Occlusal Dysesthesia or Phantom Bite Syndrome
Occlusal Dysesthesia, also known as Phantom Bite Syndrome and Occlusal Hyperawareness, is not that uncommon. Until I learned of this diagnosis these were just the “crazy” people that I would struggle to try to appease, without success. I can personally think of 3 of my patients that exhibit all of the signs and symptoms of this condition. 2 saw me for only a short time before leaving to go on to the next dentist to “fix” their bite, the other is still with me but does go to multiple other doctors looking for a bite adjustment. She has since been referred to Dr. Charles Green who was at UIC but is now at Advocate.
Great article with treatment recommendations can be found here.
Another article by a close Orthodontic friend
JADA article Salazar 2012 Sept Three letters back (typical CR and NM BS) and his response (which is excellent) Feb 2013 JADA
Thread on dentaltown with several top Orofacial Pain experts.
Bryan Bauer, DDS, FAGD