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Teeth Grinding (Bruxism) Treatment


Pained woman suffering from bruxism and rubbing her jaw while in bed.Teeth grinding, also known as bruxism, is a common condition that affects many people, often without their awareness. Characterized by the involuntary clenching and grinding of teeth, bruxism can lead to a variety of oral health issues, including jaw pain, dental damage, and even temporomandibular joint (TMJ) disorder. Fortunately, there are effective teeth grinding treatments available that can alleviate symptoms and prevent long-term damage.



Understanding Bruxism: Causes and Symptoms



Bruxism is the medical term for grinding, gnashing, or clenching your teeth, either during the day (awake bruxism) or at night (sleep bruxism). While occasional teeth grinding may not cause harm, regular or severe bruxism can lead to significant dental and health problems.


Common Causes of Bruxism


The exact cause of bruxism is not always clear, but several factors are believed to contribute to the condition:

•  Stress and Anxiety: One of the most common triggers of bruxism is stress. Individuals who are under a lot of pressure may unconsciously clench or grind their teeth as a way to cope with anxiety.

•  Sleep Disorders: Conditions like sleep apnea are often linked to bruxism. Interrupted sleep patterns can cause the jaw muscles to contract during the night.

•  Misaligned Bite: An improper bite, where the teeth do not align correctly, can lead to grinding and clenching as the jaw attempts to find a comfortable position.

•  Medications: Certain medications, particularly those that affect the central nervous system, can increase the risk of bruxism.

•  Lifestyle Factors: Habits like smoking, excessive alcohol consumption, and caffeine intake are also associated with increased risk of teeth grinding.


Symptoms of Bruxism


Bruxism can manifest through a variety of symptoms, including:

•  Jaw Pain and Discomfort: Persistent jaw pain, especially upon waking, is a common symptom of bruxism. This pain can range from mild discomfort to severe, chronic pain.

•  Headaches: Frequent headaches, particularly in the morning, are often linked to nighttime teeth grinding.

•  Dental Wear and Tear: Over time, bruxism can cause significant wear and tear on the teeth, leading to flattened or chipped teeth, increased tooth sensitivity, and even tooth fractures.

•  TMJ Disorder: The temporomandibular joint connects the jawbone to the skull, and excessive grinding can lead to TMJ disorder, causing pain, clicking sounds, and difficulty moving the jaw.

•  Ear Pain: Although less common, some individuals experience ear pain due to the proximity of the jaw joint to the ear canal.



Teeth Grinding Treatment: Effective Solutions



Treating bruxism involves a combination of approaches aimed at alleviating symptoms, preventing further dental damage, and addressing the underlying causes of the condition. Here are some of the most effective teeth grinding treatments.


Custom Night Guards


Custom night guards are one of the most effective treatments for sleep bruxism. These are specially fitted mouthguards that you wear while sleeping to protect your teeth from the effects of grinding and clenching. Unlike over-the-counter options, custom night guards are designed specifically for your mouth, providing a more comfortable and effective solution.

By acting as a barrier between the upper and lower teeth, custom night guards provide dental wear prevention. This helps preserve your teeth and reduce the risk of fractures and sensitivity.

Custom night guards can also provide jaw pain relief by preventing the constant pressure exerted on the jaw muscles during teeth grinding. Over time, this can lead to significant improvement in jaw discomfort.


Dental Splints


Dental splints are another effective oral appliance used to treat bruxism. Similar to night guards, splints are custom-made devices that fit over your teeth, helping to stabilize the jaw and prevent grinding. However, splints are typically designed to adjust the position of the jaw, which is beneficial for individuals with TMJ disorder.

For those suffering from TMJ disorder, dental splints can help reposition the jaw to a more natural alignment, reducing the stress on the TMJ and alleviating associated pain and discomfort.

Splints can also reduce teeth clenching by promoting relaxation of the jaw muscles, making it easier to prevent the unconscious teeth grinding that occurs during sleep.


Stress Reduction Techniques


Since stress is a major contributing factor to bruxism, incorporating stress reduction techniques into your daily routine is highly beneficial. Reducing stress not only helps decrease the frequency of teeth grinding but also improves overall well-being.

•  Relaxation Exercises: Techniques such as deep breathing, meditation, and progressive muscle relaxation can help calm the mind and body, reducing the likelihood of teeth grinding at night.

•  Physical Activity: Regular exercise is an excellent way to manage stress and release tension. Activities like yoga, jogging, or swimming can help lower stress levels and promote better sleep.

•  Sleep Hygiene: Establishing good sleep habits, such as maintaining a consistent sleep schedule and creating a relaxing bedtime routine, can improve sleep quality and reduce bruxism.


Oral Appliances


In addition to night guards and dental splints, there are other oral appliances that can help manage bruxism. These devices are typically used to adjust the position of the jaw or tongue to prevent grinding and clenching.

Mandibular Advancement Devices (MADs) are often used to treat sleep apnea, but they are also effective for bruxism. These devices work by positioning the lower jaw slightly forward, which helps keep the airway open and reduces the likelihood of teeth grinding.

Tongue Stabilizing Devices (TSDs) hold the tongue in a forward position to prevent it from collapsing back into the throat, which can reduce both sleep apnea and bruxism.



Addressing TMJ Disorder



TMJ disorder is closely linked to bruxism and can exacerbate the symptoms of teeth grinding. Addressing TMJ disorder is therefore a crucial part of comprehensive bruxism treatment. Physical therapy exercises can help strengthen the muscles around the jaw and improve joint function, reducing pain and discomfort associated with TMJ disorder.

We also prescribe anti-inflammatory medications, muscle relaxants, or corticosteroid injections to alleviate TMJ-related pain. In severe cases, surgical procedures are required to correct structural issues with the TMJ, though this is typically considered a last resort.



Lifestyle Modifications



Making certain lifestyle changes is also an effective way to manage bruxism and reduce its impact on your oral health. Limiting or avoiding caffeine and alcohol, especially in the evening, can reduce the likelihood of teeth grinding during sleep.

Regular visits to our office allow for early detection and management of bruxism, helping to prevent long-term dental damage. Contact us today to schedule an appointment.

Contact Us


Bravo Smile
5100 S. Macadam Avenue, Suite 160
Portland, OR 97239-6102
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Teeth Grinding (Bruxism) Treatment in Portland, OR
Relieve teeth grinding with custom night guards at Bravo Smile in Portland, OR. Prevent dental damage and ease jaw pain with our expert bruxism treatments.
Bravo Smile, 5100 S. Macadam Avenue, Suite 160, Portland, OR 97239 • (971) 441-5987 • flathdentistry.com • 9/30/2024 • Tags: Dentist Portland OR •