Document Detail


Combat and warfare in the early paleolithic and medically unexplained musculo-facial pain in 21st century war veterans and active-duty military personnel.
MedLine Citation:
PMID:  16485816     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In a series of recent articles, we suggest that family dentists, military dentists and psychiatrists with expertise in posttraumatic stress disorder (especially in the Veterans Health Administration) are likely to see an increased number of patients with symptomatic jaw-clenching and early stages of tooth-grinding (Bracha et al., 2005). Returning warfighters and other returnees from military deployment may be especially at risk for high rates of clenching-induced masticatory muscle disorders at early stages of incisor grinding. The literature we have recently reviewed strongly supports the conclusion that clenching and grinding may primarily be a manifestation of experiencing extreme fear or severe chronic distress (respectively). We have recently reviewed the clinical and paleoanthropological literature and have noted that ancestral warfare and ancestral combat, in the early Paleolithic Environment of Evolutionary Adaptedness (EEA) may be a neglected factor explaining the conservation of the archaic trait of bite-muscle strengthening. We have hypothesized that among ancestral warriors, jaw clenching may have rapidly strengthened the two primary muscles involved in biting, the masseter muscles and the much larger temporalis muscles. The strengthening of these muscles may have served the purpose of enabling a stronger, deeper, and therefore more lethal, defensive bite for early Paleolithic humans. The neuroevolutionary perspective presented here may be novel to many dentists. However, it may be useful in patient education and in preventing progression from jaw-clenching to chronic facial pain.
Authors:
H Stefan Bracha; Donald A Person; David M Bernstein; Norman A Flaxman; Nicole K Masukawa
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; Review    
Journal Detail:
Title:  Hawaii dental journal     Volume:  36     ISSN:  0891-9933     ISO Abbreviation:  Hawaii Dent J     Publication Date:    2005 Nov-Dec
Date Detail:
Created Date:  2006-02-20     Completed Date:  2006-04-05     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8502148     Medline TA:  Hawaii Dent J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  16-8     Citation Subset:  D    
Affiliation:
National Center for Posttraumatic Stress Disorder, Department of Veterans Affairs, Pacific Islands Health Care System, Spark M Matsunaga Medical Center, Honolulu, HI 96813-2830, USA. H.Bracha@med.va.gov
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MeSH Terms
Descriptor/Qualifier:
Bite Force*
Bruxism / etiology*
Evolution
Facial Pain / etiology*
Humans
Masticatory Muscles / physiology*
War*

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