. Any dental treatment must be avoided in patients with OD, because the results could be inadequate and it usually worsens the symptoms.
咬合感觉异常（OD）是一种以无明显咬合差异却有咬合不适感觉为特征的病症。它通常与情绪困扰相关，且由牙科咬合程序引发。常常进行多种牙科治疗以试图缓解症状，但结果通常令牙医不满意，让患者失望。为总结OD的具体特征，我们在PubMed上进行了搜索，查找所有与该主题相关的论文。还查阅了所选研究及综述文章的参考文献，以寻找更多相关论文。最初共识别出138篇文章，其中18篇被认为与该主题相关。本文回顾了OD的流行病学、分类学、病因病理生理学、症状学、诊断和治疗，特别关注具有临床重要性和牙科治疗的问题。对于患有OD的患者，必须避免任何牙科治疗，因为结果可能不理想，而且通常会使症状恶化。
