Bruxism (Teeth Grinding)

Bruxism is a disorder where your teeth are grinding, gnashing, or clenching. We have two bruxism one is awake bruxism and sleep bruxism. Awake bruxism you may unconsciously clench your teeth when you’re awake. Sleep bruxism known as a sleep related movement disorder. Bruxism can be frequent and serious enough in some individuals to lead to headaches, damaged teeth, jaw problems and other issues. Knowing the signs and symptoms of bruxism and seeking regular dental care is important.

Symptoms

Symptoms of bruxism may include:

  • Sleep disturbance
  • Dull head pain in the temples
  • Jaw, face or neck pain
  • Broken, loose, spilt or flattened teeth
  • Teeth grinding, which may be noisy enough to wake up your sleep mates
  • Worn tooth enamel and expose your tooth to deeper layers
  • Locked jaw that won’t open or close completely
  • Pain that feels like an earache, but it’s not really an issue with your ear
  • Damage caused by chewing in your cheek
  • Increased oral ache or sensitivity

Diagnosis

Your dentist will probably check for signs of bruxism during periodic dental examinations.

If you have any indications, during the next several visits your dentist will look for changes in your teeth and mouth to see if the process is progressive and to determine if you need a cure.

Identify the cause

If your dentist suspects you have bruxism, they will try to determine the cause by questioning with your overall oral health, daily routines, medications and sleeping habits. Your dentist can check for:

  • Dental irregularities such as teeth broken or missing
  • Tenderness in your jaw muscles
  • Certain damage to your teeth, generally with the help of X-rays

Other conditions that may trigger related jaw or ear pain, like temporomandibular joint disorders and other dental issues, may be detected by a dental examination.

Treatment

In all cases treatment isn’t required. Without treatment, many children outgrow bruxism, and many adults do not grind or clench their teeth badly enough to require treatment. If the issue is serious, however choices include certain dental treatments, procedures and medicines to avoid further damage to the tooth and to relieve pain or discomfort in the jaw.

Talk to your dentist about the option that might work best for you.

Dental approaches

Your doctor may suggest methods to retain or strengthen your teeth if you or your kid have bruxism. While these techniques may avoid the wear to your teeth, they may not prevent the bruxism:

  • Dental Correction.

    When tooth wear has resulted in sensitivity or lack of ability to correctly chew your dentist may need to reshape your teeth’s chewing surfaces or use crowns to repair the damage.

  • Splints and guards for the mouth.

    They meant to maintain teeth separate to prevent damage from grinding and clenching. They can be made of soft materials or hard acrylic and fit on top or bottom of your teeth.

Medications

Medicines are generally not very efficient for bruxism therapy, and more study is required to determine their effectiveness. Examples of bruxism medicines include:

  • Injections of Botox.

    Botox injections, a form of botulinum toxin, may assist some individuals with serious bruxism who are not responding to other therapies.

  • Anxiety or stress medication.

    Your doctor may suggest short-term use of anti-anxiety drugs or antidepressants to assist you to cope with stress or other emotional problems that can cause your bruxism.

  • Muscle relaxants.

    In some situations, your doctor may suggest a short period of time taking a Muscle relaxant before bedtime.

Treatment for associated disorder

  • Disorders associated with sleep.

    Addressing sleep-related illnesses like sleep apnea can improve sleep bruxism.

  • Medications.

    If you grow bruxism as a side effect of a medication, your doctor may alter or prescribe another medication.

  • Medical conditions.

    If the cause is recognized as an underlying medical condition, such as gastroesophageal reflux disease, treatment of this disorder may improve bruxism.

 

Reference from : Mayo Clinic

 

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