最后审阅: 18 九月 2021
最后更新: 20 四月 2021

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

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

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.

内容使用需遵循免责声明