Posts for tag: teeth grinding

By Robert Rousseau DMD
February 18, 2018
Category: Oral Health
Tags: teeth grinding   bruxism  
TakeChargeofStressManagementtoReduceTeethGrindingHabits

It’s hard to avoid stress in the 21st Century. We’re all bombarded with stressors, from work to family — even our smart phones!

The problem really isn’t the stressors themselves but how we respond to them and try to relieve stress. This can often have a negative effect on our health. One example: bruxism, also known as teeth grinding or clenching.

These habits involve the rhythmic or spasmodic clenching, biting or grinding of the teeth, often involuntarily, beyond normal chewing function. It often occurs while we sleep — jaw soreness the next morning is a telltale sign. While there are other causes, stress is one of the most common for adults, bolstered by diet and lifestyle habits like tobacco or drug use, or excessive caffeine and alcohol.

Teeth grinding’s most serious consequence is the potential for dental problems. While teeth normally wear as we age, grinding or clenching habits can accelerate it. Wearing can become so extensive the enamel erodes, possibly leading to fractures or cracks in the tooth.

When dealing with this type of bruxism, we must address the root cause: your relationship to stress. For example, if you use tobacco, consider quitting the habit — not only for your overall health, but to remove it as a stress stimulant. The same goes for cutting back on your consumption of caffeinated or alcoholic drinks.

Adopt an “unwinding” pattern at night before you sleep to better relax: for example, take a warm bath or keep work items or digital media out of the bedroom.  Many people also report relaxation or stress-relief techniques like meditation, mindfulness or biofeedback helpful.

There’s another useful tool for easing the effects of nighttime teeth grinding: an occlusal guard. This custom-fitted appliance worn while you sleep prevents teeth from making solid contact with each other when you clench them. This can greatly reduce the adverse effects on your teeth while you’re working on other stress coping techniques.

Teeth grinding or clenching can prove harmful over time. The sooner you address this issue with your dentist or physician, the less likely you’ll experience these unwanted consequences.

If you would like more information on the causes and treatments for teeth grinding, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Teeth Grinding: Causes and Therapies for a Potentially Troubling Behavior.”

TreatingTeethGrindingNowCouldHelpPreventExcessiveToothWearLater

Your teeth naturally wear as you age, but you may be making it worse if you grind your teeth.

Teeth grinding is a behavior that causes the teeth to gnash, grind or clench against each other generating forces greater than those produced from normal biting. These forces often result in tooth wear that cause not only functional problems but result in a more aged appearance. Grinding occurs while a person is awake, but most often episodes occur while asleep at night.

Teeth grinding is quite common in children, but not usually of great concern since most grow out of it. There's even a school of thought that teeth grinding might even help readjust an uneven bite.

Among adults, though, other factors seem to contribute to teeth grinding. Many researchers believe nighttime grinding occurs as a person passes through different sleep phases including deep REM (Rapid Eye Movement) sleep. It may also have a connection with chronic snoring.

Certain medications seem to contribute to teeth grinding, particularly psychoactive drugs like amphetamines. Nicotine falls in this category, which could be why tobacco users report twice the incidence of the habit compared to non-users. Teeth grinding is also connected to another fact of modern life: stress. People who grind their teeth tend to have higher levels of anxiety, hostility or depression.

Because there are multiple triggers, there are many treatment approaches. Whatever course we take, our aim is to eliminate or minimize those factors that contribute to your habit. For example, we can create a custom mouth guard for night wear to prevent the teeth from making solid contact and thus reduce the biting pressure.

Perhaps the most important thing is to control or reduce stress. This is particularly helpful at night to prepare you for restful sleep by changing some of your behaviors. We also encourage investigating other stress therapies like biofeedback, meditation or group therapy.

Whatever the means, bringing teeth grinding under control not only reduces problems now, but could also help prevent abnormal teeth wearing and future health issues down the road.

If you would like more information on causes and treatments for teeth grinding, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Stress & Tooth Habits.”

By Robert Rousseau DMD
April 20, 2013
Category: Oral Health
DoYouHabituallyClenchorGrindYourTeeth

Clenching, or grinding of your teeth (also known as bruxing) are common habits. Biting forces are normally small, gentle, fleeting and very frequent throughout the day. In fact, it's the normal stimulus necessary to keep your teeth and jawbone healthy. When you clench or grind your teeth you apply forces up to ten times normal (in the 200 lb range). And it's not just the force, it's the duration and frequency with which they're applied. High forces lasting for seconds or minutes, frequently exerted, can affect some or all of the masticatory system. This includes the teeth, jaws, jaw joints and muscles, causing aching jaws, headaches, earaches, neck and even backaches; and the teeth themselves causing excessive wear, fractures, or even loose teeth.

Why does grinding occur? Habitual grinding is most frequently a reaction to stress. Sometimes abnormalities in your bite or malocclusion (“mal” – bad; “occlusion” – bite) can trigger clenching or grinding. It is normal for children to sometimes grind their teeth when new teeth are coming in, but it may be indications of stress too. You may be grinding your teeth subconsciously in your sleep, but it may be so loud as to awaken your sleeping partner. Or our office may be the first to suspect it during a dental exam because of the apparent signs of change to muscles, joints and teeth especially abnormal tooth wear.

What can be done about teeth grinding or bruxing? If you are symptomatic, having pain, muscle, joint or tooth soreness, the first step is to get you comfortable. Generally, a mild non-steroidal anti-inflammatory medication (aspirin, ibuprofen) and muscle relaxants will help in addition to moist heat and mild jaw exercises. Stress management is also helpful. To prevent further damage, we may recommend a bite guard made of wear-resistant plastic that fits over the biting surfaces of your upper teeth. These customized unobtrusive appliances when properly fitted and adjusted stop clenching and grinding activity, or at least the damage they can do. A bite guard can be worn day or night especially during stressful periods.

Contact us today to schedule an appointment to discuss your questions about stress and tooth grinding. You can also learn more by reading the Dear Doctor magazine article “Stress & Tooth Habits.”