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The cause is the chronic parafunctional activity of the masticatory system, which produces frictional, crushing, and incisive damage to the mucosal surface, and over time, the characteristic lesions develop. Most people know a cheek-chewing habit, although it may be performed subconsciously. [2]
Bruxism is excessive teeth grinding or jaw clenching. It is an oral parafunctional activity; [1] i.e., it is unrelated to normal function such as eating or talking. Bruxism is a common behavior; the global prevalence of bruxism (both sleep and awake) is 22.22%. [2]
They are caused by prolonged irritation in the mouth, such as cheek or lip biting, rubbing from teeth, and dental prostheses. The fibromas are firm, smooth, and fibrous with a color usually identical to the oral mucosa but can be paler. If wounded, it may be darker. They are usually solitary and do not develop into oral cancer.
TMD mostly affects people in the 20 – 40 age group, [7] and the average age is 33.9 years. [10] People with TMD tend to be younger adults, [4] who are otherwise healthy. Within the catchall umbrella of TMD, there are peaks for disc displacements at age 30, and for inflammatory-degenerative joint disorders at age 50. [11]
This research may offer relief for people with repetitive body-focused behaviors — such as skin picking and hair pulling — that can affect their mental health.
According to these estimates, the majority of people will eventually develop the disorder if they remain on the drugs long enough. [52] Elderly people are more prone to develop tardive dyskinesia, and elderly women are more at-risk than elderly men. The risk is much lower for younger men and women, and also more equal across the sexes. [53]
This condition occurs in association with denture wearing, and so those affected tend to be middle aged or older adults. 66-75% are estimated to occur in women. [1] Epulis fissuratum is the third most common reactive lesion that occurs in the mouth, after peripheral giant cell granuloma and pyogenic granuloma. [10]
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