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Dentistry · Occlusion
Sample itemA patient has tooth wear and morning jaw-muscle fatigue from repetitive nocturnal parafunctional activity; what behavior is most likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Habitual clenching or grinding of teeth
Bruxism is repetitive jaw-muscle activity involving clenching or grinding, often during sleep or concentration, and can contribute to tooth wear, muscle pain, restoration damage, and temporomandibular symptoms.
Option by option
A. Loss of all salivary glands
Salivary-gland loss is not the definition of bruxism.
B. A bacterial infection of the pulp
Pulp infection is a separate endodontic condition.
C. Congenital absence of enamel
Absent enamel is a developmental defect rather than a parafunctional habit.
D. Habitual clenching or grinding of teeth (correct)
Correct: bruxism refers to clenching or grinding behavior.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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