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Bruxism (teeth grinding): Causes-Symptoms-Diagnosis-Treatment


 What is Bruxism?

If you grind your teeth a lot, you will have action. This condition will cause jaw pain and teeth problems. you will not even notice that you’re grinding your teeth throughout sleep. If you have got bruxism symptoms, reminiscent of loose teeth, see your attention provider. action treatment is effective and should embrace an evening guard for teeth grinding.

What is Bruxism?

Sleep bruxism is teeth grinding that happens during sleep. Sleep bruxism and bruxism whereas awake are thought-about to be distinct conditions although the physical action is similar. Of the two, awake bruxism is a lot more common.

Does one ever wake up with a painful jaw or a headache, or notice sound or clicking in your jaw after you open and shut your mouth? If so, you will be grinding your teeth at night. Teeth grinding, conjointly called bruxism, needn't become a significant dental problem, however in severe cases it can cause arrangement of teeth, which might promote gum disease.

  1. Teeth

Medical terms

  • Bruxism (BRUK-size-um)is a condition within which you grind, grate or clench your teeth. If you've got action, you'll unconsciously clench your teeth once you're awake (awake bruxism) or clench or grind them throughout sleep (sleep bruxism). Sleep bruxism is taken into account as a sleep-related movement disorder. Those who clench or grind their teeth (brux) during sleep are additionally doubtless to possess alternative sleep disorders, resembling snoring and pauses in respiratory (sleep apnea). delicate bruxism might not need treatment. However, in some people, bruxism is often frequent and severe enough to guide to jaw disorders, headaches, damaged teeth and alternative problems. As a result of sleep action and being unaware of it till complications develop, it's necessary to grasp the signs and symptoms of bruxism and to hunt for regular dental care. 

  • Whatever its causes, bruxism is a highly disruptive condition to the quality of life for those who suffer from it. The good news is that most cases of bruxism are treatable and in some instances even curable. Here are some tips on managing or avoiding teeth grinding.

Symptoms Bruxism

The main symptom of sleep action is involuntary clenching and grinding of the teeth throughout sleep. The movements agree manduction however typically involve additional force. individuals with sleep bruxism don’t grind their teeth throughout the night. Instead, they need episodes of clenching and grinding. individuals might have only a few episodes per night or up to 100. The frequency of episodes is commonly inconsistent, and teeth grinding might not occur each night. Some quantity of mouth movement is traditional during sleep. Up to 60% of individuals build occasional chewing-like motions referred to as jazzy masticatory muscle activities (RMMA), however in individuals with sleep action, these occur with larger frequency and force. The bulk of sleep bruxism takes place early within the sleep cycle throughout stages one and a pair of non-REM sleep. a tiny proportion of episodes will arise during REM sleep. It’s traditional for folks that grind their teeth in the dead of night to not be cognizant of this symptom unless they're told concerning it by a friend or bed partner. However, different symptoms will be a sign of sleep bruxism. Jaw pain and neck pain are two frequent signs of teeth grinding. These occur as a result of the adjustment of those muscles throughout episodes of bruxism. Morning headaches that desire tension headaches are another potential symptom. Unexplained harm to teeth can even be a symbol of nighttime clenching and grinding of teeth.

Signs and symptoms of 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

When to see a doctor

See your tooth doctor or doctor if you have got any of the symptoms listed higher than or produce other considerations regarding your teeth or jaw. If you notice that your kid is grinding his or her teeth — or has other signs or symptoms of action — make sure to say it at your child' next dental appointment. 

Causes Bruxism

Multiple factors influence the chance of sleep action, so it’s sometimes uphill to spot one single cause for why individuals grind their teeth. That said, bound risk factors are related to a bigger likelihood of sleep bruxism. Stress is one in every of the foremost significant8 of those risk factors. Clenching the teeth once facing negative things could be a common reaction, which will carry over to episodes of sleep bruxism. Teeth grinding is additionally believed to be connected to higher levels of anxiety. Researchers have determined that sleep bruxism features a genetic element and can run in families. As several as half individuals with sleep action can have an in depth friend who conjointly experiences the condition. Episodes of teeth grinding seem to be connected to ever-changing sleep patterns or micro arousals from sleep. Most teeth grinding is preceded by an increase in brain and vessel activity. This might make a case for the associations that are found between sleep bruxism and hindering apnea (OSA), that causes temporary sleep interruptions from lapses in breathing. varied alternative factors10 have been related to sleep bruxism together with the role of tobacco smoking, alcohol consumption, caffeine intake, depression, and snoring. Any analysis is required to perceive potential causative connections and whether or not aDoctors don't utterly understand what causes bruxism, however it should result in a mixture of physical, psychological and genetic factors.nd however these factors have an effect on sleep bruxism.

  • Awake bruxism may be thanks to emotions reminiscent of anxiety, stress, anger, frustration or tension. Or it is also a coping strategy or a habit throughout deep concentration. 

  • Sleep bruxism may be a sleep-related chewing activity associated with arousals during sleep.

Risk factors Bruxism

These factors increase your risk of bruxism:

  • Stress. Increased anxiety or stress can lead to teeth grinding. So can anger and frustration.

  • Age. Bruxism is common in young children, but it usually goes away by adulthood.

  • Personality type. Having a personality type that's aggressive, competitive or hyperactive can increase your risk of bruxism.

  • Medications and other substances. Bruxism is also an associate degree uncommon facet result of some psychiatric medications, reminiscent of bound antidepressants. Smoking tobacco, drinking caffeinated beverages or alcohol, or victimizing recreational medication might increase the chance of bruxism. 

  • Family members with bruxism. Sleep action tends to occur in families. If you've got bruxism, alternative members of your family might have bruxism or a history of it. 

  • Other disorders. Bruxism is often related to some psychological state and medical disorders, like Parkinson' disease, dementia, reflux disorder (GERD), epilepsy, night terrors, sleep-related disorders such as sleep apnea, and attention-deficit/hyperactivity disorder (ADHD). 

Complications Bruxism

In most cases, action doesn't cause serious complications. however severe bruxism might lead to:

  • Damage to your teeth, restorations, crowns or jaw

  • Tension-type headaches

  • Severe facial or jaw pain

  • Disorders that occur within the temporomandibular joints (TMJs), settled simply ahead of your ears, which can sound like clicking once you open and shut your mouth

What can dentists do for bruxism?

Bruxism is a dental problem that affects more than fifty percent of adults - and fewer than one in five dentists are trained to treat it Health professionals recommend that people with bruxism visit the dentist twice a year for regular teeth cleanings and check-ups The dentist examines the teeth checks for signs of tooth wear or damage and provides oral care education as appropriate If necessary the dentist can provide appliances that move the jaw forward during sleep so your teeth won't be damaged during bouts of nighttime grinding.

How do you treat bruxism naturally?

Bruxism is a common problem in which people grind their teeth during sleep If you clench or grind your teeth it can take its toll on the enamel of your teeth and cause additional problems such as jaw pain and headaches Although bruxism doesn't usually require medical treatment there are some natural remedies to stop grinding your teeth during sleep that you can try at home.

What can I use instead of a mouthguard?

We all know the importance of wearing a mouthguard to protect our teeth But what if we forget or lose it? You don't want to stop playing basketball because of missing equipment so here are some other things you can use: 1. Baking Soda This is probably the easiest thing you can do instead of going out and buying a new mouthpiece Simply mix 1 teaspoon of baking soda with ¾ tablespoon of salt then shape it into a mouthpiece by pressing it between your fingers Unlike store-bought versions this one will be edible when you're done eating breakfast! Just remember to brush yours.

How do you make a mouth guard?

After you order your custom mouth guard there are a few steps involved in making the mouth guard These include: Boil water and pour it into a molded plastic device called an impression tray This will soften your upper teeth so they conform to the impression tray shape when pressure is applied to them by the special material that is used with the molding device; Follow all manufacturer's instructions for fitting and aftercare of your custom-made mouth guard Usually you'll be given some form of trays filled with a liquid plastic-like material that hardens after being in contact with air for several minutes; Once hardened.

Can I buy a mouthguard at a drugstore?

If you are looking for a cheap way to protect your teeth it might seem convenient to just stop by the store and pick up a pre-made mouth guard but any dental expert will tell you that these guards don’t work Instead it is advisable to see a dental professional who can make one specifically designed for your teeth and mouth ensuring maximum comfort and protection.

Diagnosis Bruxism

Sleep action is diagnosed by a doctor or a dentist11, however the diagnostic method will vary counting on this|the kind} of caregiver providing care. A nightlong study during a sleep clinic, referred to as polysomnography, is the most conclusive thanks to diagnose sleep bruxism. However, polysomnography may be long and pricey and should not be necessary in bound cases. Polysomnography can determine different sleep problems, like OSA, so it should be particularly helpful once an individual has various sleep complaints. For several people, the presence of symptoms like tooth injury and jaw pain combined with reports of teeth grinding from a bed partner is also adequate to see that an individual has sleep bruxism. Home observation tests will monitor for signs of teeth grinding, however these tests are thought-about to be less definitive than polysomnography.

  1. Palpation

  2. Percussion

During regular dental exams, your dentist likely will check for signs of bruxism.


If you have any signs, your tooth doctor will appear for changes in your teeth and mouth over succeeding many visits to examine if the method is progressive and to work out whether or not you wish treatment.

Determining the cause

If your tooth doctor suspects that you just have bruxism, he or she tries to work out its cause by asking questions on your general dental health, medications, daily routines and sleep habits.

To evaluate the extent of bruxism, your dentist may check for:

  • Tenderness in your jaw muscles

  • Obvious dental abnormalities, such as broken or missing teeth

  • Other injuries to your teeth, the underlying bone and also the inside your cheeks, sometimes with the assistance of X-rays A dental communication could sight alternative disorders that may cause similar jaw or ear pain, adore diarthrosis (TMJ) disorders, other dental issues or health conditions.


If your action appears to be involving major sleep problems, your doctor may suggest a sleep drugs specialist. A sleep medicine specialist will conduct additional tests, equivalent to a sleep study which will assess for episodes of teeth grinding and confirm if you've got sleep disorder or different sleep disorders. If anxiety or other psychological issues appear related to your teeth grinding, you'll be named a commissioned healer or counselor.

Treatment Bruxism

Treatments for action embrace treating the symptoms and also the causes of bruxism. A way the symptoms of bruxism is treated is by carrying a protecting guard. This is often sort of a sports mouth guard and it protects the teeth from more injury from clenching and grinding. The appliance can also cut back the noise created by grinding. Alternative treatments for the symptoms of bruxism include visiting the tooth doctor for any necessary dental work to repair the damage caused by bruxism. This could include crowns and passage treatment. Bruxism may also need reshaping work on their teeth, notably once sensitivity has arisen from the carrying down of teeth. In many cases, treatment isn't necessary. Several children outgrow action while not receiving treatment, and lots of adults don't grind or clench their teeth badly enough to want therapy. However, if the matter is severe, choices embrace dental approaches, therapies and medications to stop a lot of tooth injury and relieve jaw pain or discomfort. speak together with your tooth doctor or doctor to search out that possibility may go best for you.

Dental approaches

If you or your kid has bruxism, your doctor may counsel ways to preserve or improve your teeth. though these strategies may stop or correct the wear and tear to your teeth, they will not stop the bruxism:

  • Splints and mouth guards. These are designed to stay teeth separated to avoid the injury caused by clenching and grinding. they'll be created of exhausting acrylic or soft materials and match over your higher or lower teeth. 

  • Dental correction.In severe cases — once tooth wear has diode to sensitivity or the lack to chew properly — your dental practitioner might have to reshape the mastication surfaces of your teeth or use crowns to repair the damage.

Other approaches

One or more of these approaches may help relieve bruxism:

  • Stress or anxiety management. If you grind your teeth thanks to stress, you'll be ready to forestall the matter by learning methods that promote relaxation, resembling meditation. If the action is expounded to anxiety, recommendation from a commissioned healer or counselor may help. 

  • Behavior changes. Once you discover that you just have bruxism, you'll be ready to modify the behavior by actively correcting your mouth and jaw position. raise your dental practitioner to indicate to you the most effective position for your mouth and jaw. 

  • Biofeedback. If you're having a tough time dynamicizing  your habits, you'll have the benefit of biofeedback, a way that uses observance procedures and instrumentality to show you manage muscle activity in your jaw. 


In general, medications aren't terribly effective for treatment of action, and additional analysis is required to work out their effectiveness. samples of medications that will be used for bruxism include:

  • Muscle relaxants. In some cases, your doctor may suggest taking a muscle relaxant before bedtime, for a short period of time.

  • Botox injections. Injections of Botox, a form of botulinum toxin, may help some people with severe bruxism who don't respond to other treatments.

  • Medication for anxiety or stress. Your doctor may advocate short-run use of antidepressants or anti-anxiety medications to assist you agitate stress or alternative emotional problems that will be inflicting your bruxism. 

Treating associated disorders

Treatment for associated disorders may include:

  • Medications. If you develop bruxism as a side effect of a drug, your doctor may change your medication or prescribe a different one.

  • Sleep-related disorders. Addressing sleep-related disorders such as sleep apnea may improve sleep bruxism.

  • Medical conditions. If an underlying medical condition, such as gastroesophageal reflux disease (GERD), is identified as the cause, treating this condition may improve bruxism.

Lifestyle and home remedies

These self-care steps may prevent or help treat bruxism:

  • Reduce stress. Listening to music, taking a heat tub or exertion will assist you relax and should cut back your risk of developing bruxism. 

  • Avoid stimulating substances in the evening. Don't drink caffeinated occasional or caffeinated tea when dinner and avoid alcohol throughout the evening, as they will worsen bruxism. 

  • Practice good sleep habits. Getting a good night's sleep, which may include treatment for sleep problems, may help reduce bruxism.

  • Talk to your sleep partner. If you've got a sleeping partner, raise him or her to bear in mind any grinding or clicking therefore funds that you simply would possibly build whereas sleeping so you'll be able to report this to your tooth doctor or doctor. 

  • Schedule regular dental exams. Dental exams are the most effective thanks to determined action. Your tooth doctor will spot signs of bruxism in your mouth and jaw throughout regular visits and exams. 

Preparing for your appointment

You may begin by seeing your medical practitioner or your medical aid doctor. In some cases once you decide to line up AN appointment, you will be named a sleep medication specialist.

What you can do

Prepare for your appointment by making a list of:

  • Relevant medical history, for instance, past bruxism-related problems and information on any medical conditions.

  • Any symptoms you're experiencing, including any that will appear unrelated to the rationale for the appointment. If you expertise pain, create a note of once it occurs, cherish once you awaken or at the top of the day. 

  • Key personal information, including any major stresses or recent life changes.

  • All medications,including over-the-counter medications, vitamins, herbs or different supplements, you're taking and also the dosages. Let your doctor comprehend something you've taken to assist you sleep.

  • Questions to ask your dentist or doctor.

Basic questions to ask your doctor may include:

  • What's likely causing my symptoms?

  • Are there other possible causes?

  • What kinds of tests do I need?

  • Is my condition likely temporary or long term?

  • What's the best treatment?

  • What are the alternatives to the primary approach you're suggesting?

  • I have other health conditions. How can I best manage them together?

  • Should I see a specialist?

  • Is there a generic alternative to the medicine you're prescribing?

  • Are there any brochures or other printed material that I can have? What websites do you recommend?

Don't hesitate to ask other questions during your appointment.

What to expect from your doctor

Be able to answer queries from your doctor so you'll be able to pay time on areas you wish to focus on. Some questions your doctor could raise include:

  • When did you first begin experiencing symptoms?

  • Have your symptoms been continuous or occasional?

  • How severe are your symptoms?

  • What, if anything, seems to improve your symptoms?

  • What, if anything, seems to worsen your symptoms?

General summary

  1. Bruxism is a potentially harmful condition that involves unconsciously grinding your teeth This behavior can wreak havoc on your teeth and jaw causing pain or discomfort during the day and at night Many people don't realize they grind their teeth at night until symptoms appear They might notice worn tooth enamel sensitive teeth a sore jaw or ear aches when in bed Additionally bruxism can affect sleep patterns by preventing you from getting to deep stages of sleep or staying asleep as long as desired due to nighttime wake ups caused by the stress of grinding your teeth The good news is that this habit can be stopped If you.

Bruxism (teeth grinding): Causes-Symptoms-Diagnosis-Treatment

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