Parafunctional Habits Research Articles

Effect of an Ayurvedic Compound and Hypnotherapy on Sleep Bruxism: A Case Report

Bruxism is defined as “diurnal or nocturnal parafunctional activity including clenching, bracing, gnashing, and grinding of the teeth.” The etiology of bruxism is unclear, but the condition has been associated with stress, occlusal disorders, allergies, and sleep positioning. The aetio-pathophysiology is still unclear. SB (Sleep Bruxism) has been associated with tooth interference, psychosocial and environmental factors, brain transmitters, and basal ganglia dysfunction. It is been reported that Sleep bruxism during all sleep stages, others observed the majority of bruxe episodes during light sleep and REM and are often associated with arousal transients. There is no specific treatment for sleep bruxism but each subject has to be individually evaluated and treated. Three management alternatives are used: dental, pharmacological, and psycho behavioural. A 69-year-old man came to OPD of VPSV Ayurveda College Hospital, complaining that he has been grinding his teeth and making sounds while sleeping for the last 15 years. The noise he created caused his wife's sleep to be disturbed as well. So she constantly gave him the blame. They noted that the patient's tendency to grind his teeth worsened whenever he became upset or overworked. The patient had been given Aswagandha Churna (3gm), Jatamansi Churna (2gm), Aparajita churna (2gm) 2 times after food with warm water and Mahapaishacika ghrta 10ml at night for 3 weeks and also by considering the stress factor hypnotherapy was given 4 sittings on every 3rd day. The patient had good improvement in the Perceived Stress Scale, it reduced from 20 to 11. After three weeks of treatment, sleep bruxism was completely cured and the patient was asymptomatic during the follow-up period also.

THE EFFECT OF SMOKING HABITS ON THE OCCURRENCE OF BRUXISM: A RAPID REVIEW

Introduction: Bruxism is a parafunctional habit in the oral cavity area. Bruxism is distinguished from awake and sleep bruxism. Bruxism is caused by various etiological factors. Smoking habits are considered is one of the exogenous factors that cause bruxism. This study aims to determine the effect of smoking habits on bruxism. Review: This study was conducted using the rapid review of articles reporting the effect of smoking on the occurrence of bruxism. Article searches were conducted through PubMed, Google Scholar, and EBSCO Host from October until November 2022. Article screening was carried out by checking for duplication, reading titles and abstracts, and reading the contents of the entire text. A total of 1257 articles were identified at the initial stage of the research with total of 6 articles included into rapid review criteria. Research on articles analyzed qualitatively shows that smoking habits affect occurrence of bruxism in most of the articles reviewed. As many as 2 articles prove smoking influences bruxism in general and as many as 2 articles proving that smoking affects awake bruxism. Conclusion: Smoking habits have an influence on the occurrence of bruxism in general.

Case series: Noninfectious myositis of temporal muscle: a report of 2 cases.

Noninfectious myositis (NIM) of the masticatory muscles is uncommon local myalgia disorder persisted by a centrally-mediated neurogenic mechanism. Due to the rarity of this condition and the lack of appropriate data regarding it, diagnosing this pathology when it affects the temporal muscle (TM) is challenging. Clinical signs and symptoms, diagnostic process, and treatment outcome of 2 rare cases of NIM of the TM were presented. The signs and symptoms of the patients were not pathognomonic. There were restrictions on the mouth opening and lateral excursion of the mandible. The duration of the symptoms may not be chronic. The findings of clinical evaluation may indicate the diagnosis of anterior disc displacement (DD) without reduction of the temporomandibular joint (TMJ) and/or local myalgia. Swelling of the involved muscle could be evident and identified on palpation depending on the involved site of myositis. The axial T2-weighted magnetic resonance (MR) imaging was important for the accurate diagnosis of this rare condition. Application of non-surgical conservative treatment modalities such as administration of non-steroidal anti-inflammatory analgesics for a sufficient period of time, control of oral parafunctional habits, and jaw exercises were effective for the management of NIM of the TM. A thorough clinical examination and MR imaging including the axial T2-weighted view are required for accurate diagnosis and effective management of NIM of the TM.

BRUXCHECKERS-АНАЛИЗ ПАРАФУНКЦИОНАЛЬНОЙ АКТИВНОСТИ ЖЕВАТЕЛЬНЫХ МЫШЦ У ПАЦИЕНТОВ C АБФРАКЦИОННЫМИ ДЕФЕКТАМИ ЗУБОВ

In order to improve the quality of diagnostics of the state of the dental system of patients with abfractive defects of teeth, the features of the dental status of 128 patients aged 30-49 years were studied. The study of dental status included generally accepted methods (complaints, anamnesis, examination) and functional analysis of occlusive-articulatory relationships of dentition with the use of BruxChecker diagnostic mouthguards. A high frequency of complaints of hypersensitivity of teeth has been established. Significant symptoms were functional overload, enamel cracks, pathological tooth abrasion. The periodontal condition of teeth with abfractive defects was characterized by a roller-like gum recession without inflammation of the gingival margin and periodontal pockets. Comparative Bruxcheckers analysis by Fisher's exact criterion of the parafunctional activity of the masticatory muscles revealed significantly significant differences F=21.702 (p <0.001) between the examined with abfractive defects of teeth (average class 5.06±0.4) and intact teeth (average class 1.81±0.2). BruxChecker-analysis of the topography of occlusal contacts of teeth during nocturnal movements of the lower jaw confirmed the assumption of the presence of parafunctional activity of the masticatory muscles in patients with abfractive defects of teeth. The highest percentage of observations occurred in the fifth (28.9%, 95% CI:21.1-36.8) and sixth (42.2%, 95% CI: 33.6 – 50.7) classes. This indicated that the chewing system was in the stage of decompensation. The obtained data substantiate the inclusion in the algorithms of treatment of patients with abfractive defects of methods for eliminating sensitivity and restoring the anatomical shape of teeth with preliminary correction of the parafunctional activity of the dental system.

Prevalence of Possible Sleep Bruxism and Its Association with Social and Orofacial Factors in Preschool Population.

The prevalence of bruxism in the preschool population varies according to different investigations. The aim of this study was to investigate the prevalence of sleep bruxism and its relationship with social and orofacial factors in children aged 3 to 5 years. Three hundred forty-three preschool children were divided into two groups, one with nocturnal bruxism, as reported by parents, and another without this disorder. Questionnaires were distributed to the parents to determine the children's family social status and parafunctional habits at the time of the study. The clinical inspection confirmed the presence of certain parafunctional habits and the children's occlusal characteristics. The data obtained were analysed using descriptive statistics such as frequency chi-square tests to identify the influence of qualitative variables. Of the total sample, 28.9% of preschoolers presented sleep bruxism. The highest prevalence was observed in boys (61.6%) at the age of 5 years (41.4%). Characteristics associated with this pathology were lip incompetence, open bite, crossbite, and overbite, with p < 0.05. Sleep bruxism in preschool children has a higher prevalence in boys and is more frequently expressed from 5 years of age. Open bite, overbite, and crossbite should be considered factors associated with parafunction.

Evaluation of Clinical Symptoms Improvement by Cognitive Behavioral Therapy Using a Smartphone Application in Patients with Temporomandibular Disorder.

Since the start of the 2019 coronavirus pandemic, interest in digital therapeutics (DTx) has increased. Temporomandibular disorder (TMD) fundamentally requires cognitive behavioral therapy (CBT), including physical self-regulation. An application that records TMD pain and parafunctional activities for CBT has recently been developed. However, evidence of the reduction of clinical symptoms in patients via repetitive software-driven CBT is lacking. The purpose of the present study was to evaluate the impact of applications that support CBT regarding the performance of CBT and the improvement of clinical symptoms in temporomandibular joint patients. From 20 October 2020 to 7 January 2021, we randomly assigned 41 participants diagnosed with TMD to control (conventional treatment) and experimental (conventional treatment + application use) groups. We randomly assigned 41 participants diagnosed with TMD to control (conventional treatment) and experimental (conventional treatment + application use) groups. Improvements regarding the number of tender points, mouth opening, visual analog scale score, pain level upon palpation, joint sound, and stress were compared between the two groups. Compared with the control group, the experimental group showed significant improvements in the number of tender points and degree of mouth opening. They also showed improvements in pain level, joint sound, and locking, although not statistically significantly, as compared with the control group. Thus, further studies with a greater sample size need to be conducted to confirm the findings. Nevertheless, our results showed that repetitive cognitive behavioral therapy using a smartphone application can be used as digital therapeutics for temporomandibular disorder patients.

Prevalence of Oral Parafunctional Habits in Children and Related Factors: An Observational Cross-sectional Study.

Parafunctional habits cause movements indicating their effect as functional and structural disorders such as malocclusion and temporomandibular joint changes in the oral and dental organs. This cross-sectional study was conducted to investigate the prevalence and factors associated with parafunctional habits in 6-12-year-old children in Qom, Iran. This analytical cross-sectional study was performed on 403 6-12-year-old schoolchildren of Qom, Iran. Data collection tools included a demographic questionnaire and a checklist prepared along with a clinical examination. Data were analyzed using the Statistical Package for the Social Sciences (SPSS), with chi-square and analysis of variance (ANOVA) tests. The mean age of children was 8.9 ± 2.03 years. Bruxism was more common than other parafunctional habits (22.6%). There was a significant relationship between oral habits with children's gender and age (p <0.001). However, there was no significant relationship between oral habits and other variables such as underlying disease, economic status and parent's smoking (p >0.05). Given the relatively high prevalence of parafunctional habits in children, it seems that children should be investigated for the presence of such habits in order to provide the necessary education to parents and perform dental interventions to prevent complications from oral habits. Dental interventions at a younger age are easier to conduct and have a more effective preventive role. Mehdipour A, Aghaali M, Janatifar Z, et al. Prevalence of Oral Parafunctional Habits in Children and Related Factors: an Observational Cross-sectional Study. Int J Clin Pediatr Dent 2023;16(2):308-311.

Intraindividual Left-Right Side Differences of Sagittal Condylar Inclination (SCI) in Different Skeletal Classes.

(1) Background: The temporomandibular joint (TMJ) is the most complex and one of the most important joints in the human body due to its essential roles in mastication, swallowing, breathing and speech. Several instruments have been used to track mandibular movements and register the characteristic parameters of the TMJ, among which condylography instruments are validated for the accurate clinical registration of the condylar path. Sagittal condylar inclination (SCI) is one of the most important parameters, together with the Bennett angle and the immediate side shift, used for articular settings in the process of oral rehabilitation. The aim of the present study was to evaluate the differences between the left and right SCI and to assess whether the differences were statistically significant for skeletal class, age, gender, dentate status, TMJ pathology or parafunctional habits. (2) Methods: One hundred and forty consecutive patients, fully dentate or partially edentulous, and with angle class I, II and II, were recruited. Their left and right SCIs were determined with an ultrasonic jaw tracking device. Each subject had to make three protrusive movements and three right and left laterotrusive movements. The software calculated the SCI from the mean of the protrusive movements. (3) Results: The mean values obtained for the right and left SCI were 34.68° (±12.44°) and 34.94° (±13.23°), respectively, with no statistically significant differences between the left and right values for gender, dentate status, TMJ disorders or parafunctional habits. Skeletal class III subjects registered lower SCI means, which were statistically significant for the left SCI. (4) Conclusions: For an optimal functionalization of prosthetic restorations and for an ideal treatment plan, the registration of both the left and right paths of the condyles and the articular disc should be taken into consideration.

Treating Parafunctional Habits for Alleviating Temporomandibular Disorder and Lower Back Pain: A Phase II Clinical Trial.

Objectives: Temporomandibular disorders (TMDs) include a series of signs and symptoms in the temporomandibular joints (TMJ) and muscles of mastication, which are associated with or caused by parafunctional habits. Many of these patients also suffer from lumbar pains. This study aimed to evaluate the effectiveness of treating parafunctional habits in alleviating symptoms of TMD and lower back pain. Materials and Methods: This phase II clinical trial was conducted on 136 patients suffering from TMDs and lumbar pain, who consented to participate in this study. They were provided with instructions on how to discontinue their parafunctional habits including clenching and bruxism. The Helkimo and Rolland Morris questionnaires were used to assess TMD and lower back pain, respectively. Data were statistically analyzed using paired Student's t-test, Wilcoxon, Mann-Whitney, and Spearman correlation tests, with the significance level set at P<0.05. Results: The mean severity score of TMD significantly decreased after the intervention. Following treatment of TMD, the mean severity score of lumbar pain decreased from 8 to 2 (P=0.0001). Conclusion: Based on our findings, it appears that the elimination of parafunctional habits improves TMD and lumbar pain.

The effect of orthodontic fixed appliance treatment on periodontal health of among patients reporting to Khyber College of Dentistry, Peshawar.

Objective: To determine effect of orthodontic fixed appliance treatment on periodontal health. Study Design: Quasi Experimental. Setting: Khyber College of Dentistry, Peshawar. Period: 1st January 2021 to 30th July 2022. Material &amp; Methods: This study was conducted 385 patients by non probability consecutive sampling technique. The inclusion criteria was both males and females, age 15-25 years, and having full complement of permanent dentition including first and second molars. Patients who were under medications affecting periodontal health, systemic conditions, para-functional habits and previous orthodontic treatment were excluded. Age and gender of patients were recorded. Community periodontal index (CPI) was recorded before the placement of orthodontic fixed appliances and after six months using CPI probe. Paired samples t-test was run to compare the CPI score before and after 6 months of orthodontic treatment. Results: The mean age was 22±4.95 year. The females were 200(62%) and males were 185(48%). The mean CPI score was statistically (p&lt;0.001) highest after six months (2.88±1.19) than pre treatment (0.90±0.65). Among all age groups the CPI score increase statistically (p&lt;0.001). The mean change (95% CI) in CPI score was 2.67(2.44, 2.90) in age group 15-20 years while 2.51(2.31, 2.70) in age group 21-25 years. In both males and females the results were statistically significant. Conclusion: Orthodontic fixed appliance treatment can adversely affect the periodontal health of the patients.

Management of Oral Parafunctional Habits: A Case Report

AbstractOne of the most common problems seen in dental practice is oral parafunctional habits. Thumb sucking and tongue thrusting habits are by far the most common ones encountered. These have adverse effects on the dentition and the orofacial structure. Habit breaking appliances can be used to stop these habits and give best results if used at an early stage. Here we present two cases, one each of digit sucking and tongue thrusting treated effectively with habit breaking appliance.

Technologies Applied to Diagnosis and Treatment of Bruxism and Sleep Bruxism: Literature Review

Bruxism is considered an involuntary parafunctional habit. Sleep bruxism (SB) is characterized as an activity of the chewing muscles during sleep in healthy individuals, while bruxism in wakefulness (BV) is defined as an activity of the chewing muscles generating repetitive or sustained tooth contact and/or static and/or dynamic muscle contraction. This article is intended to carry out a literature review comparing current devices that help in the diagnosis and treatment of BS and BV, emphasizing scientific evidence. A literature review was carried out in the period from 2018 to 2020. In order to optimize diagnosis and treatment, new technologies have been proposed, acting directly to assess muscle contraction. Among them, the Brux off and Bite Strip have been used for the diagnosis of sleep bruxism, for the treatment of sleep bruxism the Grindcare, and for the treatment of bruxism during wakefulness, the Neuro up and the Unstrike your teeth. The technologies presented show promising results due to their practicality and ease, helping patients to diagnose and treat bruxism. However, more studies need to be carried out, presenting larger samples and with longer periods that will prove the real effectiveness of these new technologies.

Posterior restorations with composite resin in patients with corrosive wear – a clinical case

For patients with loss of vertical dimension of occlusion caused by parafunctional habits associated with acidic food intake, care must be taken when choosing the restorative material. The composite resin besides being a low-cost material, is a material that has better indication for treatment not only for optimum comfort, but for increased longevity under study, providing better cost-benefit from the materials of choice. However, one should know well about conditioning, adhesion and composite resin, including finishing and polishing. The main objective of this research was to report a clinical case of a patient with loss of vertical dimension of occlusion caused by parafunctional habits. During the clinical case described in the article, we can analyze research that proves that the composite resin for posterior cases is better, especially when there are multiple cases of wear and parafunction, and we can also analyze the technique used and the predictability in the treatment, causing more comfort for the patient and the Surgeon Dentist.

Correlation between Temporomandibular Disorders (TMD) and Posture Evaluated trough the Diagnostic Criteria for Temporomandibular Disorders (DC/TMD): A Systematic Review with Meta-Analysis.

Temporomandibular disorders (TMDs) are a series of disorders that affect the muscles and joint. Symptoms include joint pain, muscle pain, and limitation of mouth opening. One of several multifactorial diseases, temporomandibular dysfunction has mostly been linked to five etiological factors: occlusion, trauma, severe pain stimuli, parafunctional activities, and psychological elements, including stress, anxiety, and depression. The position of the human body as it is displayed in space is referred to as posture. Several nerve pathways regulate posture, and through ligaments, TMD and posture affect each other. The purpose of this study is to evaluate the possible correlation between posture and TMD through a meta-analysis of the literature; Methods: A literature search was performed on PubMed, Lilacs, and Web of science, and articles published from 2000 to 31 December 2022 were considered, according to the keywords entered. The term "temporomandibular disorders" has been combined with "posture", using the Boolean connector AND; Results: At the end of the research, 896 studies were identified from the search conducted on the 3 engines. Only three were chosen to draw up the present systematic study summarizing the article's main findings. The meta-analysis showed through forest plot analysis a correlation between posture and TMD Conclusions: This literature meta-analysis showed a correlation between posture and TMD. Nerve pathways probably regulate both body posture and mandibular posture. Further clinical studies will be needed to confirm this hypothesis and to indicate the main conclusions or interpretations.

Association Between Stress and Parafunctional Habits Among Undergraduate Healthcare Students of Pakistan

Objective: Stress is a feeling of mental pressure and tension which leads to parafunctional habits increasing the risk of developing temporomandibular disorders. The purpose of this study was to assess the association between parafunctional habits as well as stress in undergraduate medical and dental students. Study Design And Setting: This cross-sectional study was carried out from April 01, 2020, to October 31, 2021, amongst the students of different medical and dental colleges, both in the private and public sectors in Punjab, Sindh, and the Federal areas in Pakistan. Methodology: The study comprised 466 students between 18 to 25 years. A self-compiled and validated questionnaire was shared with students belonging to various years of different medical and dental colleges. Response from all the forms was analyzed using SPSS Version 20 and the relationship between stress and parafunctional habits was assessed. Results: Results indicated that the stress of studies was the most common stress among students (75.1%, n = 350) while the most common parafunctional habit was lip biting (30%, n = 140). The association between different types of stresses and parafunctional habits was seen to be significantly related to one another. Conclusion: A significant relationship between parafunctional habits and stress was seen in undergraduate medical and dental students

Health changes during Covid-19: a nationwide study with dental students.

To assess the changes in stress levels, social behavior, dietary and parafunctional habits, oral hygiene, among other conditions perceived by dental students in Brazil during the Covid-19 pandemic and evaluated the correlations between stress level and other variables. An online questionnaire was developed and validated. Undergraduates enrolled in private and public dental schools were recruited by convenience sampling. Data were collected on the perceived changes regarding stress levels, financial and social characteristics, dietary habits, oral hygiene, health conditions, and parafunctional habits. Quantitative variables were expressed as absolute and relative frequencies. Wilcoxon test evaluated comparisons between perceived changes, and correlations between changes in stress levels and other variables were analyzed by Spearman correlation (α = 0.05). A total of 638 dental students, mean age of 22.95 ± 4.10 years, participated in the study. During the pandemic, the reported stress levels increased while household income decreased (p < 0.05). Late dinners and mindless eating increased in frequency, whereas oral hygiene decreased (p < 0.05). Most of the health conditions and parafunctional habits assessed changed (p < 0.05). Perceived stress levels showed poor negative correlations with household income (rS = -0.14), poor positive correlations with the pressure to contribute financially in the household (rS = 0.19), and poor positive correlations with food choice frequency (rS = 0.15) (p < 0.05). Dental students reported perceived changes in stress levels, dietary habits, oral hygiene, health conditions, parafunctional habits, and social behavior. Moreover, the results showed poor correlations, as students with higher stress levels tended to have the lowest household income, feel pressured to contribute financially in the household, and present a high meal intake frequency.

Association Between Etiological Factors and Dentin Hypersensitivity: A Cross-Sectional Study in Turkey

Objective: This study purposed to estimate the prevalence of DH and how effective the etiological factors are in the development of DH in Turkey.&#x0D; Methods: Demographic features, hygiene habits, bruxism, beverage habits, parafunctional habits, smoking, and other medical problems were asked. Air was blasted to the teeth via the air-water syringe for 3 seconds. The Visual Analogue Scale was used to measure DH sensitivity, and data were recorded in the 0-100 mm range, and 5 mm and higher were considered DH. The attrition, abrasion, erosion, abfraction per dental type (Incisal OR Canine OR Premolar OR Molar) were recorded. The same procedure was applied for abnormal tooth position and gingival recession.&#x0D; Results: A total of 4476 teeth and 236 individuals were evaluated. Significantly higher DH frequency was observed in females (p= .034), the 40- 55 age range (p= .009), and non-smokers (p= .016). Those who brushed their teeth three times a day or more (p&lt; .001), preferred horizontal technique (p= .017), used toothbrushes with a hard bristle (p&lt; .001) exhibited higher DH frequency. There was no significant difference in DH regarding bruxism, acidic beverage consumption, vomiting, and reflux (p&gt; .05).&#x0D; Conclusion: DH is a multi-etiological symptom affected by demographic attributes, hygiene, and other habits. Clinicians should painstakingly distinguish the source of DH to gain the long-term success of DH treatment, which depends on many etiological factors.

Impact of COVID-19 Pandemic on Dental Care in Izmir Province in the West of Turkey

Abstract&#x0D; Objectives: This study aimed to investigate provision of dental care services before and during the COVID-19 pandemic in western Türkiye.&#x0D; Materials &amp; Methods: Data was screened between 1 December 2018-1 June 2022 from the hospital database of Izmir Training Dental Hospital, Izmir, Türkiye. All dental procedures including oral and radiographic examination, dental fillings, restorative/reconstructive treatments, extraction, endodontic treatment, treatment of parafunctional habits, periodontal treatment, emergency dental treatments. Data envelopment analysis model was applied to measure the efficiency of decision-making units.&#x0D; Results: Total number of dental and auxiliary staff worked in the selected hospital was 84±15 (mean±SD) and 105±0 (mean±SD) respectively and the number of active dental chair was 150±0 (mean±SD). While oral examination was the most performed dental care services, root canal treatment and extractions were the least effected treatment modalities during the selected years. When the scale efficiency value is examined, it is observed that the most effective year was 2019 (scale efficiency value: 1), the second effective year was 2020 (0.987), and the third effective year is 2022 (0.886), and 2021 (0.875) was the least effective year.&#x0D; Conclusion: Non-aerosol generated procedures were least effected oral care services during the pandemic. It is concluded that COVID-19 pandemic has caused marked impairments in routine dental care services during the year 2020 and 2021. The policy makers should be well-prepared for future pandemics to dedicate uninterrupted dental care services as well as public health.

Parafunctional Oral Habits: Frequency and Association with Malocclusion Traits in Adolescents

OBJECTIVE: To determine the frequency of parafunctional oral habits and their association with types of malocclusions in all three planes among the adolescents. METHODOLOGY: This cross-sectional study involved 610 students studying in 8 different schools of Raiwind, Lahore. Ethical approval for the study was obtained from Sharif Medical and Dental College, Lahore. Data was collected by the primary researcher and recorded in predesigned proforma. Each student was inspected while seated in an upright position in natural day light, using disposable wooden blades to retract the cheek to record posterior dental relationships and to retract lips to record anterior dental relationships. Data was scrutinized using SPSS and chi-square test was used to find the statistical significance of the association between various parafunctional oral habits and types of malocclusions. RESULTS: The frequency of parafunctional oral habits was 57.3% among 610 adolescent students, being more prevalent in females (72.9%) than males (52.3%). The most common oral parafunctional habit was bruxism (18.0%) and least frequent was thumb sucking (8.4%). Association between oral parafunctional habits and malocclusion in all three planes was found to be significant (p=0.0). CONCLUSION: The parafunctional oral habits such as bruxism, tongue thrusting, nail biting, mouth breathing and thumb sucking are very commonly found among adolescents in the same descending order. Most common malocclusions found to be associated with parafunctional oral habits are exaggerated over-jet, open bite and deep bite. Parafunctional oral habits have a strong influence on developing malocclusion traits in all three dimensions. KEYWORDS: Parafunctional oral habits, malocclusion, thumb sucking, tongue thrusting, mouth breathing, bruxism, nail biting.

An Analysis of Coexistence of Multiple Oral Parafunctional Habits in Extraverts

Objective: To assess the presence and coexistence of multiple oral parafunctional habits in individuals with extravert personality type Methodology: A Cross-sectional descriptive study was conducted at the College of Dentistry, Sharif Medical and Dental College, Lahore, over 5 months, from July to November 2021. Data was collected using medical questionnaire and ten item personality inventory scale (TIPI). Results: There was significant association in the coexistence of parafunctional habit of nail biting with tooth clenching (p≤0.001), tooth grinding(p≤0.001), biting hard objects (p≤0.001) and chewing gum (p=0.027). Practical Implication: This study will help dental practitioners use personality assessment as an effective and important tool to find the propensity of an individual for development of oral parafunctional habits. In this way they will be able to provide timely treatment and counselling to the individuals before their dental health deteriorates due the development of oral parafunctional habits. Conclusion: The oral parafunctional habits found to coexist the most with nail biting habit was tooth grinding followed by biting hard objects, chewing gum and tooth clenching. Keywords: Extraverts, Oral parafunctional habits, Ten Item Inventory Scale, Nail Biting