Bruxism (Teeth Grinding)

Most people are not even aware that they are clenching or grinding their teeth.

Some people grind their teeth only during sleep, while others grind or clench their teeth during the daytime as well.

People with bruxism can break dental fillings or damage their teeth. Rubbing the teeth together can cause the outer layers of enamel to wear away, resulting in tooth sensitivity. It will also cause TMD (jaw dysfunction), headaches and facial pain.

You may be grinding your teeth if you experience any of the following:

• Rhythmic contractions of the jaw muscles
• A grinding sound at night, which may disturb the sleep of someone who shares a bedroom with you
• A dull morning headache
• Jaw muscles that are tight or painful – This can make it uncomfortable, even painful, to open your mouth wide, especially in the morning
• Long-lasting pain in the face
• Damaged teeth, broken dental fillings and injured gums
• Painful jaw joint
• Swelling (occasionally) on the side of your lower jaw caused by clenching.

Diagnosis

If you experience any of these signs and symptoms, see your dentist. He or she can determine if you are a bruxer and how best to treat it.

Treatment

The treatment of bruxism varies depending on its cause:

·         Stress — If your bruxism is stress-related, your dentist or physician may recommend professional counseling or other strategies to help you relax. You may also be fitted for a custom-made bite plate. If this does not help, your dentist may refer you to an oral surgeon or to a dentist who has advanced training in head and neck pain.

• Dental problems — If your bruxism is related to tooth problems, your dentist probably will correct tooth alignment. The dentist also may make a mouth guard or bite splint that fits your mouth and teeth. This will help prevent further damage to the teeth. In some cases, it may help your teeth and muscles to realign. 

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