Katsushi Tamaki1, Shoichi Ishigaki2, Takumi Ogawa3, Hitoshi Oguchi4, Takafumi Kato5, Takeshi Suganuma6, Atsushi Shimada7, Shinsuke Sadamori8, Yoshihiro Tsukiyama9, Youji Nishikawa10, Shin-Ichi Masumi11, Taihiko Yamaguchi12, Hideki Aita13, Takahiro Ono14, Hisatomo Kondo15, Hiroaki Tsukasaki16, Kenji Fueki17, Masanori Fujisawa18, Yoshizo Matsuka19, Kazuyoshi Baba16, Kiyoshi Koyano20. 1. Japan Prosthodontic Society, Clinical Guideline Committee (2010-2012), Japan; Department of Prosthodontic Dentistry for Function of TMJ and Occlusion, Kanagawa Dental University, Japan. Electronic address: tamaki@kdu.ac.jp. 2. Japan Prosthodontic Society, Occlusal Discomfort Syndrome Expert Panel (2010-2012), Japan; Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry, Japan. 3. Japan Prosthodontic Society, Occlusal Discomfort Syndrome Expert Panel (2010-2012), Japan; Department of Removable Prosthodontics, Tsurumi University School of Dental Medicine, Japan. 4. Japan Prosthodontic Society, Occlusal Discomfort Syndrome Expert Panel (2010-2012), Japan; Department of Geriatric Dentistry, Tsurumi University School of Dental Medicine, Japan. 5. Japan Prosthodontic Society, Occlusal Discomfort Syndrome Expert Panel (2010-2012), Japan; Department of Oral Anatomy and Neurobiology, Osaka University Graduate School of Dentistry, Japan. 6. Japan Prosthodontic Society, Occlusal Discomfort Syndrome Expert Panel (2010-2012), Japan; Department of Prosthodontics, School of Dentistry, Showa University, Japan. 7. Japan Prosthodontic Society, Occlusal Discomfort Syndrome Expert Panel (2010-2012), Japan; Green Dental Clinic Medical Corporation, Tokyo, Japan. 8. Japan Prosthodontic Society, Occlusal Discomfort Syndrome Expert Panel (2010-2012), Japan; Department of Advanced Prosthodontics, Applied Life Sciences, Institute of Biomedical & Health Sciences, Hiroshima University, Japan. 9. Japan Prosthodontic Society, Occlusal Discomfort Syndrome Expert Panel (2010-2012), Japan; Section of Implant and Rehabilitative Dentistry, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, Japan. 10. Japan Prosthodontic Society, Occlusal Discomfort Syndrome Expert Panel (2010-2012), Japan; Nishikawa Dental Clinic, Kanagawa, Japan. 11. Japan Prosthodontic Society, Occlusal Discomfort Syndrome Expert Panel (2010-2012), Japan; Division of Occlusion & Maxillofacial Reconstruction, Department of Oral Function, School of Dentistry, Kyushu Dental University, Japan. 12. Japan Prosthodontic Society, Occlusal Discomfort Syndrome Expert Panel (2010-2012), Japan; Department of Crown and Bridge Prosthodontics, Division of Oral Functional Science, Graduate School of Dental Medicine, Hokkaido University, Japan. 13. Japan Prosthodontic Society, Clinical Guideline Committee (2010-2012), Japan; Division of Occlusion & Removable Prosthodontics, Health Sciences University of Hokkaido, Japan. 14. Japan Prosthodontic Society, Clinical Guideline Committee (2010-2012), Japan; Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Japan. 15. Japan Prosthodontic Society, Clinical Guideline Committee (2010-2012), Japan; Department of Prosthodontics and Oral Implantology, Iwate Medical University, Japan. 16. Japan Prosthodontic Society, Clinical Guideline Committee (2010-2012), Japan; Department of Prosthodontics, School of Dentistry, Showa University, Japan. 17. Japan Prosthodontic Society, Clinical Guideline Committee (2010-2012), Japan; Removable Partial Prosthodontics, Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Japan. 18. Japan Prosthodontic Society, Clinical Guideline Committee (2010-2012), Japan; Division of Fixed Prosthodontics, Meikai University School of Dentistry, Japan. 19. Japan Prosthodontic Society, Clinical Guideline Committee (2010-2012), Japan; Department of Stomatognathic Function and Occlusal Reconstruction, Institute of Health Biosciences, Tokushima University Graduate School, Japan. 20. Japan Prosthodontic Society, Clinical Guideline Committee (2010-2012), Japan; Section of Implant and Rehabilitative Dentistry, Division of Oral Rehabilitation, Faculty of Dental Science, Kyushu University, Japan.
Abstract
PURPOSE: Dentists may encounter patients who present with a sense of a malocclusion but in whom no objective findings can be detected. For the patient who insists that there is occlusal discomfort, in the absence of evidence some dentists elect to perform an occlusal adjustment that not only fails to alleviate symptoms, and may, in fact, exacerbate the discomfort. The patient-dentist relationship is then likely compromised because of a lack of trust. STUDY SELECTION: In 2011, the Clinical Practice Guidelines Committee of the Japan Prosthodontic Society formulated guidelines for the management of occlusal discomfort. When formulating clinical practice guidelines, the committee bases their recommendations on information derived from scientific evidence. For "occlusal dysesthesia," however, there are an insufficient number of high-quality papers related to the subject. Therefore, a consensus meeting was convened by the Japan Prosthodontic Society to examine evidence in the Japanese- and English-language literature and generate a multi-center survey to create an appropriate appellation for this condition. RESULTS: As a result of the consensus meeting and survey findings, this condition may be justifiably termed "occlusal discomfort syndrome." CONCLUSIONS: The Japan Prosthodontics Society believes that identification of an umbrella term for occlusal discomfort might serve as a useful guide to formulating clinical practice guidelines in the future. This position paper represents summary findings in the literature combined with the results of a multicenter survey focused on dental occlusal treatment and the condition of patients who present with occlusal discomfort syndrome.
PURPOSE: Dentists may encounter patients who present with a sense of a malocclusion but in whom no objective findings can be detected. For the patient who insists that there is occlusal discomfort, in the absence of evidence some dentists elect to perform an occlusal adjustment that not only fails to alleviate symptoms, and may, in fact, exacerbate the discomfort. The patient-dentist relationship is then likely compromised because of a lack of trust. STUDY SELECTION: In 2011, the Clinical Practice Guidelines Committee of the Japan Prosthodontic Society formulated guidelines for the management of occlusal discomfort. When formulating clinical practice guidelines, the committee bases their recommendations on information derived from scientific evidence. For "occlusal dysesthesia," however, there are an insufficient number of high-quality papers related to the subject. Therefore, a consensus meeting was convened by the Japan Prosthodontic Society to examine evidence in the Japanese- and English-language literature and generate a multi-center survey to create an appropriate appellation for this condition. RESULTS: As a result of the consensus meeting and survey findings, this condition may be justifiably termed "occlusal discomfort syndrome." CONCLUSIONS: The Japan Prosthodontics Society believes that identification of an umbrella term for occlusal discomfort might serve as a useful guide to formulating clinical practice guidelines in the future. This position paper represents summary findings in the literature combined with the results of a multicenter survey focused on dental occlusal treatment and the condition of patients who present with occlusal discomfort syndrome.
Authors: Bruno Imhoff; M Oliver Ahlers; Alfons Hugger; Matthias Lange; Marc Schmitter; Peter Ottl; Anne Wolowski; Jens Christoph Türp Journal: J Oral Rehabil Date: 2020-03-18 Impact factor: 3.558