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Tongue thrusting is a type of orofacial myofunctional disorder, which is defined as habitual resting or thrusting the tongue forward and/or sideways against or between the teeth while swallowing, chewing, resting, or speaking. Abnormal swallowing patterns push the upper teeth forward and away from the upper alveolar processes and cause open bites.
Tongue thrusting is an adaptive means of closing an open (or incompetent) lip state, caused by a unique combination of anatomical reasons, or; Tongue thrusting is the cause or potentiator of an open or incompetent lip state, which resists efforts at behavioural change or clinical attempt at remedy. In generality, tongue thrusting is poorly ...
Erythema (redness) and edema (swelling) of papillae on the tip of the tongue may be a sign that the tongue is being habitually pressed against the teeth. The number and size of filiform papillae may be reduced. If the tongue is very red and smooth, then there is likely a local or systemic cause (e.g. erythematous candidiasis, anemia). [5]
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.
Crenated tongue is usually asymptomatic and harmless. [3] It is not a disease as such, but usually results from habits where the tongue is pressed against the lingual surfaces (the side facing the tongue) of the dental arches, or from any cause of macroglossia (enlarged tongue), [3] which in itself has many causes such as Down syndrome.
Sometimes poorly constructed prosthetic teeth may be the cause if the original bite is altered. Usually, the teeth are placed too far facially (i.e., buccally and/or labially), outside the " neutral zone ", which is the term for the area where the dental arch is usually situated, where lateral forces between the tongue and cheek musculature are ...
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The exact location and pattern of attrition depends on how the bruxism occurs, e.g., when the canines and incisors of the opposing arches are moved against each other laterally, by the action of the medial pterygoid muscles, this can lead to the wearing down of the incisal edges of the teeth. To grind the front teeth, most people need to ...