《3磨牙症的临床评估 综述 2016》.pdf

Journal of Oral Rehabilitation 2008 35; 495–508 Review Article Assessment of bruxism in the clinic* K. KOYANO, Y. TSUKIYAMA, R. ICHIKI & T. KUWATA Section of Removable Prosthodontics, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, Fukuoka, Japan SUMMARY Bruxism is a much-discussed clinical issue refine questionnaire items and clinical examina- in dentistry. Although bruxism is not a life-threat- tion because they are the easiest to apply in ening disorder, it can influence the quality of everyday practice. Another possible direction is human life, especially through dental problems, to establish a method that can measure actual such as tooth wear, frequent fractures of dental bruxism activity directly using a device that can be restorations and pain in the oro-facial region. applied to patients routinely. More clinical studies Therefore, various clinical methods have been should examine the clinical impact of bruxism on devised to assess bruxism over the last 70 years. oral structures, treatment success and the factors This paper reviews the assessment of bruxism, influencing the decision-making process in dental provides information on various assessment meth- treatment. ods which are available in clinical situations and KEYWORDS: bruxism, diagnostic criteria, clinical discusses their effectiveness and usefulness. Cur- assessment, assessment, questionnaire, clinical rently, there is no definitive method for assessing observation, tooth wear, monitoring, intra-oral bruxism clinically