Bruxism more than the periodontal ligament is biologically designed to handle, and so inflammation may result. A tooth may become sore to bite on, and further, tooth wear may reduce the insulating width of enamel and dentin that protects the pulp of the tooth and result in hypersensitivity, e.g. to cold stimuli. The relationship of bruxism with temporomandibular joint dysfunction (TMD, or temporomandibular pain dysfunction syndrome) is debated. Many suggest that sleep bruxism can be a causative or contributory factor to pain symptoms in TMD. Indeed, the symptoms of TMD overlap with those of bruxism. Others suggest that there is no
Grinding (gaming) have the potential to be rewarded in the future, and will have no reason to quit. Though grinding is used to provide a "level playing field", this effect could be achieved with any time-consuming behavior that is accessible to all and provides game advancement; The behavior need not be tedious or repetitive, as the term "grinding" generally implies. For example, in a game where advancement is gained by killing monsters, the game could provide such a huge variety of monsters and environments that no two kills are ever the same. As long as all players remained equally capable of killing