Letters: Do patients use mouths for playing darts?

I was intrigued by a diagnosis I had never come across in 30 years of general practice in Mr Shaw's case study about mandibular tori (GP, 15 May). The term that tickled me was 'parafunctional mouth habits' which he defined as 'use of the mouth other than for eating drinking or speaking'.

Does he come across people who use their mouths for bungee jumping, or playing darts, perhaps? Maybe there are patients I am missing with mouth symptoms from wielding a squash racquet or holding the reins of a horse. Or maybe it was a euphemism for oral sex. A bright moment on a busy wet day.

I will be asking my patients more searching questions from now on about their mouth uses.

Dr Doug Campbell, Southampton

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