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Bruxism: Tooth Problems While Sleeping

Bruxism: Tooth Problems While Sleeping

Bruxism: Tooth Problems While Sleeping

Bruxism is a condition in which you grind or clench your teeth. If you have bruxism, you may unconsciously clench your teeth when you're awake or clench or grind them during sleep.

Sleep bruxism is considered a sleep­-related movement disorder. People who clench or grind their teeth during sleep are more likely to have other sleep disorders, such as snoring and pauses in breathing (sleep apnea).

There are many causes of bruxism. Whatever the cause, it is important to treat bruxism early to prevent damage and restore harmony to your mouth.

It is also possible that you clench and grind your teeth, and yet notice no symptoms at all.

Dental problems caused by bruxism

Dental problems caused by bruxism may include:

  • Teeth grinding or clenching, which may be loud enough to wake up your sleep partner
  • Teeth that are flattened, fractured, chipped or loose
  • Worn tooth enamel, exposing deeper layers of your tooth
  • Increased tooth pain or sensitivity
  • Tired or tight jaw muscles, or a locked jaw that won't open or close completely
  • Jaw, neck or face pain or soreness
  • Pain that feels like an earache, though it's actually not a problem with your ear
  • Dull headache starting in the temples
  • Damage from chewing on the inside of your cheek
  • Sleep disruption
  • Receding gums

Diagnosis and treatment

Doctors don't completely understand what causes bruxism, but it may be due to a combination of physical, psychological and genetic factors.

Stress has been shown to be a contributor of bruxism.

Sometimes, missing teeth, worn teeth, spaces between teeth, or teeth that are out of alignment may cause grinding and clenching. In this case, bridges, crowns, implants, equilibration, orthodontics, or other dental treatments can often restore your bite and eliminate grinding and clenching.

A common and effective treatment for stopping the damage caused by bruxism is the use of a night guard. This is a plastic device that fits over your top or bottom teeth and protects your teeth by absorbing the forces caused by grinding. A custom night guard, made from models of your teeth, usually offers the most effective and comfortable protection.

If you notice that your child is grinding his or her teeth - or has other signs or symptoms of bruxism - be sure to mention it at your child's next dental appointment.

After a complete exam, we will discuss with you what treatment is appropriate for your symptoms. By treating bruxism, your teeth and jaw can be protected to help you keep your beautiful smile.

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