Proposal for a clinical flowchart for patients with occlusal discomfort syndrome

DOI
  • WAKE Hiroyuki
    Midori Pediatric Dental Clinic Maxillofacial Surgery, Tokyo Medical and Dental University, Graduate School of Medical and Dental Sciences
  • ISHIGAKI Shoichi
    Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry
  • SHIBUYA Tomoaki
    Hitachi Ltd. Keihin Area Occupational Health Administration Center Occupational Dental Health Section
  • SHIMADA Atsushi
    Medical Corporation Green Dental Clinic
  • TAMAKI Katsushi
    Department of Functional Recovery of TMJ and Occlusion, Kanagawa Dental University
  • MATSUKA Yoshizo
    Department of Stomatognathic Function and Occlusal Reconstruction, Graduate School of Biomedical Sciences, Tokushima University
  • YAMAGUCHI Taihiko
    Department of Oral Functional Prosthodontics, Division of Oral Functional Science, Faculty of Dental Medicine, Hokkaido University
  • YODA Tetsuya
    Maxillofacial Surgery, Tokyo Medical and Dental University, Graduate School of Medical and Dental Sciences
  • WAKE So
    Midori Pediatric Dental Clinic Maxillofacial Surgery, Tokyo Medical and Dental University, Graduate School of Medical and Dental Sciences

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Other Title
  • 咬合違和感症候群の診療フローチャートの提案

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<p>In their daily practice, dentists regularly treat patients with complaints of occlusal discomfort. Oral and maxillofacial examinations typically identify abnormalities in occlusal conditions, prosthetic devices, and temporomandibular joints. Dentists then remove the abnormalities in an effort to improve the symptoms of the patients. However, this study encountered certain patients without objective findings or whose symptoms did not improve even after eliminating abnormalities that were determined to be the cause of the symptoms. As such, these patients become distressed due to the lack of resolution despite being treated at several dental institutions.</p><p>Occlusal discomfort syndrome is a generic term for multiple diseases that may cause occlusal discomfort. Such cases have been called "phantom bite syndrome" or "occlusal dysesthesia." In 2013, the Japan Prosthodontic Society proposed a broader concept of occlusal discomfort syndrome and tentatively grouped symptoms into narrow and broad classifications, where the narrow sense reflects the abovementioned concept, such as phantom bite syndrome or occlusal dysesthesia.</p><p>The present study developed a disease classification (2021), a special questionnaire, and a biaxial rating form (2021) to identify patients with occlusal discomfort syndrome from the viewpoint of the bio-psycho-social model. Based on this information, this study developed a "Treatment flowchart for patients with occlusal discomfort syndrome (2021) " as a guideline for general dentists when treating patients with occlusal discomfort syndrome.</p><p>The purpose of the flowchart is to help improve the health of patients by using it as a treatment guideline.</p>

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