The condition in which a person grinds, gnashes or clenches their teeth (consciously or unconsciously) throughout the day and/or night--referred to in the Old Testement of the Bible as "knashing of teeth." Severe cases of bruxism are considered a sleep disorder.[1]
Introduction to Bruxism
Tooth grinding in any form is referred to as Bruxism. Normal clenching of the teeth or grinding is the milder form of the condition, but frequent and severe grinding of the teeth on a normal basis is enough to lead to jaw disorders, headaches, damaged teeth and other problems. (BRUK-siz-um).
It is important to know the signs and symptoms of bruxism and to seek regular dental care.
Overview Bruxism
Causes
Unknown but believed to be related to:
- Stress and anxiety
- Abnormal alignment of the teeth or jaws
Risk Factors
- Family member with bruxism
- Facial or oral trauma
- Chronic stress or anxiety
- Aggressive or competitive personality
- Age 40 or younger, especially common in women aged 27-40
- Smoking tobacco or drinking caffeinated beverages
- Abuse of drugs or alcohol (especially methamphetamines)
- Post-traumatic stress disorder
- Prior serious head injury
- Use of psychiatric medications, especially antidepressants
- Complication resulting from a disorder, such as Huntington's disease or Parkinson's disease
Symptoms
- Tooth grinding sounds during sleep
- Tense facial or jaw muscles
- Teeth that are worn down, flattened, fractured or chipped
- Teeth that are sensitive to heat, cold, or brushing
- Inflammation of the gums (gingivitis)
- Headache, especially when waking in the morning
- Damage to the inside of the cheek (from biting or chewing)
- Temporomandibular joint disorder (TMD)
- Hairline cracks or wearing of the enamel on some teeth
- Sore teeth
Dental Diagnosis
Examination of your teeth and jaw will tell your dentist whether bruxism, as teeth will have flattened tips, display excessive wear, thin enamel, or possible sensitivity. X-rays may be taken to check for further damage to your teeth and/or the underlying bone.
Prevention of Bruxism
- Avoid caffeinated drinks in the evening
- Make sure to see your dentist regularly for check-ups
- The same methods used to treat bruxism can be used to prevent the co
- Avoid alcohol
- When you notice yourself clenching your teeth during the daytime, train yourself to unclench and position the tip of your tongue between the jaws
- Hold a warm washcloth against your cheek, near your earlobe, to relax the muscles
Medications
*Bruxism that is not treated may result in gum damage, tooth loss, and jaw-related disorders.[2]
- Mild sleeping aids
- Muscle relaxants before sleep
- Injection of botulinum toxin (Botox) in severe cases if other treatment not working
Further
For a good personal account of severe Bruxism, go Here.
