Bruxism is an incessant grinding and clenching of the teeth, unintentionally, and at inappropriate times. Bruxers (persons with bruxism) are often unaware that they have developed this habit, and often do not know that treatment is available until damage to the mouth and teeth has been done. Damage caused by bruxism often includes the following symptoms. However, each individual may experience symptoms differently. Symptoms may include:

• abraded teeth
• facial pain
• oversensitive teeth
• tense facial and jaw muscles
• headaches
• dislocation of the jaw
• damage to the tooth enamel, exposing the inside of the tooth (dentin)
• a popping or clicking in the temporomandibular joint (TMJ)
• tongue indentations
• damage to the inside of the cheek

What causes bruxism? Although this habit is unintentional, oral health specialists often point to excessive stress and certain personality types as typical causes of bruxism.

How is bruxism diagnosed? During regular visits to the dentist, the teeth are examined for evidence of bruxism - often indicated by the tips of the teeth appearing flat. If symptoms are present, the condition will be observed for changes over the next several visits before a treatment program is established.

Treatment for bruxism: Specific treatment for bruxism will be determined by our dentist based on:

• your age, overall health, and medical history
• extent of the disease
• your tolerance for specific medications, procedures, or therapies
• expectations for the course of the disease
• your opinion or preference

Treatment usually will involve teaching the patient how to rest his/her tongue, teeth, and lips properly, and learning how to rest the tongue upward may relieve discomfort on the jaw while keeping the teeth apart and lips closed. A mouthpiece, a specially-fitted plastic mouth appliance may be worn at night to absorb the force of biting. This appliance/night guard may help to prevent future damage to the teeth and aid in changing the patient's behavior.

 

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