目前已经掌握的有关磨牙症的知识无法使我们对夜磨牙症或清醒态磨牙症制定出一级预防策略。从牙科角度来说,需要强调的是,并没有足够的科学依据推荐咬合疗法(修复、正畸)作为预防磨牙症方法。[2]Lavigne GJ, Khoury S, Abe S, et al. Bruxism physiology and pathology: an overview for clinicians. J Oral Rehabil. 2008;35:476-494.http://www.ncbi.nlm.nih.gov/pubmed/18557915?tool=bestpractice.com[4]Lobbezoo F, van der Zaag J, van Selms MK, et al. Principles for the management of bruxism. J Oral Rehabil. 2008;35:509-523.http://www.ncbi.nlm.nih.gov/pubmed/18557917?tool=bestpractice.com使用各种咬合板可预防磨牙症引起的负面后果,例如过度牙齿磨损、牙修复或种植体断裂。[20]Macedo CR, Silva AB, Machado MA, et al. Occlusal splints for treating sleep bruxism (tooth grinding). Cochrane Database Syst Rev. 2007;4:CD005514.http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD005514.pub2/fullhttp://www.ncbi.nlm.nih.gov/pubmed/17943862?tool=bestpractice.com[21]Lobbezoo F, van der Zaag J, Naeije M. Bruxism: its multiple causes and its effects on dental implants - an updated review. J Oral Rehabil. 2006;33:293-300.http://www.ncbi.nlm.nih.gov/pubmed/16629884?tool=bestpractice.com