A disorder characterized by grinding and clenching of the teeth.
A sleep disorder characterized by grinding and clenching of the teeth and forceful lateral or protrusive jaw movements. Sleep bruxism may be associated with TOOTH INJURIES; TEMPOROMANDIBULAR JOINT DISORDERS; sleep disturbances; and other conditions.
Loss of the tooth substance by chemical or mechanical processes
An occlusion resulting in overstrain and injury to teeth, periodontal tissue, or other oral structures.
The wearing away of a tooth as a result of tooth-to-tooth contact, as in mastication, occurring only on the occlusal, incisal, and proximal surfaces. It is chiefly associated with aging. It is differentiated from TOOTH ABRASION (the pathologic wearing away of the tooth substance by friction, as brushing, bruxism, clenching, and other mechanical causes) and from TOOTH EROSION (the loss of substance caused by chemical action without bacterial action). (Jablonski, Dictionary of Dentistry, 1992, p86)
A symptom complex consisting of pain, muscle tenderness, clicking in the joint, and limitation or alteration of mandibular movement. The symptoms are subjective and manifested primarily in the masticatory muscles rather than the temporomandibular joint itself. Etiologic factors are uncertain but include occlusal dysharmony and psychophysiologic factors.
A masticatory muscle whose action is closing the jaws.
Acquired or learned responses which are regularly manifested.
Muscles arising in the zygomatic arch that close the jaw. Their nerve supply is masseteric from the mandibular division of the trigeminal nerve. (From Stedman, 25th ed)
The mouth, teeth, jaws, pharynx, and related structures as they relate to mastication, deglutition, and speech.
The relationship of all the components of the masticatory system in normal function. It has special reference to the position and contact of the maxillary and mandibular teeth for the highest efficiency during the excursive movements of the jaw that are essential for mastication. (From Jablonski, Dictionary of Dentistry, 1992, p556, p472)
An artificial replacement for one or more natural teeth or part of a tooth, or associated structures, ranging from a portion of a tooth to a complete denture. The dental prosthesis is used for cosmetic or functional reasons, or both. DENTURES and specific types of dentures are also available. (From Boucher's Clinical Dental Terminology, 4th ed, p244 & Jablonski, Dictionary of Dentistry, 1992, p643)
Common form of habitual body manipulation which is an expression of tension.
Rigid or flexible appliances that overlay the occlusal surfaces of the teeth. They are used to treat clenching and bruxism and their sequelae, and to provide temporary relief from muscle or temporomandibular joint pain.
A variety of conditions affecting the anatomic and functional characteristics of the temporomandibular joint. Factors contributing to the complexity of temporomandibular diseases are its relation to dentition and mastication and the symptomatic effects in other areas which account for referred pain to the joint and the difficulties in applying traditional diagnostic procedures to temporomandibular joint pathology where tissue is rarely obtained and x-rays are often inadequate or nonspecific. Common diseases are developmental abnormalities, trauma, subluxation, luxation, arthritis, and neoplasia. (From Thoma's Oral Pathology, 6th ed, pp577-600)
A histamine H1 receptor antagonist that is effective in the treatment of chronic urticaria, dermatitis, and histamine-mediated pruritus. Unlike its major metabolite CETIRIZINE, it does cause drowsiness. It is also effective as an antiemetic, for relief of anxiety and tension, and as a sedative.
The pathologic wearing away of the tooth substance by brushing, bruxism, clenching, and other mechanical causes. It is differentiated from TOOTH ATTRITION in that this type of wearing away is the result of tooth-to-tooth contact, as in mastication, occurring only on the occlusal, incisal, and proximal surfaces. It differs also from TOOTH EROSION, the progressive loss of the hard substance of a tooth by chemical processes not involving bacterial action. (From Jablonski, Dictionary of Dentistry, 1992, p2)
Perception of shape and form of objects by TOUCH, via tactile stimuli.
Pain in the facial region including orofacial pain and craniofacial pain. Associated conditions include local inflammatory and neoplastic disorders and neuralgic syndromes involving the trigeminal, facial, and glossopharyngeal nerves. Conditions which feature recurrent or persistent facial pain as the primary manifestation of disease are referred to as FACIAL PAIN SYNDROMES.
Abnormal breathing through the mouth, usually associated with obstructive disorders of the nasal passages.
The act and process of chewing and grinding food in the mouth.
The teeth of the first dentition, which are shed and replaced by the permanent teeth.
An articulation between the condyle of the mandible and the articular tubercle of the temporal bone.

Temporomandibular disorders and the need for stomatognathic treatment in orthodontically treated and untreated girls. (1/55)

The aim of this investigation was to study symptoms of temporomandibular disorders (TMD) and headaches longitudinally in girls with Class II malocclusions receiving orthodontic treatment in comparison with subjects with untreated Class II malocclusions and girls with normal occlusion, and to evaluate the need and demand for stomatognathic treatment. The frequency and location of subjective symptoms of TMD and headaches were registered by means of an interview and a questionnaire in three groups of age-matched adolescent girls. Sixty-five Class II subjects received orthodontic fixed straight-wire appliance treatment (Orthodontic group), 58 with Class I malocclusion were orthodontically untreated (Class II group) and 60 had a normal occlusion (Normal group). Individual fluctuations of reported symptoms of TMD were found in all three groups over the 2-year period of the study. Subjects with untreated Class II malocclusions rated their overall symptoms of TMD as more severe than the Orthodontic and the Normal groups. In the Orthodontic group, the prevalence of symptoms of TMD decreased over the 2 years. The overall prevalence of symptoms of TMD was, however, lower in the Normal group than in the other two groups. The need for stomatognathic treatment in the whole sample was estimated to be 13 per cent, while the actual demand was 3 per cent. The large fluctuation of symptoms of TMD over time leads us to suggest a conservative treatment approach when stomatognathic treatment in children and adolescents is considered. The results show that orthodontic treatment did not increase the risk of TMD.  (+info)

Temporomandibular dysfunction in patients treated with orthodontics in combination with orthognathic surgery. (2/55)

Fifty-two patients with malocclusions underwent orthodontic treatment in combination with orthognathic surgery involving a Le Fort I and/or sagittal split osteotomy. Approximately 5 years after surgery, the patients were examined for signs and symptoms of temporomandibular disorders (TMD). The frequencies were found to be low in comparison with epidemiological studies in this field. The aesthetic outcome and chewing ability were improved in most patients (about 80 per cent). Some of the patients had reported recurrent and daily headaches before treatment. At examination, only two patients had reported having a headache once or twice a week, while all the others suffered from headaches less often or had no headache at all. Eighty-three per cent of the patients reported that they would be prepared to undergo the orthodontic/surgical treatment again with their present knowledge of the procedure. This study shows that orthodontic/surgical treatment of malocclusions not only has a beneficial effect on the aesthetic appearance and chewing ability, but also results in an improvement in signs and symptoms of TMD, including headaches.  (+info)

A case of anterior open bite developing during adolescence. (3/55)

Imaging studies have reported on the relationship between temporomandibular joint (TMJ) degeneration and facial deformity. These studies have suggested that mandibular growth is affected by TMJ degeneration, resulting in altered skeletal structure as mandibular retrusion. However, there are very few longitudinal case reports on TMJ osteoarthrosis (OA). Progressive open bite occurred in an adolescent patient with TMJ OA. Cephalometric analysis showed a downward and backward rotated mandible, and a labial inclination of the upper incisor. Magnetic resonance imaging showed internal derangement without reduction and erosion in the right and the left condyles. Although the cause of open bite is unclear in this case, tongue thrusting, and internal derangements in the temporomandibular joint were suspected as causes of the open bite.  (+info)

Variability in sleep bruxism activity over time. (4/55)

Sleep bruxism (SB) is an oral activity associated with jaw movements and tooth grinding. Sleep bruxism is believed to be highly variable over time, with subjects showing no activity on some nights and intense activity on others. Assessment of SB variability in individual patients is necessary for clinical trials designed to estimate the efficacy of SB management strategies. The present study analysed SB night-to-night variability over time in nine moderate to severe SB patients. Excluding the first night for habituation, a total of 37 nights were analysed, with a range of 2-8 nights per subject. The interval between the first and the last recording was between 2 months and 7.5 years. The outcomes were the number of SB episodes per hour, number of SB bursts per hour and number of SB episodes with grinding noise. The within subject variability of the three SB oromotor outcomes was evaluated using standard deviation (SD) and coefficient of variation. To verify the diagnosis of subjects over time, the values of the oromotor outcomes were compared with a standard research diagnostic cut-off: (1) Number of SB episodes per hour >4, (2) Number of SB bursts per hour >25, (3) Number of SB episodes with noise per night >1 (Lavigne et al. 1996). The mean coefficient of variation for the nine subjects was 25.3% for SB episodes per hour, 30.4% for SB bursts per hour and 53.5% for episodes with noise. Linear regression showed that the number of SB episodes per hour of stages 1 and 2 explains a large proportion of the variability. The SB diagnosis remained constant over time for every subject: 35 nights over 37 respected criteria 1 and 2, while grinding was present every night. These results indicate that while the SB diagnostic remains relatively constant over time in moderate to severe sleep bruxers, individual variability could be important in some SB patients.  (+info)

Emotional stress and brux-like activity of the masseter muscle in rats. (5/55)

The aim of this study was to further clarify the relationship between emotional stress and bruxism. In experiment 1, 60 male 9-week-old Wistar rats were divided into four groups: the emotionally stressed (ES), the emotionally non-stressed (NS), the electrically foot-shocked (FSd), and the non-foot-shocked (NSd). ES rats were confined in a communication box for one hour a day to observe the emotional responses of neighbouring FSd rats. On days 0, 1, 4, 8, and 12, the electromyographic activity of the ES and NS rats' left masseter muscles was recorded for one hour, three hours after confinement in the communication box. Brux-like activity appeared in the masseter muscle of the ES group on days 1, 4, 8, and 12, but not in the NS group. In experiment 2, 36 male Wistar rats, 9 weeks old, were divided into three groups: emotionally stressed rats treated with an anti-anxiety drug (DES), emotionally stressed rats treated with saline as a vehicle (VES), and 24 FSd rats. Stress and EMG procedures were the same as those in experiment 1. Brux-like episodes decreased in DES rats from day 1 and significant differences were found on days 4 (P < 0.01), 8 (P < 0.05), and 12 (P < 0.05), when compared with the VES group. These findings suggest that emotional stress induces brux-like activity in the masseter muscle of rats, which was reduced with anti-anxiety drugs.  (+info)

The cracked tooth syndrome. (6/55)

The purpose of this article is to review the clinical features, diagnosis and management of the cracked tooth syndrome (CTS). The condition refers to an incomplete fracture of a vital posterior tooth that occasionally extends into the pulp. A lack of awareness of the condition coupled with its varied clinical features can make diagnosis of CTS difficult. Common symptoms include an uncomfortable sensation or pain from a tooth that occurs while chewing hard foods and which ceases when the pressure is withdrawn. The patient is often unable to identify the offending tooth or quadrant involved, and may report a history of numerous dental procedures with unsatisfactory results. Successful diagnosis and management requires an awareness of the existence of CTS and the appropriate diagnostic tests. Management options depend on the nature of the symptoms and extent of the lesion. These options include routine monitoring, occlusal adjustments, placement of a cast restoration and endodontic treatment. A decision flowchart indicating the treatment options available to the dental practitioner is presented.  (+info)

Oral habits of temporomandibular disorder patients with malocclusion. (7/55)

The purpose of this study was to clarify the relationship between oral habits and symptoms of temporomandibular joint disorder in patients who had sought orthodontic treatment by analyzing their present and past history. The subjects were 57 female patients (average age: 23 years and 6 months old) who had visited the "Temporomandibular Disorder Section" in our orthodontic department. Their chief complaints were the symptom of TMJ and the abnormalities of occlusion such as maxillary protrusion, open bite, crowding, mandibular protrusion, cross bite, deep bite, edge-to-edge bite, and spacing. Their present conditions and past histories were examined and evaluated. The most typical primary symptom was joint sound (23 patients, 40.0%). The second was joint sound and pain (15 patients, 26.3%). Of the symptoms present at the time of examination, the most prevalent were joint sound and pain (20 patients, 35.1%). The 48 patients (82.8%) had significant oral habits. Unilateral chewing was seen in 35 patients (72.9%), bruxism in 27 (56.3%), abnormality of posture in 14 (29.2%), habitual crunching in 10 (20.8%) and resting the check on the hand in 4 (8.3%), respectively. When comparing the primary symptoms to those at the time of examination, the patients with unilateral chewing and bruxism tended to have more complicated symptoms. In conclusion, the TMD symptoms of the patients with notable oral habits did not change or become worse during a period of about 5 years.  (+info)

Signs and symptoms of temporomandibular disorders in adolescents. (8/55)

The aim of this study was to verify the prevalence of signs and symptoms of temporomandibular disorders (TMD) in adolescents and its relationship to gender. The sample comprised 217 subjects, aged 12 to 18. The subjective symptoms and clinical signs of TMD were evaluated, using, respectively, a self-report questionnaire and the Craniomandibular Index, which has 2 subscales; the Dysfunction Index and the Palpation Index. The results of muscle tenderness showed great variability (0.9-32.25%). In relation to the temporomandibular joint, tenderness of the superior, dorsal and lateral condyle regions occurred in 10.6%, 10.6% and 7.83%, respectively, of the sample. Joint sound during opening was present in 19.8% of the sample and during closing in 14.7%. The most prevalent symptoms were joint sounds (26.72%) and headache (21.65%). There was no statistical difference between genders (p > 0.05), except for the tenderness of the lateral pterygoid muscles, which presented more prevalence in girls. In conclusion, clinical signs and symptoms of TMD can occur in adolescents; however, gender influence was not perceived.  (+info)

Bruxism is the medical term for grinding or clenching your teeth. It's often an unconscious habit that can occur during the day or at night (nocturnal bruxism). Mild bruxism may not require treatment, but chronic, severe grinding can lead to jaw disorders, headaches, and damaged teeth.

There are several potential causes of bruxism, including stress, anxiety, certain medications, alcohol and drug use, and sleep disorders. Dentists often diagnose bruxism based on the visible signs of wear on your teeth, or they may ask you about symptoms you're experiencing. Treatment for bruxism can include stress management techniques, dental guards to protect your teeth during sleep, and in some cases, medication.

Sleep bruxism is a sleep-related movement disorder characterized by the involuntary clenching or grinding of teeth and jaw muscle activity during sleep, which can lead to tooth wear, jaw pain, headaches, and other oral health issues. It is typically considered a parasomnia, which is a type of abnormal behavior that occurs during sleep. The exact causes of sleep bruxism are not fully understood, but it may be associated with stress, certain medications, alcohol and drug use, and other factors. Treatment options can include stress management techniques, dental guards to protect the teeth, and in some cases, medication.

Tooth wear is the progressive loss of tooth structure that can occur as a result of various factors. According to the medical definition, it refers to the wearing down, rubbing away, or grinding off of the hard tissues of the teeth (enamel and dentin) due to mechanical forces or chemical processes.

There are three primary types of tooth wear:

1. Abrasion: This is the loss of tooth structure caused by friction from external sources, such as incorrect brushing techniques, bite appliances, or habits like nail-biting and pipe smoking.
2. Attrition: This type of tooth wear results from the natural wearing down of teeth due to occlusal forces during biting, chewing, and grinding. However, excessive attrition can occur due to bruxism (teeth grinding) or clenching.
3. Erosion: Chemical processes, such as acid attacks from dietary sources (e.g., citrus fruits, sodas, and sports drinks) or gastric reflux, cause the loss of tooth structure in this type of tooth wear. The enamel dissolves when exposed to low pH levels, leaving the dentin underneath vulnerable to further damage.

Professional dental examination and treatment may be necessary to address significant tooth wear and prevent further progression, which can lead to sensitivity, pain, and functional or aesthetic issues.

Dental occlusion, traumatic is a term used to describe an abnormal bite or contact between the upper and lower teeth that results in trauma or injury to the oral structures. This can occur when there is a discrepancy in the alignment of the teeth or jaws, such as an overbite, underbite, or crossbite, which causes excessive force or pressure on certain teeth or tissues.

Traumatic dental occlusion can result in various dental and oral health issues, including tooth wear, fractures, mobility of teeth, gum recession, and temporomandibular joint (TMJ) disorders. It is important to diagnose and treat traumatic dental occlusion early to prevent further damage and alleviate any discomfort or pain. Treatment options may include orthodontic treatment, adjustment of the bite, restoration of damaged teeth, or a combination of these approaches.

Tooth attrition is a type of wear on the teeth that results from normal dental occlusal forces during biting, chewing, and grinding of food. It involves the loss of tooth structure by mechanical forces and is typically seen as a flattening or reduction in the vertical height of the crowns of teeth.

Attrition differs from other types of tooth wear such as abrasion (which is caused by external factors like toothbrush bristles, toothpaste, or habitual pen/pencil biting), erosion (which is caused by chemical dissolution of tooth structure due to acid exposure), and abfraction (which is caused by flexural forces leading to cervical lesions).

While some degree of attrition is considered a normal part of the aging process, excessive attrition can lead to dental sensitivity, aesthetic concerns, and even affect the functionality of the teeth and overall oral health. Dental professionals may recommend various treatments such as fillings, crowns, or even orthodontic interventions to manage the consequences of severe tooth attrition.

Temporomandibular Joint Dysfunction Syndrome, often abbreviated as TMJD or TMD, is a group of conditions that cause pain and dysfunction in the temporomandibular joint (TMJ) - the joint that connects the jawbone to the skull. Here's a more detailed medical definition:

Temporomandibular Joint Dysfunction Syndrome is a complex disorder characterized by pain, clicking, popping, or grating sounds in the TMJ; limited movement or locking of the jaw; and/or painful chewing movements. The condition may be caused by a variety of factors, including muscle tension, joint inflammation, structural problems with the joint itself, or injury to the head, neck, or jaw.

Symptoms of TMJD can include:
- Pain or tenderness in the face, jaw joint area, neck, and/or shoulders
- Limited ability to open the mouth wide
- Jaw locking, making it difficult to close or open the mouth
- Clicking, popping, or grating sounds in the TMJ when opening or closing the mouth
- A significant change in the way the upper and lower teeth fit together
- Headaches, earaches, dizziness, and hearing problems

Treatment for TMJD can vary depending on the severity of the condition and its underlying cause. It may include self-care practices such as eating soft foods, avoiding extreme jaw movements, and practicing relaxation techniques; physical therapy; medication to reduce pain and inflammation; dental treatments such as mouthguards or bite adjustments; and, in rare cases, surgery.

The masseter muscle is a strong chewing muscle in the jaw. It is a broad, thick, quadrilateral muscle that extends from the zygomatic arch (cheekbone) to the lower jaw (mandible). The masseter muscle has two distinct parts: the superficial part and the deep part.

The superficial part of the masseter muscle originates from the lower border of the zygomatic process of the maxilla and the anterior two-thirds of the inferior border of the zygomatic arch. The fibers of this part run almost vertically downward to insert on the lateral surface of the ramus of the mandible and the coronoid process.

The deep part of the masseter muscle originates from the deep surface of the zygomatic arch and inserts on the medial surface of the ramus of the mandible, blending with the temporalis tendon.

The primary function of the masseter muscle is to elevate the mandible, helping to close the mouth and clench the teeth together during mastication (chewing). It also plays a role in stabilizing the jaw during biting and speaking. The masseter muscle is one of the most powerful muscles in the human body relative to its size.

In the context of medical terminology, a "habit" refers to a regular, repeated behavior or practice that is often performed automatically or subconsciously. Habits can be physical (such as biting nails) or mental (such as worrying). They can be harmless, beneficial (like regularly brushing your teeth), or harmful (like smoking cigarettes).

Habits are different from instincts or reflexes because they involve a learned behavior that has been repeated and reinforced over time. Breaking a habit can often be challenging due to the deeply ingrained nature of the behavior.

Masticatory muscles are a group of skeletal muscles responsible for the mastication (chewing) process in humans and other animals. They include:

1. Masseter muscle: This is the primary muscle for chewing and is located on the sides of the face, running from the lower jawbone (mandible) to the cheekbone (zygomatic arch). It helps close the mouth and elevate the mandible during chewing.

2. Temporalis muscle: This muscle is situated in the temporal region of the skull, covering the temple area. It assists in closing the jaw, retracting the mandible, and moving it sideways during chewing.

3. Medial pterygoid muscle: Located deep within the cheek, near the angle of the lower jaw, this muscle helps move the mandible forward and grind food during chewing. It also contributes to closing the mouth.

4. Lateral pterygoid muscle: Found inside the ramus (the vertical part) of the mandible, this muscle has two heads - superior and inferior. The superior head helps open the mouth by pulling the temporomandibular joint (TMJ) downwards, while the inferior head assists in moving the mandible sideways during chewing.

These muscles work together to enable efficient chewing and food breakdown, preparing it for swallowing and digestion.

The stomatognathic system is a term used in medicine and dentistry to refer to the coordinated functions of the mouth, jaw, and related structures. It includes the teeth, gums, tongue, palate, lips, cheeks, salivary glands, as well as the muscles of mastication (chewing), swallowing, and speech. The stomatognathic system also involves the temporomandibular joint (TMJ) and associated structures that allow for movement of the jaw. This complex system works together to enable functions such as eating, speaking, and breathing. Dysfunction in the stomatognathic system can lead to various oral health issues, including temporomandibular disorders, occlusal problems, and orofacial pain.

Dental occlusion refers to the alignment and contact between the upper and lower teeth when the jaws are closed. It is the relationship between the maxillary (upper) and mandibular (lower) teeth when they approach each other, as occurs during chewing or biting.

A proper dental occlusion, also known as a balanced occlusion, ensures that the teeth and jaw joints function harmoniously, reducing the risk of tooth wear, damage, and temporomandibular disorders (TMD). Malocclusion, on the other hand, refers to improper alignment or contact between the upper and lower teeth, which may require orthodontic treatment or dental restorations to correct.

A dental prosthesis is a device that replaces one or more missing teeth or parts of teeth to correct deficiencies in chewing ability, speech, and aesthetics. It can be removable or fixed (permanent) and can be made from various materials such as acrylic resin, porcelain, metal alloys, or a combination of these. Examples of dental prostheses include dentures, bridges, crowns, and implants.

The medical term for nail biting is "Onychophagia." It's classified as a type of body-focused repetitive behavior, which is a category of mental health disorders characterized by the repeated compulsion to engage in certain self-grooming behaviors that cause physical damage. In the case of onychophagia, the individual repeatedly bites their nails, often until they bleed or become severely damaged. This can lead to various complications, such as infection and dental issues. It's important to note that while nail biting is a common habit, when it becomes repetitive, compulsive, and causes significant distress or impairment, it may be indicative of a broader mental health condition.

Occlusal splints, also known as bite guards or night guards, are removable dental appliances that are used to provide protection and stabilization for the teeth and jaw joint (temporomandibular joint or TMJ). They are typically made of hard acrylic or soft materials and are custom-fit to a patient's mouth.

Occlusal splints work by covering and separating the upper and lower teeth, preventing them from coming into contact with each other. This can help to reduce tooth grinding and clenching (bruxism), which can cause tooth wear, sensitivity, and TMJ disorders. They may also be used to help stabilize the jaw joint and muscles in patients with TMJ disorders or to provide protection for teeth that have undergone restorative dental work.

It is important to note that occlusal splints should only be worn under the guidance of a dentist, as improper use can lead to further dental problems.

Temporomandibular Joint Disorders (TMD) refer to a group of conditions that cause pain and dysfunction in the temporomandibular joint (TMJ) and the muscles that control jaw movement. The TMJ is the hinge joint that connects the lower jaw (mandible) to the skull (temporal bone) in front of the ear. It allows for movements required for activities such as eating, speaking, and yawning.

TMD can result from various causes, including:

1. Muscle tension or spasm due to clenching or grinding teeth (bruxism), stress, or jaw misalignment
2. Dislocation or injury of the TMJ disc, which is a small piece of cartilage that acts as a cushion between the bones in the joint
3. Arthritis or other degenerative conditions affecting the TMJ
4. Bite problems (malocclusion) leading to abnormal stress on the TMJ and its surrounding muscles
5. Stress, which can exacerbate existing TMD symptoms by causing muscle tension

Symptoms of Temporomandibular Joint Disorders may include:
- Pain or tenderness in the jaw, face, neck, or shoulders
- Limited jaw movement or locking of the jaw
- Clicking, popping, or grating sounds when moving the jaw
- Headaches, earaches, or dizziness
- Difficulty chewing or biting
- Swelling on the side of the face

Treatment for TMD varies depending on the severity and cause of the condition. It may include self-care measures (like eating soft foods, avoiding extreme jaw movements, and applying heat or cold packs), physical therapy, medications (such as muscle relaxants, pain relievers, or anti-inflammatory drugs), dental work (including bite adjustments or orthodontic treatment), or even surgery in severe cases.

Hydroxyzine is an antihistamine medication that is primarily used to treat symptoms of allergies such as itching, hives, and swelling. It works by blocking the effects of histamine, a substance in the body that causes allergic reactions. In addition to its antihistaminic properties, hydroxyzine also has sedative and anxiety-reducing effects, which make it useful in treating anxiety disorders, symptoms of alcohol withdrawal, and as a sleep aid. It is available in both oral and injectable forms and is usually taken orally in the form of tablets, capsules, or syrup. As with any medication, hydroxyzine should be used under the supervision of a healthcare provider, and its use may be subject to certain precautions and contraindications depending on the individual's medical history and current health status.

Tooth abrasion is defined as the wearing away of tooth structure due to mechanical forces from activities such as tooth brushing, chewing, or habits like nail biting or pen chewing. It typically occurs at the gum line and can result in sensitive teeth, notches in the teeth near the gums, and even tooth loss if left untreated. The use of hard-bristled toothbrushes, excessive force while brushing, and abrasive toothpastes can all contribute to tooth abrasion.

Stereognosis is a medical term that refers to the ability to identify and recognize the form, size, and texture of an object by using tactile (touch) sensation without visual or auditory input. It's a component of sensory perception that allows us to understand the three-dimensional shape and nature of objects through touch alone.

Loss or impairment of stereognosis can be a sign of neurological disorders, such as damage to the sensory cortex in the parietal lobe of the brain. Testing stereognosis is often part of a neurological examination to assess the functioning of the nervous system and the sense of touch.

Facial pain is a condition characterized by discomfort or pain felt in any part of the face. It can result from various causes, including nerve damage or irritation, injuries, infections, dental problems, migraines, or sinus congestion. The pain can range from mild to severe and may be sharp, dull, constant, or intermittent. In some cases, facial pain can also be associated with other symptoms such as headaches, redness, swelling, or changes in sensation. Accurate diagnosis and treatment of the underlying cause are essential for effective management of facial pain.

Mouth breathing is a condition characterized by the regular habit of breathing through the mouth instead of the nose during awake states and sometimes during sleep. This can occur due to various reasons such as nasal congestion, deviated septum, enlarged tonsils or adenoids, or structural abnormalities in the jaw or airway. Prolonged mouth breathing can lead to several oral and general health issues, including dry mouth, bad breath, gum disease, and orthodontic problems. It can also affect sleep quality and cognitive function.

Mastication is the medical term for the process of chewing food. It's the first step in digestion, where food is broken down into smaller pieces by the teeth, making it easier to swallow and further digest. The act of mastication involves not only the physical grinding and tearing of food by the teeth but also the mixing of the food with saliva, which contains enzymes that begin to break down carbohydrates. This process helps to enhance the efficiency of digestion and nutrient absorption in the subsequent stages of the digestive process.

A deciduous tooth, also known as a baby tooth or primary tooth, is a type of temporary tooth that humans and some other mammals develop during childhood. They are called "deciduous" because they are eventually shed and replaced by permanent teeth, much like how leaves on a deciduous tree fall off and are replaced by new growth.

Deciduous teeth begin to form in the womb and start to erupt through the gums when a child is around six months old. By the time a child reaches age three, they typically have a full set of 20 deciduous teeth, including incisors, canines, and molars. These teeth are smaller and less durable than permanent teeth, but they serve important functions such as helping children chew food properly, speak clearly, and maintain space in the jaw for the permanent teeth to grow into.

Deciduous teeth usually begin to fall out around age six or seven, starting with the lower central incisors. This process continues until all of the deciduous teeth have been shed, typically by age 12 or 13. At this point, the permanent teeth will have grown in and taken their place, with the exception of the wisdom teeth, which may not erupt until later in adolescence or early adulthood.

The temporomandibular joint (TMJ) is the articulation between the mandible (lower jaw) and the temporal bone of the skull. It's a complex joint that involves the movement of two bones, several muscles, and various ligaments. The TMJ allows for movements like rotation and translation, enabling us to open and close our mouth, chew, speak, and yawn. Dysfunction in this joint can lead to temporomandibular joint disorders (TMD), which can cause pain, discomfort, and limited jaw movement.

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