Preventing Damage from Cheek Chewing

If you or someone you care about experiences chronic cheek chewing (morsicatio buccarum), you’re not alone. Cheek chewing, part of a group of behaviors known as body-focused repetitive behaviors (BFRBs), often emerges as a way to cope with emotional challenges such as anxiety or stress. While the behavior might provide temporary relief, it can lead to irritation, discomfort, or long-term damage. The good news is that with understanding and support, there are effective ways to prevent damage and promote healing.

Understanding Cheek Chewing

Cheek chewing can develop as a coping mechanism, often during heightened emotions. While occasional cheek biting might happen accidentally while eating or speaking, recurring cheek chewing can become a pattern that feels difficult to control. Although the behavior may provide temporary relief, it can result in physical discomfort and emotional distress over time.

For some, habitual cheek chewing might also be linked to underlying stress, anxiety, or emotional triggers. Recognizing these patterns is a vital first step toward prevention and healing.

Preventing Damage to the Cheeks

Chronic cheek chewing can irritate the delicate inner cheek lining if not addressed, leading to sores, tissue changes, and even infections. Fortunately, several strategies can help protect your oral health and reduce the risk of damage:

• Gentle Oral Care: Use soothing, alcohol-free mouthwashes and soft toothbrushes to minimize irritation and support healing.

• Avoid Trigger Foods: Avoid spicy, acidic, or crunchy foods, which can aggravate sensitive areas and delay healing.

• Stay Hydrated and Nourished: Drink plenty of water and maintain a balanced diet to promote tissue repair and oral health.

Working with a dental professional familiar with BFRBs can also provide tailored advice and ensure that any physical issues contributing to the behavior, such as misaligned teeth, are addressed.

Behavioral and Stress Management

Building awareness of triggers and developing healthy coping mechanisms are key to preventing damage from cheek chewing. Many people find that stress and anxiety increase the urge to chew. Identifying these patterns makes it easier to implement effective strategies, including:

• Mindfulness Techniques: Developing skills like meditation and deep breathing fosters awareness of the urge to chew, making it easier to redirect the behavior over time.

• Behavioral Substitutes: Introducing oral fidget tools, such as sugar-free gum or silicone chew aids, satisfies the urge to chew in a safe and non-damaging way.

• Stress Reduction: Incorporating regular exercise and relaxation techniques, such as yoga or guided imagery, helps lower stress levels. Establishing structured daily routines can also reduce the frequency of chewing urges.

Mental health professionals trained in BFRBs can also provide evidence-based treatments, such as Cognitive Behavioral Therapy (CBT) or Comprehensive Behavioral Treatment (ComB). These approaches address the underlying factors contributing to cheek chewing and provide customized strategies for change.

Creating a Supportive Environment

Support from family, friends, and healthcare providers is crucial for managing cheek chewing and preventing damage. Encouraging conversations about the behavior and its impact can foster understanding and reduce feelings of isolation. Connecting with others who share similar challenges through online support groups or in-person meetings can provide comfort and practical advice.

A Message of Hope

Managing cheek chewing becomes possible with understanding and proper support. If you're dealing with this behavior, know that you can take meaningful steps toward change by working with healthcare professionals who understand BFRBs. For family members and friends, your compassionate support makes a real difference in helping loved ones develop healthier coping strategies. Remember that the TLC Foundation and its community of professionals and peers are here to support you - no one needs to face this challenge alone.