J Am Dent Assoc. 2017 Jun;148(6):387-391. doi: 10.1016/j.adaj.2017.03.005.
Awake bruxism is a common clinical condition that often goes undetected, often leading to pain or damaged teeth and restorations.
The authors searched electronic databases regarding the treatment and effects of awake bruxism compared with those of sleep bruxism. The authors used the search terms diurnal bruxism and oral parafunction. The authors combined information from relevant literature with clinical experience to establish a recommended protocol for diagnosis and treatment.
The authors found articles regarding the diagnosis and treatment of bruxism. The authors combined information from the articles with a review of clinical cases to establish a treatment protocol for awake bruxism.
Literature and clinical experience indicate a lack of patient awareness and, thus, underreporting of awake bruxism. As a result, myriad dental consequences can occur from bruxism. The authors propose a need for increased awareness, for both patients and professionals, particularly of the number of conditions related to awake bruxism.
Clinicians should look for clinical signs and symptoms of awake bruxism and use minimally invasive treatment modalities.
清醒磨牙症是一种常见的临床病症，常常未被发现，往往导致疼痛或牙齿受损和修复体损坏。
作者检索了关于清醒磨牙症的治疗和效果的电子数据库，并与睡眠磨牙症进行了比较。作者使用了日间磨牙症和口腔副功能这两个搜索词。作者结合相关文献中的信息和临床经验，制定了诊断和治疗的推荐方案。
作者找到了关于磨牙症的诊断和治疗的文章。作者结合文章中的信息和对临床病例的回顾，为清醒磨牙症制定了治疗方案。
文献和临床经验表明，患者对此病的认识不足，因此报告的清醒磨牙症病例较少。结果，磨牙症会导致各种牙齿问题。作者认为需要提高患者和专业人员的认识，特别是与清醒磨牙症相关的各种病症。
临床医生应寻找清醒磨牙症的临床体征和症状，并使用微创治疗方法。
