Uncomfortable bite - is it always a dental problem?
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Department of Prosthodontics, Medical University of Warsaw, Polska
Kostrzewa-Janicka Jolanta   

Department of Prosthodontics, Medical University of Warsaw, Nowogrodzka 59, pav.XIa, 02-006, Warsaw, Polska
Submission date: 2019-01-15
Final revision date: 2019-02-21
Acceptance date: 2020-01-22
Publication date: 2020-03-02
Prosthodontics 2020;70(1):13–22
Subjective symptoms of uncomfortable bite that are not reflected during a clinical examination are termed occlusal dysesthesia or phantom bite. The unclear aetiology and pathophysiology of this phenomenon causes huge diagnostic and therapeutic problems. Severe symptoms of an uncomfortable bite provoke a number of corrections of the occlusion, which fail to bring improvement and even exacerbate the already existing symptoms. For this reason, the analysis of the literature on occlusal dysesthesia during the past twenty years has been performed. From among 43 articles from the medical databases of PubMed and Scopus in 1997 and 2017, five papers were included based on the adopted inclusion and exclusion criteria. Based on the available research, it is recommended to discontinue any invasive dental procedures in cases of confirmed occlusal dysesthesia symptoms, including correction and reconstruction of the bite. Instead, patient education, pharmacological treatment or the use of relaxation occlusal splints should be implemented. The studies indicate that the occurrence of symptoms of occlusal dysesthesia is correlated with the general condition of the patient, their somatic and psycho-emotional disorders. Interference in occlusal conditions can cause additional injury and potentially result in iatrogenic complications.