Wednesday, July 14, 2010

Why Do we Yawn and What are The Reasons

What is yawning
Yawning is a reflex opening of mouth and simultaneous deep inhalation of air and stretching of the eardrums, followed by slow exhalation of breath. It is an involuntary action that we do without our consciousness, which causes us to open our mouths wide and breathe in deeply. When yawning includes stretching also , it is called pandiculation. We do yawn even when we are still in our mother's womb. Yawning can also be a powerful non-verbal message with different meanings depending on the circumstances. Yawning has an infectious quality (imitation) in humans like observing another person's yawning face, looking at a yawning picture, or just thinking of yawning can trigger a person to yawn, which is a typical example of a positive feedback. Yawning in animals serve as a warning signal, display of anger, aggressive attack, courtship ritual, confusion, and other physiological reasons.



Causes of human yawning
1. Drowsiness or weariness.
2. Excessive tiredness or boredom.
3. Disorder associated with excessive daytime sleepiness.
4. Panic.
5. Imitation.

Reason behind yawning
There are various theories put forward to describe yawning such as a) Physiological theory. b) Cooling of brain theory. c) Evolution theory. d) Boredom theory etc.
According to the brain cooling theory, yawning cools the brain when it is overheated. The brain is able to function at its best when it is cool and humans and other animals have evolved adaptations to accommodate this. Very often, when we are tired or under stress, we keep yawning all the time. It is caused as the deep brain temperature is increased, when the person is exhausted or sleep deprived. Yawning cools and alerts the brain.

Yawning is  induced when the level of glucose supplied to the brain decreases such as in the state of hunger. It is also thought to be a mechanism to clear the lymphatic system before and after sleep. Another assumption in this regard is that yawning is caused by some chemicals found in the brain, like, serotonin, dopamine, glutamine, glutamic acid and nitric oxide. These chemicals are also responsible for affecting emotions, mood, appetite and certain other states. Activation of these chemicals in the brain is found to increase the frequency of yawns, while some other chemicals such as opioid neurotransmitters, e.g., endorphins, can reduce yawning.

The cause for contagious yawning (imitative yawning) may lie with mirror neurons that are neurons in the frontal cortex of certain vertebrates, which upon being exposed to a stimulus from the same species and occasionally interspecific organisms, activates the same regions in the brain. Mirror neurons have been proposed as a driving force for imitation which lies at the root of much human learning, e.g., language acquisition. Yawning may be an offshoot of the same imitative impulse.

Yawning in animals

Baboons yawn to threaten their enemies by displaying large canine teeth. A Siamese fighting fish yawn only when they see a their same species or their own mirror-image, and their yawn often accompanies aggressive attack. Guinea pigs also yawn in a display of dominance or anger displaying their impressive incisor teeth.Adelie Penguins yawn as a part of their courtship ritual. Penguin couples face off and the males engage in an ecstatic display. Snakes yawn to realign their jaws after a meal and for respiratory reasons. Dogs often yawn after seeing people yawn, and when they are confused. Fish can also yawn, and they increase this behavior due to lack of oxygen or excessive heat. Infectious yawning has also been noted in chimpanzees especially for psychological reasons and contagious yawning may have developed as a way to keep a group of animals alert.



Monday, July 12, 2010

What is Bruxism and How to Prevent it

Definition
Bruxism is gnashing or clenching of the teeth, which is holding tight your upper and lower tooth together and sliding back and forth over each other. It is characterized by habitual grinding of the teeth and is typically accompanied by the clenching of the jaw. It is an oral parafunctional activity that occurs in most humans and is mild enough not to cause any health problems. In some people it is severe enough to cause discomfort and seek treatment. Bruxism can be diurnal or nocturnal in nature and bruxism during sleep causes most of the health issues. It is one of the most common sleep disorders.

 
Causes
Bruxism is a subconscious process and during sleep the subconscious processes become active, while the higher control is inactive, resulting in bruxism. People clench or grind the teeth without being aware of it during the day or night, although sleep-related bruxism is often the bigger problem as it is harder to control. There are several factors contributing to bruxism and these factors depend from individual to individual.
1.    Daily stress.
2.    Misalignment of tooth and oral structures.
3.    Diet.
4.    Posture.
5.    Ability to relax.
6.    Sleeping habits and comfort.

Signs
In most people bruxism does not cause problems and in about 5% individuals it develops symptoms such as jaw pain and headaches, which requires treatment. Bruxism can result in abnormal wear patterns of the grinding surface of the tooth and also causes abrasions and fractures of the teeth. This is also called as occlusal trauma. It also causes significant tooth loss and gum recession. In most of the cases, the canines and incisors of the opposing arches are moved against each other laterally. This movement abrades tooth structure and can lead to the wearing down of the incisal edges of the teeth. People with bruxism may also grind their posterior teeth, which will wear down the cusps of the occlusal surface.

Symptoms
Clenching the teeth puts pressure on the muscles, tissues, and other structures around the jaw. The symptoms can cause temporomandibular joint (TMJ) problems. Patients may present with a variety of symptoms, that includes
1.    Anxiety, stress, and tension
2.    Depression
3.    Ear ache
4.    Tooth sensitivity.
5.    Eating disorders
6.    Headache
7.    Insomnia
8.    Sore or painful jaw

Sequelae
Bruxism shortens and blunts the teeth by grinding, which reduces the vertical height of the teeth that leads to myofascial muscle pain, eating disorders, temporomandibular joint dysfunction, headaches, insomnia etc.

Exams and Tests
An examination can rule out other disorders that may cause similar jaw pain or ear pain, including:
1.    Dental decay and other disorders.
2.    Ear disorders such as ear infections
3.    Problems with the temporomandibular joint (TMJ)

Treatment
Bruxism may be reduced or eliminated when the associated causative factors are treated successfully. The goals of the treatment are to prevent damage to the teeth, reduce pain, and reduce clenching as much as possible. These can be accomplished by
1.    Avoid eating hard foods like nuts, candies, steak.
2.    Drink plenty of water every day.
3.    Get plenty of sleep.
4.    Relax your face and jaw muscles throughout the day, promote facial relaxation.
5.    Physical therapy stretching exercises to help restore a normal balance to the action of the muscles and joints on each side of the head.
6.    Massage the muscles of the neck, shoulders, and face.
7.    Try to reduce your daily stress and learn relaxation techniques.
8.    Wearing of mouth guards and splints during night.
9.    Nociceptive trigeminal inhibitor.
10.    Biofeedback devices.
11.    Dietary supplements which reduces the causes of bruxism.
12.    Repairing damage to the tooth.

Bruxism Complications
1.    It can cause permanent damage to the teeth and uncomfortable jaw pain, headaches, or ear pain.
2.    Depression
3.    Increased dental or TMJ problems.
4.    Nightly grinding can awaken roommates and sleeping partners.

Hope you got an idea on how to deal with a case of bruxism.