Bruxism: Best Evidence Consensus Statement

医学 夜磨牙症 随机对照试验 苦恼 心情 系统回顾 人口 社会心理的 循证医学 梅德林 精神科 替代医学 临床心理学 外科 环境卫生 病理 政治学 肌电图 法学
作者
Gary Goldstein,Louis DeSantis,Charles J. Goodacre
出处
期刊:Journal of Prosthodontics [Wiley]
卷期号:30 (S1): 91-101 被引量:43
标识
DOI:10.1111/jopr.13308
摘要

The purpose of this Best Evidence Consensus Statement is to report on the prevalence, potential causes or association, treatment and cure of bruxism.A literature search limited to Clinical Trials, Randomized Controlled Trials, Systematic Reviews and Meta Analyses, with the key words bruxism, and prevalence identified 22 references, bruxism and causation 21, bruxism, and treatment 117, and bruxism and cure none.Prevalence received 5 references which were relevant to the question researched. Causation received 11 relevant references, treatment 34 relevant references and cure none. Eighteen additional references were culled from the reference lists in the aforementioned articles.Due to variations in demographics and the dependence on anamnestic data, the true prevalence of bruxism in any specific population is unknown. There is moderate evidence that psychosocial factors such as stress, mood, distress, nervousness, and feeling blue are associated with sleep bruxism (SB) as well as caffeine, alcohol, and smoking. There is no consensus on what symptoms of SB or awake bruxism (AB) should be treated. There is some evidence that occlusal devices and bio feedback therapies can be utilized in SB treatment. There is conflicting evidence in the use of Botulinum toxin A and no compelling evidence for the use of drug therapy to treat SB. There is not an established cure for bruxism. The clinician is best served in using caution in the dental rehabilitation of patients with severe occlusal wear.
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