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To the Editor:
The article by Obermayer on cheekbiting (90:185, 1964) was of considerable interest to my profession. His statement that the average dental practitioner is familiar with only a few commonly occurring dermatologic lesions on the buccal mucous membranes is correct. On the other hand, the average dermatologist is not aware of some of the important factors which may lead to cheekbiting.One such cause is abrasion of the occlusal surfaces of the teeth with a diminution in the amount of ``overjet," ie, the distance maxiallary teeth extend over the mandibular teeth. When the teeth tend to meet close to or edge to edge, the cheeks, lips and tongue are more apt to be bitten or pinched. Once the tissue is injured the swelling makes it more susceptible to further biting. As the injured tissue becomes elevated and forms a definite ridge it is an even more suitable target
Ziegler JE. ON CHEEKBITING. Arch Dermatol. 1965;91(5):570–571. doi:10.1001/archderm.1965.01600110156026
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