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
- 牙齿磨耗和疼痛
- 颚肌或颞下颌关节（TMJ）疼痛
- 颌肌压痛
- 压力和焦虑
- 咖啡因、尼古丁或酒精的使用
- 睡眠障碍病史
- 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
- 原发性运动障碍
诊断性检查
首要检查
- 临床诊断
需考虑的检查
- 多导睡眠图 (PSG) 检查
- 肌电图（EMG）
- 生态瞬时评估（EMA）
治疗流程
清醒态磨牙症
夜磨牙症
撰稿人
作者
Frank Lobbezoo, DDS, PhD
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 (unpaid) of the Academic Advisory Boards of Sunstar Suisse S.A for GrindCare® and for Oral Function. FL receives research grants from Sunstar Suisse S.A, Airway management, Vivisol, SomnoMed-Goedegebuure, and Health Holland. FL is an author of several references cited in this topic.
Daniele Manfredini, DDDS, PhD
Full Professor Oral Physiology and Gnathology
School of Dentistry
University of Siena
Siena
Italy
利益声明
DM is an author of several references cited in this topic.
Alessandro Bracci, DDS
Associate 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.
鸣谢
Professor Daniele Manfredini, Professor Frank Lobbezoo, and Alessandro Bracci would like to gratefully acknowledge Professor Peter Svensson, a previous contributor to this topic.
利益声明
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.
同行评议者
Alan Glaros, PhD
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 topic.
鉴别诊断
- 口下颌肌张力障碍
- 亨廷顿病
- Tourette 氏综合征
更多 鉴别诊断
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