The Lion's Pride Volume 10 (Spring 2018) | Page 57

grinding and clenching movements of the maxillary (upper teeth) and mandibular (lower teeth) - known as the masticatory system - against each other from the driving forces of the mastication muscles in the face and jaw: masseter, temporal, medial pterygoid, lateral pterygoid, and the buccinator muscle (Kawakami, Kumazaki, Manda, Oki, & Minagi, 2014, p. 2). However, the destruction caused by bruxism doesn’t stop there, as it has been further found to be associated both with tooth damage from such forces and with headaches and TMJ disorders (Swaminathan, D., & D., 2014, p. 129). Occurrences of these parafunctional activities can happen during the day—known as daytime, diurnal, or awake bruxism which involves “semi-voluntary ‘clenching’” actions. It can also happen at night—known as nocturnal or sleep bruxism; the latter is the more devastating disorder of the two different types (Swaminathan et al., 2014, p. 129). Most daytime bruxism is manageable due to one’s ability to notice the force being exerted on the teeth, but sleep bruxism is not always as easy to combat. During the night our neurological safeguards are turned off, allowing the strong forces applied by our jaw muscles to fracture or break teeth and pre-existing dental restorations in the mouth. Stress in a person’s life is one of the many triggers that puts a “biological strain on an organism” stimulating the neurological systems while we are asleep (Wieckiewicz et al., 2014, p. 2). Stimuli that cause a person stress are called stressors, and stressors can be enhanced by situations at work, friendships, family