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The diagnosis of toothache can be challenging, [35]: 80, 81 not only because the list of potential causes is extensive, but also because dental pain may be extremely variable, [44]: 975 and pain can be referred to and from the teeth. Dental pain can simulate virtually any facial pain syndrome. [44]
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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]
The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) [5] classifies the condition under "Other Specified Obsessive-Compulsive and Related Disorder" (300.3) as a body-focused repetitive behavior; the DSM-5 uses the more descriptive terms lip biting and cheek chewing (p. 263) instead of morsicatio buccarum.
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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.
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