Parafunctional activity

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A para-functional habit or parafunctional habit is the habitual exercise of a body part in a way that is other than the most common use of that body part. In dentistry, orthodontics, and oral and maxillofacial pathology, the body part in question is usually the mouth, tongue, or jaw. Oral para-functional habits may include bruxism (tooth-clenching, grinding, or both), tongue tension ("tongue thrusting"), fingernail biting, pencil or pen chewing, mouth breathing, and any other habitual use of the mouth unrelated to eating, drinking, or speaking.

Crenated tongue is when scalloping develops on the lateral margins of the tongue as a result of habitual forcing of the tongue against the teeth.

Contrary to common belief, functional activities such as chewing are not the main cause of tooth wear. Parafunctional habits are the most destructive forces for several reasons. Whereas teeth rarely come into contact during normal chewing, grinding of teeth may occur 1-4 hours in a 24-hour period, most often during sleep. The amount of pressure placed on teeth during functional habits is 140–550 kilopascals (20–80 psi), but the pressure can range from 2–20.7 megapascals (290–3,000 psi) during parafunctional habits. The direction of forces during functional habits is placed vertically along the long axis of teeth, which is the least harmful because of the anatomical structure of the attachment of teeth to the bone. On the other hand, parafunctional habits direct their forces horizontally. Normally, the temporomandibular joint (TMJ) acts as a class III lever, which helps to restrict the amount of force generated. Class I or class II levers may be created during bruxism, which generates more force from the same amount of muscle activity and subsequently delivers more force to the teeth.

Extreme force upon the teeth can occur during some situations as a protective reflex. When a person senses the risk of an imminent car crash, for example, the teeth arches are normally firmly occluded. This overclenching is still considered parafunctional, although it serves a functional purpose; the maxillomandibular complex is much less vulnerable to harm and dislocation because it is bonded by muscles and interposed teeth. When this kind of reflex acts, having a good memory of one's "best bite" position helps avoid fractures.[ citation needed ] It is one hypothesis for why military jet pilots crack more teeth than auxiliary crew. [1]

Related Research Articles

<span class="mw-page-title-main">Temporomandibular joint dysfunction</span> Disorders of the muscles and joints connecting the jaw to the skull

Temporomandibular joint dysfunction is an umbrella term covering pain and dysfunction of the muscles of mastication and the temporomandibular joints. The most important feature is pain, followed by restricted mandibular movement, and noises from the temporomandibular joints (TMJ) during jaw movement. Although TMD is not life-threatening, it can be detrimental to quality of life; this is because the symptoms can become chronic and difficult to manage.

<span class="mw-page-title-main">Bruxism</span> Compulsion towards grinding or clenching of the teeth

Bruxism is excessive teeth grinding or jaw clenching. It is an oral parafunctional activity; i.e., it is unrelated to normal function such as eating or talking. Bruxism is a common behavior; the global prevalence of bruxism is 22.22%. Several symptoms are commonly associated with bruxism, including aching jaw muscles, headaches, hypersensitive teeth, tooth wear, and damage to dental restorations. Symptoms may be minimal, without patient awareness of the condition. If nothing is done, after a while many teeth start wearing down until the whole tooth is gone.

<span class="mw-page-title-main">Chewing</span> Mechanical procedure for crushing the food and its first enzymatic splitting

Chewing or mastication is the process by which food is crushed and ground by the teeth. It is the first step in the process of digestion, allowing a greater surface area for digestive enzymes to break down the foods.

<span class="mw-page-title-main">Mouthguard</span> Protective device for the teeth and gums to avoid injury to them

A mouthguard is a protective device for the mouth that covers the teeth and gums to prevent and reduce injury to the teeth, arches, lips and gums. An effective mouthguard is like a crash helmet for teeth and jaws. It also prevents the jaws coming together fully, thereby reducing the risk of jaw joint injuries and concussion. A mouthguard is most often used to prevent injury in contact sports, as a treatment for bruxism or TMD, or as part of certain dental procedures, such as tooth bleaching or sleep apnea treatment. Depending on the application, it may also be called a mouth protector, mouth piece, gumshield, gumguard, nightguard, occlusal splint, bite splint, or bite plane. The dentists who specialise in sports dentistry fabricate mouthguards.

<span class="mw-page-title-main">Abfraction</span> Loss of tooth structure not caused by tooth decay

Abfraction is a theoretical concept explaining a loss of tooth structure not caused by tooth decay. It is suggested that these lesions are caused by forces placed on the teeth during biting, eating, chewing and grinding; the enamel, especially at the cementoenamel junction (CEJ), undergoes large amounts of stress, causing micro fractures and tooth tissue loss. Abfraction appears to be a modern condition, with examples of non-carious cervical lesions in the archaeological record typically caused by other factors.

<span class="mw-page-title-main">Meth mouth</span> Tooth decay caused by methamphetamine use

Meth mouth is a colloquial term used to describe severe tooth decay and tooth loss, as well as tooth fracture, acid erosion, and other oral problems that are often symptomatic to extended use of the drug methamphetamine. The condition is thought to be caused by a combination of side effects of the drug and lifestyle factors, which may be present in long-term users. However, the legitimacy of meth mouth as a unique condition has been questioned because of the similar effects of some other drugs on teeth. Images of diseased mouths are often used in anti-drug campaigns.

The Nociceptive trigeminal inhibition tension suppression system, is a type of occlusal splint that is claimed to prevent headache and migraine by reducing sleep bruxism. Sleep bruxism is purported to lead to a hyperactivity of the trigeminal nerve, often triggering typical migraine events. The hyperactivity of trigeminal neurons during trigemino-nociceptive stimulation is a proposed cause of migraine and is correlated with imaging of migraine sufferers. The objective of the NTI-TSS is to relax the muscles involved in clenching and bruxing, thus supposedly diminishing the chances for migraines and tension headaches to develop through the reduction in nociceptive stimulation normally caused by parafunctional activity. It is sometimes used for temporomandibular joint dysfunction (TMD).

<span class="mw-page-title-main">Malocclusion</span> Misalignment between upper and lower teeth as the jaws close

In orthodontics, a malocclusion is a misalignment or incorrect relation between the teeth of the upper and lower dental arches when they approach each other as the jaws close. The English-language term dates from 1864; Edward Angle (1855–1930), the "father of modern orthodontics", popularised it. The word derives from mal- 'incorrect' and occlusion 'the manner in which opposing teeth meet'.

Tongue thrust, also called reverse swallow or immature swallow, is a pseudo-pathological name for an adaptive lip seal mechanism, whereby normal nasal breathing or normal swallowing can occur. Tongue thrust can also be seen as an oral myofunctional disorder, a tongue muscle pattern that is perceived as clinically abnormal, in which the tongue protrudes anteriorly to seal the otherwise incompetent lips.

<span class="mw-page-title-main">Toothlessness</span> Lacking teeth

Toothlessness or edentulism is the condition of having no teeth. In organisms that naturally have teeth, it is the result of tooth loss. Organisms that never possessed teeth can also be described as edentulous. Examples are the members of the former zoological classification order of Edentata, which included anteaters and sloths, as they possess no anterior teeth and no or poorly developed posterior teeth.

<span class="mw-page-title-main">Mandible (insect mouthpart)</span>

Insect mandibles are a pair of appendages near the insect's mouth, and the most anterior of the three pairs of oral appendages. Their function is typically to grasp, crush, or cut the insect's food, or to defend against predators or rivals. Insect mandibles, which appear to be evolutionarily derived from legs, move in the horizontal plane unlike those of vertebrates, which appear to be derived from gill arches and move vertically.

<span class="mw-page-title-main">Head and neck anatomy</span> Structure of the human head and neck

This article describes the anatomy of the head and neck of the human body, including the brain, bones, muscles, blood vessels, nerves, glands, nose, mouth, teeth, tongue, and throat.

<span class="mw-page-title-main">Dental attrition</span>

Dental attrition is a type of tooth wear caused by tooth-to-tooth contact, resulting in loss of tooth tissue, usually starting at the incisal or occlusal surfaces. Tooth wear is a physiological process and is commonly seen as a normal part of aging. Advanced and excessive wear and tooth surface loss can be defined as pathological in nature, requiring intervention by a dental practitioner. The pathological wear of the tooth surface can be caused by bruxism, which is clenching and grinding of the teeth. If the attrition is severe, the enamel can be completely worn away leaving underlying dentin exposed, resulting in an increased risk of dental caries and dentin hypersensitivity. It is best to identify pathological attrition at an early stage to prevent unnecessary loss of tooth structure as enamel does not regenerate.

Tooth loss is a process in which one or more teeth come loose and fall out. Tooth loss is normal for deciduous teeth, when they are replaced by a person's adult teeth. Otherwise, losing teeth is undesirable and is the result of injury or disease, such as dental avulsion, tooth decay, and gum disease. The condition of being toothless or missing one or more teeth is called edentulism. Tooth loss has been shown to causally reduce overall health and wellbeing as it increases the probability of depression.

<span class="mw-page-title-main">Occlusal trauma</span> Damage to teeth due to excessive force

Occlusal trauma is the damage to teeth when an excessive force is acted upon them and they do not align properly.

Occlusion, in a dental context, means simply the contact between teeth. More technically, it is the relationship between the maxillary (upper) and mandibular (lower) teeth when they approach each other, as occurs during chewing or at rest.

Orofacial myofunctional disorders (OMD) are muscle disorders of the face, mouth, lips, or jaw due to chronic mouth breathing.

Morsicatio buccarum is a condition characterized by chronic irritation or injury to the buccal mucosa, caused by repetitive chewing, biting, or nibbling.

Dentomandibular sensorimotor dysfunction (DMSD) is a medical condition involving the mandible, upper three cervical (neck) vertebrae, and the surrounding muscle and nerve areas.

<span class="mw-page-title-main">Tooth mobility</span> Medical condition

Tooth mobility is the horizontal or vertical displacement of a tooth beyond its normal physiological boundaries around the gingival (gum) area, i.e. the medical term for a loose tooth.

References

  1. Lurie, O; Zadik, Y; Tarrasch, R; Raviv, G; Goldstein, L (February 2007). "Bruxism in Military Pilots and Non-Pilots: Tooth Wear and Psychological Stress". Aviat Space Environ Med. 78 (2): 137–9. PMID   17310886 . Retrieved 2008-07-16.