Lobbezoo F, Verhoeff M C, Helmers R, de Lange J, Koutris M
Ned Tijdschr Tandheelkd. 2024 Jul;131(7-08):331-334. doi: 10.5177/ntvt.2024.07/08.24017.
A recent publication in the Nederlands Tijdschrift Voor Tandheelkunde (Dutch Journal of Dentistry) suggests botulinum toxin as a primary treatment for bruxism, especially for severe complaints of teeth grinding or jaw clenching. However, in the opinion of Lobbezoo et al., some outdated views on bruxism are used, and botulinum toxin is incorrectly classified as safe, according to them. In this Vision article, the authors describe the current insights into bruxism; they indicate how the presence of bruxism can be assessed in the clinic; when and how bruxism is treated; and finally, what the role of botulinum toxin is: an ultimum refugium. Therefore, regarding the use of botulinum toxin within the discipline of orofacial pain and dysfunction Lobbezoo et al. recommend: think twice!
最近发表在《荷兰牙科杂志》上的一篇文章提出，肉毒杆菌毒素可作为磨牙症的主要治疗方法，尤其是对于牙齿研磨或牙关紧闭的严重症状。然而，根据洛贝佐等人的观点，该文章对磨牙症使用了一些过时的观点，并且将肉毒杆菌毒素错误地归类为安全药物。在这篇视角文章中，作者描述了对磨牙症的当前见解；他们指出了如何在临床中评估磨牙症的存在；磨牙症何时以及如何进行治疗；最后，肉毒杆菌毒素的作用是什么：一种最后的避难所。因此，关于在口面部疼痛和功能障碍学科中使用肉毒杆菌毒素，洛贝佐等人建议：三思而后行！
