The activity of the stomatognathic system can be divided into functional and parafunctions according to their value. Functional activity includes all movements of the lower jaw, tongue and muscles of the stomatognate system that serve chewing, speech and swallowing. Parapheral activities are those that do not have the actual function but are the result of unusual habits or CNS induced excitation stimuli. We differentiate between two types of parafunctions: day and night.
In daily activities we include compression and swelling of the teeth and a whole range of activities that people are not aware of: e.g. tongue, cheeks and lips, finger sucking, pencil nailing, nail polishing, beating the phone, etc. In night-time Para functions we include jaw and rhythmic contraction of chewing muscles during sleep. Nighttime Para functions are also called bruxism.
Functional and Para functional activities differ significantly. Functional activities are coordinated and strictly controlled muscle activities that allow the stomatognate system to perform functional tasks with minimal damage to the system itself. Protective reflexes are the basic method of control and therefore the functional movement is directly influenced by occlusal factors.
Parafunctional movements are under the influence of excitatory stimuli from the CNS and people are not usually aware of it, so the control of protective reflexes is often inadequate. Unlike functional activities where the forces mainly oriented vertically in the parafunctive force activities are mainly oriented eccentrically making them more difficult to tolerate and increasing the potential for damaging the cheek system.
With parafunctional activity, muscular hyperactivity and static tonic muscle contraction are also often associated. Patients usually do not appear because of the prefunctions themselves but because of the consequences they bring.
Bruxism – impact on tongue biting
Bruxism is difficult to diagnose due to its night-time nature. It is characterized by cyclic lateral abrupt movements during the night, squeezing the teeth, elevated muscular tone, and great forces acting on the stomatognate system.
The first symptoms are the feeling of stiffness of the jaw, muscle pain, and fatigue that occur after sleep. The most pronounced symptom depends on the weakest part of the cheek system: muscular TMD, intracapsular disorder or teeth and periodontal damage (abdominal wall, parodontosis, abrasion, etc.). The etiology of bruxism unknown, however, is related to the excitation of peripheral musculature from the CNS. Emotional stress is a significant promotional factor and in some cases directly affects the intensity of bruxism. Other factors affecting bruxism, primarily those of occlusal nature, are subject to further research. There are no conclusive researches on occlusal factors as causative to the emergence of bruxism, but recent research shows the activity of specific occlusal circumstances in the promotion of bruxism disorders.
Gripping the cheeks from the inside is something that almost every one of us has ever experienced, like this or that. If this happens to anyone who knows how much time, then it is not terrible, but it becomes a problem if this phenomenon is frequent and begins to affect the quality of life. To break this bad habit, you need to spot the causes of “chewing the cheeks”. The most common reasons are:
Randomness: When you do not pay enough attention when you eat while eating or busy with something else (mostly by whining or reading), you may accidentally bite your cheek.
Tooth distortion: In people with distorted natural teeth, or poorly erected artificial teeth, chronic gingivitis can occur. This occurs because the brain, when the teeth are not properly closed, sends a signal to bite the cheek, trying to fill the “emptiness”.
Stress / anxiety: This is a very common occurrence and complicated for treatment. Some people “chew their cheeks” or their lips when they are under stress or when they are nervous, and once, smearing the head of an area, they become reluctant to recoil.
How to Stop – Treatments
Pay more attention to chewing and avoid talking as you eat, as this is the easiest way to prevent “accidental” chewing of cheeks.
If you have noticed that chewing your cheeks has become a habit, you should contact your doctor. Schedule an examination with your dentist who will assess whether there are any irregularities in the teeth or some other cause. Depending on the cause, the solution may be tooth decay (if it is an upright), whose inadequate position causes problems with the inside of the cheeks, then wearing a denture denture, laser treatment when the problems with the cheeks become too painful as a result of chronic gums, or enameloplasty, to “sharpen” the sharp edges of the tooth.
If you have noticed that you rub the cheeks when you are nervous or are under stress, you can help yourself by finding good replacement for chewing. Say, the cheeses (without sugar, of course) can be of help or you can try balm or lip gloss if you wrinkle and lips. Sometimes psychological counseling is needed to cope with the problem of chewing the cheeks.
Possible complications may be:
- Disease of mouth and nostril in the mouth, which is difficult to treat
Biting the cheeks should never be ignored. Timely intervention and complete treatment are absolutely necessary to prevent you from becoming a habit. Bruxism or teeth screeching in the dream occurs at both halves and even with children. It is understood that every person at some time of their life is crushing their teeth in their sleep.
All the tissues involved in chewing and swallowing, in breathing, in the formation of voices and in salivation – are the chewing organs. When specific activities of the chewing gum muscle are performed for no functional purpose, their function is disturbed. A disorder that manifests in the form of rhythmic compression of the tooth or squeak, that is, throwing the teeth into the sleep – is called a night bruxism. Scrubbing is done at a sub-level level and is associated with a personality profile and emotional stress.
Screeching the teeth in sleep – Causes
While the causes of day-to-day function disorders (touched cling, fingernail nails, cheeks, cheeks, lips, tongue or some objects, sucking the thumb, pushing the tongue between the upper and lower sequences) are mostly bad habits, night bruxism has many factors of birth.
It is thought to be a cause of stress, anxiety and mental tension, and because of the use of some drugs and the consumption of higher amounts of alcohol, caffeine and nicotine.
Also, daytime stresses have a major impact on people who squeeze their teeth into sleep. The intensity of such nightly episodes of bruxism is rife with daily emotional stress (job problems, job loss, family disputes, physical exhaustion, unsuccessful task …).
There is even a genetic predisposition to the emergence of bruxism. It is also assumed that insufficient introduction of magnesium into the organism can contribute to shedding of the teeth in the sleep because this factor plays an important role in the normal functioning of the muscles and nerve cells.
Effects of bruxism on tongue biting in sleep
Bruxism is one of the main causes of tongue biting. This disorder can be determined by pain you feel in the morning in your tongue, which is a clear sign that something has been happening at night that you were doing unconsciously. This is a disorder that can be caused by various things so you need to visit your doctor as soon as you notice something wrong in your mouth. If you see any wounds that weren’t there before going to sleep, or you notice that your teeth are wearing out or hurting, this is the right time to visit your doctor and establish the cause of this disorder. Some of the causes can be potentially dangerous so it is always best to be safe than sorry. Potential dangers are even small seizures that happen during night that can lead up to something more serious.
Overall, the cause might be something minor like rhythmic movement disorder or simply stress. In all cases it is always better to consult your physician and establish the cause of tongue biting to be calm and relaxed the next time you go to sleep and think about the possible dangers.
Is bruxism a serious problem?
Bruxism is a temporary occurrence in most patients, which disappears when the patient is stressed. For a smaller number of people, the consequences of bruxism can be reflected on the chewing system – from excessive wear of tooth crowns, damage to the support structure of the tooth, and to pain in chewing muscles and changes in the donor’s wrists. A person cannot usually register himself for the teeth at night but warns him of the immediate surroundings. Namely, due to the sound produced, her partner cannot sleep most often.
Treatment of bruxism
Usually we talk about multiple therapies for bruxism. If there is pain and stiffness in chewing muscles, short-term physical therapy may also be recommended. Therapy for several days of medication is used to improve sleep and decrease the level of excitement. At your dental office, based on your toothbrush, you will be making a silicone nightgown (the so-called night guard tray). At night you will carry it on your teeth and thus allow for the depletion of the forces produced by compressing the chewing muscle. This will prevent scarring of each other’s teeth.
The next step in the treatment is correction of the bite. In the case of increased tooth wear, prosthetic therapy, and often the treatment of the root canal (so called nerve removal) are necessary.
Symptoms of Bruxism
-in the joints, ears or head that occurs immediately after waking up during the day
– Cold tooth, pressure or other irritation of the tooth
-pain in the tooth surface of the tooth and lowering the height of the tooth.
Bruxism is a daytime or nighttime parafunctive activity that involves compressing, hitching, brushing teeth and appears as an episode or movement series. It takes place at the sub-conscious level, regulated by the central nervous system and is related to the profile of personality and emotional stress.
Screeching teeth in people can make really big problems and even lead to divorce, as the sound that occurs at night during crunching and throwing teeth is very unpleasant.
Bruxism occurs in as much as 25-50% of the population with equal representation in both sexes. It is most common in the age range of 19 to 45 years of age. Scientists believe that even any adult in some period of life has episodes of bruxism. Even children have bruxism. According to one study, about 38% of the examined parents stated that their baby was squeezing their teeth.
While the causes of daily parafunctions (pain in the toe, pain in the nails …) are mostly bad habits, night bruxism has many and varied causes. Today, it is believed that bruxism has the central origin; there is a connection between cognitive-behavioral factors (emotional stress, fear, personality characteristics) and bruxism, as well as the use of some drugs and the consumption of higher amounts of alcohol, caffeine and nicotine. It is considered that the influence of day-to-day stresses on crocuses is pervasive.
People with bruxism have the most common personality characteristics that increase their overall level of stress. These are hyperactive persons, perfectionists, anxious and dissatisfied people.
Scrubbing the teeth at night is unconscious, whereby the pressure that the teeth suffer is far greater than the physiological. If the lateral movements of the jaw are added to this, the consequences are numerous.
- abrasion teeth on the teeth, cracks in the teeth, throat drowsiness, headache, facial muscle aches, pain in the teeth, ear pain, sleep apnea, sleep disorders, increased tooth mobility.
- Abrasion (tooth wear), tooth fracture, loss of vertical size of the bite, overload of the wrist.
Therapy for bruxism
Therapy is mostly symptomatic and is reduced to mental stress therapy as well as the treatment of the consequences of bruxism.
Natural splints (so called NIGHT GUARD) are designed to reduce abrasion and protect dental tissue, prevent tooth load and mobility, and reduce muscle pain. Based on the taken tooth imprint, an individual splint that is worn during sleep is produced.