Phantom bite revisited.
The term 'phantom bite' is used to describe an uncommon condition in which patients are preoccupied with their dental occlusion, believing that it is abnormal. The condition is remarkable for the nature of the involved explanations and interpretations that the patients give and for their persistence in trying to find a solution to what appears to be a relatively minor problem. Three clinical cases that illustrate the nature of this condition are presented and problems associated with the management of affected patients are discussed. Phantom bite can be a disabling disorder which is difficult to treat. Available evidence suggests that the symptoms cannot be improved by occlusal treatments. It is therefore essential to avoid extensive irreversible restorative treatment. General dental practitioners should refer patients for specialist opinion and management. Psychiatric assessment with recommendations for management should be obtained if possible. The prognosis is poor for symptom elimination but need not necessarily be poor for patients' overall functioning and well-being. It is suggested that emphasis should be placed on building adaptive coping skills. Further research is needed to elucidate the nature of the condition to improve treatment.
Jagger
R G
RG
Department of Adult Dental Health, University of Wales College of Medicine, Heath Park, Cardiff CF14 4XY. Jagger@Cardiff.ac.uk
Korszun
A
A
D000328:Adult; D003193:Compulsive Personality Disorder / Q000175:diagnosis; D003769:Dental Occlusion, Traumatic / Q000523:psychology* / Q000628:therapy; D005146:Facial Asymmetry / Q000523:psychology; D005260:Female; D006261:Headache / Q000523:psychology; D006801:Humans; D006998:Hypochondriasis / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D017090:Occlusal Splints; D010259:Paranoid Disorders / Q000175:diagnosis; D013705:Temporomandibular Joint Disorders / Q000523:psychology* / Q000628:therapy