咬合不适综合征的研究现状

doi:10.13591/j.cnki.kqyx.2022.11.016

口腔医学 ›› 2022, Vol. 42 ›› Issue (11): 1042-1046.doi: 10.13591/j.cnki.kqyx.2022.11.016

咬合不适综合征的研究现状

赵维家, 金晓婷, 罗洁, 傅柏平

浙江大学医学院附属口腔医院修复科,浙江大学口腔医学院口生物腔材料与器械浙江省工程研究中心,浙江省口腔疾病临床医学研究中心,浙江省口腔生物医学研究重点实验室,浙江大学癌症研究院,浙江杭州(310006)

收稿日期:2022-04-08 出版日期:2022-11-28 发布日期:2022-11-25
通讯作者: 傅柏平 Tel:(0571)87217427E-mail:fbp@zju.edu.cn
基金资助:
国家自然基金面上项目(81970982)

Occlusal discomfort syndrome:A literature review

ZHAO Weijia, JIN Xiaoting, LUO Jie, FU Baiping

Department of Prosthodontics, Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Clinical Research Center for Oral Diseases of Zhejiang Province, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou 310006, China

Received:2022-04-08 Online:2022-11-28 Published:2022-11-25

摘要/Abstract

摘要： 咬合不适综合征(occlusal discomfort syndrome,ODS)是一种以与咬合运动相关的持续咬合不适为特征的综合征,有些患者口腔内可以发现存在明显咬合关系不协调,有些也可没有明显的咬合异常。该疾病患者常伴有焦虑等心理学特征。ODS病因不明,通常继发于口腔修复和正畸治疗,咀嚼系统对咬合关系不协调的被动性适应可能是导致ODS的原因。ODS尚无报道系统治疗方案,患者口腔内无明显咬合关系不协调时,不恰当的修复、调牙合和正畸等治疗均有可能加重患者的病情,而心理治疗与认知行为疗法被认为对该疾病治疗效果显著。目前口腔医生对该疾病认识有限,该文旨在对ODS的流行病学特征、病因、临床表现、诊断与防治作一综述。

关键词: 咬合不适综合征, 咬合感觉障碍, 心理疾病, 咬合关系, 认知行为疗法

Abstract: Occlusal discomfort syndrome(ODS)refers to a syndrome characterized with discomfort of masticatory muscles and nerves related to mandibular movement. Patients with persistent discomfort may have no visible premature occlusion contact. ODS patients frequently suffer from anxiety and depression. ODS occurs usually secondary to prosthodontic or orthodontic treatment and its pathogenesis is unknown. The passive self-adaptation of stomatognathic system to slightly inharmonious occlusion might lead to ODS. There is no consensus on Methods for ODS treatment. For ODS patients with invisible occlusion interference, incorrect occlusion adjustment might exacerbate patients' symptoms. Psychotherapy and cognitive behavioral therapy seem to be effective in ODS treatment. This review aims to describe the epidemiological characteristics, pathogenesis, clinical features, diagnosis and treatment of ODS.

Key words: occlusal discomfort syndrome, occlusal dysesthesia, mental disease, occlusion, cognitive behavioral therapy

中图分类号:

R780.1

赵维家, 金晓婷, 罗洁, 傅柏平. 咬合不适综合征的研究现状[J]. 口腔医学, 2022, 42(11): 1042-1046.

ZHAO Weijia, JIN Xiaoting, LUO Jie, FU Baiping. Occlusal discomfort syndrome:A literature review[J]. Stomatology, 2022, 42(11): 1042-1046.

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咬合不适综合征的研究现状

Occlusal discomfort syndrome:A literature review

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