Bruxism -Teeth Grinding

Symptoms and treatment of bruxism

Nedelcu Alina
5 min readMar 26, 2022
Photo from www.dentalpremier.ro

For many people, bruxism is an unconscious problem that can be detected when they are reminded that they grind their teeth while sleeping with a loud sound or even during a routine dental check-up when their tooth enamel is damaged.

Even if teeth grinding does not endanger the health of the teeth in some cases, it is essential to understand when this condition can lead to complications and when specialist treatment is required. The main symptoms of bruxism are described below, and how they can be adequately treated and prevented.
What exactly is bruxism?
This habit can gradually lead to toothache, tooth sensitivity, and, in some cases, tooth grinding. Dental tissues are damaged as the disease progresses, and gum recession occurs.

Bruxism is classified into two types:

Daytime bruxism occurs when people grind or clench their teeth during the day without realizing it.
Nocturnal bruxism is linked to other sleep disorders such as snoring and apnea (short pauses in breathing).
Both mild and severe bruxism should be treated as soon as possible because it can lead to serious dental problems and other complications.

Bruxism causes, risk factors, and potential complications

Although the causes of bruxism are not entirely understood, some genetic, physical, and psychological factors have been linked to the condition:

Anxiety, stress, frustration, and rage;

Dental malocclusion (tooth misalignment);

Insufficient sleep;

Asymmetry in the development of the jawbones;

Converting temporary to permanent teeth;

Sleep disruptions

Bruxism causes, risk factors, and potential complications

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Risk elements

A high level of stress or anxiety may increase the risk of bruxism; age — bruxism is common in children and may disappear by adolescence;
Personality type — people who are competitive, aggressive, or hyperactive are more likely to have bruxism; some drug treatments, such as antidepressants; smoking, drinking coffee, or alcohol; heredity; in some cases, bruxism may be a symptom of nerve and facial muscle problems.
Other diseases, such as Parkinson’s disease, dementia, epilepsy, gastro-oesophageal reflux disease, attention-deficit/hyperactivity disorder (ADHD), or night terrors, are sometimes associated with bruxism.

Complications that could occur

We believe in preventing problems before they occur. Otherwise, you risk developing complex conditions such as:

tooth, dental crown, or jawbone damage;

headaches;

facial or jaw pain;

temporomandibular joint disease;

What are the signs of bruxism?

The following are the most common bruxism symptoms:
Teeth grinding or clenching that is loud enough to wake up your sleeping partner

Flattened, fractured, chipped, or loose teeth
Tooth enamel that has worn away, exposing deeper layers of your tooth
Pain or sensitivity in the teeth
Jaw muscles that are tired or tight, or a locked jaw that will not open or close completely
Soreness or pain in the jaw, neck, or face
Pain that feels like an earache but isn’t caused by an ear problem
A dull headache that begins in the temples
Chewing on the inside of your cheek causes damage.
Sleep deprivation
If you have identified the problem, you must see your dentist.

How is bruxism diagnosed?

Bruxism is diagnosed after a check-up with your dentist, who will assess the condition of your teeth over several visits to see if changes have progressed and if specific treatment is required.

If it is bruxism, the doctor will try to determine the exact cause and whether the condition results from medication or is related to sleep disorders. In addition to this information, the doctor will perform a dental examination to determine whether there is increased sensitivity in the jaw muscles or signs of dental wear.

A dental X-ray or CT scan may be taken in addition to the dental examination to assess the condition of the tooth roots and jawbone.

How is bruxism treated?

Bruxism in children can resolve independently as they grow older, without the need for treatment. Most of the time, adults’ teeth grinding is not severe enough to necessitate treatment. If it is a severe problem, your doctor should determine what caused the bruxism and recommend the appropriate treatment.

Following a dental examination, your dentist may recommend one of the following bruxism treatments:

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Using a mouthguard.To separate the teeth and protect them from damage caused by grinding or clenching.
Dental crowns may be required to reshape teeth if tooth enamel has been damaged and tooth wear increases sensitivity.

At the same time, because a person’s lifestyle or personality can cause bruxism, treatment may also include methods to correct these issues, such as:

Controlling stress and anxiety — if these are the primary causes of bruxism, relaxation techniques such as meditation may be recommended. If the problem is anxiety, you should see a therapist.

Correction of dental occlusion — The dentist must check that the dental occlusion (bite) is correct and explain the correct position of the jaw to you.

Other treatment options include changing medications if they have caused bruxism, treating sleep disorders, and other health issues.

How can bruxism be avoided?

As previously stated, bruxism does not always require treatment and can resolve on its own; however, it is essential to note that a few home remedies can be highly beneficial in curing or preventing this condition. Among these remedies are:

Stress reduction — you can try various methods, such as listening to music while doing different activities or even exercise or meditation; avoiding excessive consumption of caffeine or alcohol, especially in the evening, as these can aggravate bruxism symptoms; and avoiding chewing gum, as this habit causes your jaw muscles to become increasingly tight and you will develop a habit of clenching your teeth.

Simultaneously, try to be aware of when you grind your teeth. Your jaw muscles will gradually relax as you practice this exercise.

Regular dental check-ups can assist you in detecting the onset of bruxism early on.

Bruxism can be caused by several factors, and it is critical for the dentist to correctly identify these factors and recommend the appropriate treatment, especially if the condition is severe. Regular dental check-ups are required to detect bruxism early and prevent it from developing.

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