Beddis Hannah P, Davies Stephen J
Restorative Department, Leeds Dental Institute, Clarendon Way, Leeds, LS2 9LU, UK.
University of Manchester, TMD Clinic, Manchester University Dental School, Higher Cambridge Street, Manchester, M15 6FH, UK.
Br Dent J. 2023 Mar;234(6):422-426. doi: 10.1038/s41415-023-5584-4. Epub 2023 Mar 24.
This article will provide an overview of the diagnosis of common temporomandibular disorders (TMDs) and bruxism, along with their relevance in management of tooth wear. When assessing and managing a tooth wear case, the teeth should not be considered in isolation, but as part of the articulatory system, which has three inter-related elements: the teeth, the temporomandibular joints and the masticatory muscles. The presence/absence of bruxism and TMD are highly relevant, although there may not be a causal relationship between these. A consideration of TMD and bruxism, together with the potential impact these may have on the patient during and after any management of tooth wear, will form part of patient education and the informed consent process.
本文将概述常见颞下颌关节紊乱病（TMD）和磨牙症的诊断，以及它们在牙齿磨损管理中的相关性。在评估和处理牙齿磨损病例时，不应孤立地考虑牙齿，而应将其视为关节系统的一部分，该系统有三个相互关联的要素：牙齿、颞下颌关节和咀嚼肌。磨牙症和TMD的存在与否高度相关，尽管它们之间可能不存在因果关系。考虑TMD和磨牙症，以及它们在牙齿磨损的任何处理过程中和处理后可能对患者产生的潜在影响，将成为患者教育和知情同意过程的一部分。
