Occlusal dysesthesia-A clinical guideline.

Dental Occlusion Dentists Humans Malocclusion Paresthesia Professional Role
facial pain malocclusion oral health-related quality of life phantom bite syndrome somatic symptom disorders temporomandibular disorders

Journal

Journal of oral rehabilitation
ISSN: 1365-2842
Titre abrégé: J Oral Rehabil
Pays: England
ID NLM: 0433604

Informations de publication

Date de publication:
May 2020
Historique:
received: 04 09 2019
revised: 03 02 2020
accepted: 09 02 2020
pubmed: 23 2 2020
medline: 20 5 2020
entrez: 22 2 2020
Statut: ppublish

Résumé

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.

Sections du résumé

BACKGROUND BACKGROUND
The diagnosis and management of patients suffering from occlusal dysesthesia (OD) remain a major challenge for dental practitioners and affected patients.
OBJECTIVES OBJECTIVE
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.
METHODS METHODS
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.
RESULTS RESULTS
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.
CONCLUSIONS CONCLUSIONS
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.

Identifiants

DOI: 10.1111/joor.12950 PMID: 32080883 PMC: PMC7317831
pubmed: 32080883
doi: 10.1111/joor.12950
pmc: PMC7317831
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

651-658

Informations de copyright

© 2020 The Authors. Journal of Oral Rehabilitation published by John Wiley & Sons Ltd.

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Auteurs

Bruno Imhoff (B)

Private Practice, Cologne, Germany.

M Oliver Ahlers (MO)

Department of Prosthetic Dentistry School of Dental Medicine, University Medical Centre Hamburg-Eppendorf, and CMD-Center Hamburg-Eppendorf, Hamburg, Germany.
ORCID: 0000-0001-9536-7259

Alfons Hugger (A)

Department for Prosthodontics, School of Dentistry, Heinrich Heine University, Düsseldorf, Germany.

Matthias Lange (M)

Private Practice, Berlin, Germany.

Marc Schmitter (M)

Department of Prosthodontics, University of Würzburg, Würzburg, Germany.

Peter Ottl (P)

Department of Prosthodontics and Materials Science, University Medical Center Rostock, Rostock, Germany.

Anne Wolowski (A)

Department for Prosthodontics and Biomaterials, University Hospital Münster, Münster, Germany.

Jens Christoph Türp (JC)

Department of Oral Health & Medicine, University Center of Dental Medicine Basel, University of Basel, Basel, Switzerland.
ORCID: 0000-0001-9267-4317

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Classifications MeSH

questionsmedicales.fr › Phénomènes physiologiques de l'appareil buccodentaire et de l'appareil digestif › Phénomènes physiologiques dentaires › Occlusion dentaire › Occlusal dysesthesia-A clinical guideline.
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Personnel de santé › Dentistes › Occlusal dysesthesia-A clinical guideline.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Occlusal dysesthesia-A clinical guideline.
questionsmedicales.fr › Maladies du système stomatognathique › Maladies des dents › Malocclusion dentaire › Occlusal dysesthesia-A clinical guideline.
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Manifestations neurologiques › Troubles sensitifs › Troubles somatosensoriels › Paresthésie › Occlusal dysesthesia-A clinical guideline.
questionsmedicales.fr › Comportement et mécanismes comportementaux › Processus de groupe › Rôle › Rôle professionnel › Occlusal dysesthesia-A clinical guideline.