ETIOLOGY OF DCS

Exercise/sports: rowing, water skiing, lifting weights, boxing, riding a motorcycle, or any sport where there is a bracing of the body.
Psychological: anxiety, fear, tension, pleasure, aggression, anger, dreaming, stress.
Medical: sleep apnea, oral pain, or pain in other parts of the body.
Drugs: caffeine, amphetamines, cocaine, ecstasy, fluoxetine, fluvoxamine, paroxetine, sertraline, haloperidol, and venlafaxine.
Bioengineering factors: DCS can be easily initiated by a violation of bioengineering principles in the stomatognathic system, such as prematurities, off-loading of teeth, horizontal distraction of the mandible upon closure, and misalignment of the TMJ components.

McCoy et al. 2007

Signs:

1. Teeth will flatten (flattened dentition)

2. Chewing muscles are large in size (enlarged muscles of mastication)

3. deformations of the teeth