Parafunctional activity Parafunctional activity A para-functional habit or parafunctional habit is the habitual exercise of a body part in a way that is other than the most common use of that body part. The term is most commonly used by dentists, orthodontists, or maxillofacial specialists to refer to para-functional uses of the mouth, tongue and jaw. Oral para-functional habits may include bruxism (tooth-clenching and/or grinding), tongue tension ("tongue thrusting"), fingernail biting, pencil or pen chewing, mouth breathing, and any other habitual use of the mouth unrelated to eating, drinking, or speaking. Crenated tongue is a descriptive term for when scalloping develops on
Bruxism grinding. The cause of bruxism is largely unknown, but it is generally accepted to have multiple possible causes. Bruxism is a parafunctional activity, but it is debated whether this represents a subconscious habit or is entirely involuntary. The relative importance of the various identified possible causative factors is also debated. Awake bruxism is thought to be usually semivoluntary, and often associated with stress caused by family responsibilities or work pressures. Some suggest that in children, bruxism may occasionally represent a response to earache or teething. Awake bruxism usually involves clenching (sometimes the term "awake clenching" is used instead of awake