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 strong association between TMD and bruxism. A systematic review investigating the possible relationship concluded that when self-reported bruxism is used to diagnose bruxism, there is a positive association with TMD pain, and when stricter diagnostic criteria for bruxism are used, the association with TMD symptoms is much lower. In severe, chronic cases, bruxism can lead to myofascial pain and arthritis of the temporomandibular joints. The muscles of mastication (the temporalis, masseter, medial and lateral pterygoid muscles) are paired on either side and work together to move the mandible, which hinges and slides around its dual articulation with the skull at