Private Practice, Cologne, Germany.
Department of Prosthetic Dentistry School of Dental Medicine, University Medical Centre Hamburg-Eppendorf, and CMD-Center Hamburg-Eppendorf, Hamburg, Germany.
J Oral Rehabil. 2020 May;47(5):651-658. doi: 10.1111/joor.12950. Epub 2020 Mar 18.
The diagnosis and management of patients suffering from occlusal dysesthesia (OD) remain a major challenge for dental practitioners and affected patients.
To present the results of a literature-based expert consensus intended to promote better understanding of OD and to facilitate the identification and management of affected patients.
In 2018, electronic literature searches were carried out in PubMed, Cochrane Library and Google Scholar as well as in the archives of relevant journals not listed in these databases. This approach was complemented by a careful assessment of the reference lists of the identified relevant papers. The articles were weighted by evidence level, followed by an evaluation of their contents and a discussion. The result represents an expert consensus.
Based on the contents of the 77 articles identified in the search, the current knowledge about clinical characteristics, epidemiology, aetiology, diagnostic process, differential diagnosis and management of OD is summarised.
Occlusal dysesthesia exists independently of the occlusion. Instead, it is the result of maladaptive signal processing. The focus should be on patient education, counselling, defocusing, cognitive behavioural therapy, supportive drug therapy and certain non-specific measures. Irreversible, specifically an exclusively dental treatment approach must be avoided.
咬合不适（OD）患者的诊断和治疗仍然是牙科医生和受影响患者的主要挑战。
呈现基于文献的专家共识的结果，旨在促进对 OD 的更好理解，并有助于识别和管理受影响的患者。
2018 年，在 PubMed、Cochrane 图书馆和 Google Scholar 以及未列入这些数据库的相关期刊的档案中进行了电子文献检索。这种方法通过仔细评估确定的相关论文的参考文献进行了补充。文章按证据水平加权，然后对其内容进行评估和讨论。结果代表专家共识。
基于搜索中确定的 77 篇文章的内容，总结了目前关于 OD 的临床特征、流行病学、病因、诊断过程、鉴别诊断和治疗的知识。
咬合不适独立于咬合而存在。相反，它是适应不良信号处理的结果。重点应放在患者教育、咨询、分散注意力、认知行为疗法、支持性药物治疗和某些非特异性措施上。不可逆转的、专门的、仅针对牙齿的治疗方法必须避免。
