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What is Bruxism and How is it Treated?

What can we do about our involuntary teeth grinding or clenching problem?

by Kristiana Yakimova
a man in pain touching his face

Do you grind your teeth at night, wake up with jaw pain, or suffer from constant headaches? You might be experiencing bruxism. If so, you will find a solution for yourselves in the following lines!

What is Bruxism?

Bruxism is a medical condition that many people ignore, but it can lead to serious issues with your teeth, jaw joint, and persistent headaches. It is characterized by involuntary teeth grinding or clenching, particularly during sleep. In fact, 11% of adults suffer from bruxism, with many of them unaware of their condition until they experience notable symptoms. Although teeth grinding typically happens at night, some individuals may also grind their teeth during the day, particularly when they feel stressed or focused on tasks.

Sleep bruxism is considered a sleep-related movement disorder, while awake bruxism is more closely linked to emotional stress or habits. Regardless of when it occurs, bruxism can lead to a host of dental and health issues if left untreated, including damage to the teeth and chronic jaw pain.

How Can We Notice the Symptoms of Bruxism?

The main signs of bruxism are as follows:

Grinding teeth at night

Most people who suffer from bruxism do not realize they are grinding their teeth in their sleep until a partner or family member hears it. The grinding sound can be quite loud and disturbing to others.

Excessive jaw clenching

In addition to grinding, many people with bruxism will unconsciously clench their jaw muscles, leading to tension and cramps.

Wearing down or breaking of the back molars

Over time, teeth grinding can wear down the enamel, causing sensitivity and making the teeth more prone to breaking or chipping, particularly in the molar area.

Jaw joint pain

Persistent grinding can cause stress on the temporomandibular joints (TMJ), leading to pain, stiffness, and clicking sounds when moving the jaw.

Headaches

Many people with bruxism suffer from frequent headaches, particularly in the morning, due to the tension in their jaw and facial muscles.

Additional symptoms can include earaches, difficulty opening or closing the mouth, and even sleep disturbances. In severe cases, untreated bruxism can result in tooth fractures, gum recession, or misaligned teeth.

What Could Be the Causes of Bruxism?

There are many reasons for its occurrence. Factors that can lead to bruxism include:

Genetic predisposition

Research suggests that bruxism may run in families, making some individuals more susceptible to the condition than others. If family members experience teeth grinding, it is possible that you may be at a higher risk as well.

High and regular stress

Stress is one of the most significant contributors to bruxism, especially for adults. Whether it is job-related anxiety, relationship issues, or other daily pressures, stress can cause involuntary teeth clenching as a coping mechanism.

Sleep disorders

Individuals with sleep apnea, snoring, or other sleep-related issues are more prone to developing bruxism. There is evidence suggesting a link between fragmented sleep patterns and the occurrence of teeth grinding.

Misaligned teeth (malocclusion)

Some people grind their teeth because of structural issues with their bite, where the upper and lower teeth do not meet properly when the jaw is closed.

Lifestyle habits

Certain behaviors can also trigger bruxism. For instance, consuming caffeine or alcohol, smoking cigarettes, or using recreational drugs can increase the likelihood of grinding teeth. Smoking before bed, in particular, is known to elevate nighttime grinding.

What Can We Do to Address Bruxism?

Fortunately, there are many proven, effective methods to manage this unpleasant condition and its consequences. The treatment typically depends on the severity of bruxism and its underlying causes.

Mouthguards/Protectors for the Jaw

Mouthguards, also known as night guards or splints, are one of the most common treatments for bruxism. These custom-made devices are worn while sleeping to separate the upper and lower teeth, preventing grinding. The mouthguard elevates the bite, easing the tension in the jaw muscles, and protecting the teeth from further damage. These devices can significantly reduce symptoms and prevent long-term harm.

Cognitive Behavioral Therapy (CBT) and Stress Management

For individuals whose bruxism is stress-induced, therapy can be a beneficial option. Cognitive Behavioral Therapy (CBT) and other forms of psychotherapy help patients manage anxiety and stress in healthy ways, which can, in turn, reduce teeth grinding. Meditation, yoga, and other relaxation techniques can also be useful tools for stress management.

Botox

The use of botulinum toxin, commonly known as botox, has become a standard and widely practiced solution for managing bruxism. Botox injections are administered into the jaw muscles to reduce their strength and clenching power, without affecting the overall function of the chewing muscles. This treatment can help relax the overactive muscles responsible for grinding. The procedure is typically repeated every 4-6 months, depending on the severity of the condition, until the muscles are permanently relaxed and the problem is resolved.

Orthodontic Treatment

In cases where bruxism is caused by misaligned teeth or bite issues, orthodontic treatment may be necessary. Correcting the alignment of the teeth can alleviate bruxism symptoms by ensuring that the upper and lower teeth meet properly. This may involve braces, aligners, or other dental interventions.

Lifestyle Modifications

Individuals can also take proactive steps in their daily lives to reduce the occurrence of bruxism. Limiting the intake of stimulating substances like caffeine and alcohol, avoiding smoking, and developing a calming pre-sleep routine can all contribute to lowering the risk of nighttime grinding. Additionally, practicing good sleep hygiene, such as maintaining a regular sleep schedule and creating a relaxing sleep environment, can improve overall sleep quality, reducing bruxism occurrences.

Bruxism is a widespread yet often overlooked condition that can have serious consequences for both your dental health and overall well-being. It manifests in a variety of symptoms, from jaw pain and headaches to damaged teeth, and can stem from numerous causes, including stress, genetics, and lifestyle choices. Fortunately, a range of effective treatment options are available, from mouthguards and Botox to therapy and lifestyle adjustments. Seeking the appropriate treatment not only helps to alleviate symptoms but also prevents the long-term damage that bruxism can cause.

If you suspect that you may be suffering from bruxism, it is essential to consult with a dentist or healthcare professional. Early diagnosis and intervention can protect your teeth and improve your quality of life, allowing you to rest more easily and wake up pain-free.

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