最近审阅: 27 十月 2020
最近更新: 19 一月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 磨牙噪声
  • 口腔功能紊乱
  • 牙齿磨耗
  • 颚肌疼痛
  • 颌肌压痛
  • 压力和焦虑
  • 咖啡因、尼古丁或酒精的使用
  • 睡眠障碍既往史
  • 选择性5-羟色胺再摄取抑制剂或多巴胺拮抗剂使用
  • 摇头丸或可卡因的使用
  • 肌肉肥大

其他诊断因素

  • 头痛
  • 牙齿敏感
  • 牙修复体断裂
  • 口腔黏膜改变
  • 磨牙症事件及相关行为的记录
  • 口腔矫治器的磨耗

危险因素

  • 吸烟、咖啡因、酒精摄入
  • 应激敏感性和焦虑性人格特征
  • 打鼾、睡眠呼吸暂停和其他睡眠障碍
  • 用药
  • 遗传倾向

诊断性检查

需考虑的检查

  • 多导睡眠图 (PSG) 检查
  • 肌电图(EMG)
  • 基于智能手机的生态瞬时评估 (Ecological Momentary Assessment, EMA)
更多 需考虑的检查

治疗流程

撰稿人

Professor, Chair, and Vice Dean

Department of Oral Health Sciences

Academic Centre for Dentistry Amsterdam (ACTA)

MOVE Research Institute Amsterdam

University of Amsterdam

VU University Amsterdam

Amsterdam

The Netherlands

利益声明

FL is a member of the Academic Advisory Board of Sunstar Suisse S.A for GrindCare®. FL receives research funding from Sunstar Suisse S.A and SomnoMed. FL is an author of several references cited in this topic.

Associate Professor School of Dentistry

Department of Neuroscience

University of Padova

Padova

Italy

利益声明

DM is an author of several references cited in this topic.

Adjunct Professor

School of Dentistry

Department of Neuroscience

University of Padua

Padua

Italy

利益声明

AB is the inventor of and owns the copyright for the software BruxApp. AB is an author of a reference cited in this topic.

Professor Daniele Manfredini, Professor Frank Lobbezoo, and Alessandro Bracci would like to gratefully acknowledge Professor Peter Svensson, a previous contributor to this topic. PS is chairman of the clinical advisory board and has received fees for consulting for Medotech, the manufacturer of GrindCare. PS is also an author of several references cited in this topic.

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Associate Dean and Professor

Kansas City University of Medicine and Biosciences

Kansas City

MO

利益声明

AG is a member of the clinical advisory board of Medotech and has received GrindCare devices for evaluation. AG is an author of a reference cited in this monograph.

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