title: Japan Prosthodontic Society position paper on "occlusal discomfort syndrome".
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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: 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.
authors: Katsushi
authors: K
authors: Tamaki
authors: Japan Prosthodontic Society, Occlusal Discomfort Syndrome Expert Panel (2010-2012), Japan; Department of Fixed Prosthodontics, Osaka University Graduate School of Dentistry, Japan.
authors: Shoichi
authors: S
authors: Ishigaki
authors: Japan Prosthodontic Society, Occlusal Discomfort Syndrome Expert Panel (2010-2012), Japan; Department of Removable Prosthodontics, Tsurumi University School of Dental Medicine, Japan.
authors: Takumi
authors: T
authors: Ogawa
authors: Japan Prosthodontic Society, Occlusal Discomfort Syndrome Expert Panel (2010-2012), Japan; Department of Geriatric Dentistry, Tsurumi University School of Dental Medicine, Japan.
authors: Hitoshi
authors: H
authors: Oguchi
authors: Japan Prosthodontic Society, Occlusal Discomfort Syndrome Expert Panel (2010-2012), Japan; Department of Oral Anatomy and Neurobiology, Osaka University Graduate School of Dentistry, Japan.
authors: Takafumi
authors: T
authors: Kato
authors: Japan Prosthodontic Society, Occlusal Discomfort Syndrome Expert Panel (2010-2012), Japan; Department of Prosthodontics, School of Dentistry, Showa University, Japan.
authors: Takeshi
authors: T
authors: Suganuma
authors: Japan Prosthodontic Society, Occlusal Discomfort Syndrome Expert Panel (2010-2012), Japan; Green Dental Clinic Medical Corporation, Tokyo, Japan.
authors: Atsushi
authors: A
authors: Shimada
authors: 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.
authors: Shinsuke
authors: S
authors: Sadamori
authors: 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.
authors: Yoshihiro
authors: Y
authors: Tsukiyama
authors: Japan Prosthodontic Society, Occlusal Discomfort Syndrome Expert Panel (2010-2012), Japan; Nishikawa Dental Clinic, Kanagawa, Japan.
authors: Youji
authors: Y
authors: Nishikawa
authors: 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.
authors: Shin-Ichi
authors: S
authors: Masumi
authors: 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.
authors: Taihiko
authors: T
authors: Yamaguchi
authors: Japan Prosthodontic Society, Clinical Guideline Committee (2010-2012), Japan; Division of Occlusion & Removable Prosthodontics, Health Sciences University of Hokkaido, Japan.
authors: Hideki
authors: H
authors: Aita
authors: Japan Prosthodontic Society, Clinical Guideline Committee (2010-2012), Japan; Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, Japan.
authors: Takahiro
authors: T
authors: Ono
authors: Japan Prosthodontic Society, Clinical Guideline Committee (2010-2012), Japan; Department of Prosthodontics and Oral Implantology, Iwate Medical University, Japan.
authors: Hisatomo
authors: H
authors: Kondo
authors: Japan Prosthodontic Society, Clinical Guideline Committee (2010-2012), Japan; Department of Prosthodontics, School of Dentistry, Showa University, Japan.
authors: Hiroaki
authors: H
authors: Tsukasaki
authors: 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.
authors: Kenji
authors: K
authors: Fueki
authors: Japan Prosthodontic Society, Clinical Guideline Committee (2010-2012), Japan; Division of Fixed Prosthodontics, Meikai University School of Dentistry, Japan.
authors: Masanori
authors: M
authors: Fujisawa
authors: 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.
authors: Yoshizo
authors: Y
authors: Matsuka
authors: Japan Prosthodontic Society, Clinical Guideline Committee (2010-2012), Japan; Department of Prosthodontics, School of Dentistry, Showa University, Japan.
authors: Kazuyoshi
authors: K
authors: Baba
authors: 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.
authors: Kiyoshi
authors: K
authors: Koyano
mesh_terms: D000328:Adult; D000368:Aged; D018450:Disease Progression; D005260:Female; D006801:Humans; D007564:Japan; D008297:Male; D008310:Malocclusion / Q000523:psychology* / Q000628:therapy*; D008875:Middle Aged; D019558:Occlusal Adjustment / Q000009:adverse effects*; D017410:Practice Guidelines as Topic; D011476:Prosthodontics / Q000458:organization & administration*; D012677:Sensation; D013577:Syndrome
keywords: Occlusal contact; Occlusal discomfort; Occlusal discomfort syndrome; Occlusal dysesthesia