CMT Oral Habits & Parafunctional Behaviors 3

Question 1

Awake (diurnal) bruxism is classified as which type of parafunctional activity?

Accepted Answer

Conscious awake parafunctional oral habit

Answer

Nocturnal sleep-related movement disorder

Answer

Involuntary neuromuscular reflex response

Answer

Parasomnia

Question 2

Which parafunctional oral habit(s) are most consistently associated with causing or maintaining an anterior open bite?

Accepted Answer

Tongue thrusting and digit sucking

Answer

Bruxism and cheek biting

Answer

Cheek biting and lip licking

Answer

Nail biting and lip biting

Question 3

When assessing the severity and clinical impact of a parafunctional oral habit in a child, which factor is considered most clinically significant?

Accepted Answer

The frequency, duration, and intensity of the habit

Answer

The specific type of habit (thumb vs. pacifier vs. finger)

Answer

The age of onset of the habit

Answer

The presence of siblings with similar habits

Question 4

In myofunctional therapy for tongue thrust correction, what is the correct sequence of skill development?

Accepted Answer

Nasal breathing establishment → correct tongue rest posture → swallowing retraining

Answer

Swallowing retraining → tongue placement exercises → nasal breathing

Answer

Swallowing retraining → muscle strengthening → habit appliance

Answer

Dental appliance placement → behavioral modification → exercise program

Question 5

Object biting (chewing pencils, pens, clothing) is classified under which category of parafunctional habits?

Accepted Answer

Biting and chewing parafunctional habits

Answer

Non-nutritive sucking behaviors

Answer

Tongue posture disorders

Answer

Sleep-related movement disorders

Question 6

Which of the following is NOT a typical orofacial consequence of prolonged digit sucking?

Accepted Answer

Class III skeletal relationship

Answer

Anterior open bite

Answer

Maxillary arch constriction

Answer

Proclination of maxillary incisors

Question 7

In treating parafunctional oral habits in pediatric patients, positive reinforcement is most effective when it is:

Accepted Answer

Provided immediately and consistently following the desired behavior

Answer

Delayed until the end of the month to assess cumulative progress

Answer

Combined with punishment for relapses to increase compliance

Answer

Limited to tangible rewards only, avoiding verbal praise