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Bruxism: Treatment, Procedure, Cost and Side Effects

What is the treatment?


How is the treatment done?

Bruxism is a condition where you involuntarily clench your teeth when you are awake or even when you are asleep. Sleep brxuism is also associated with sleep related problems and it also leads to excessive snoring, pauses in breathing. This is also known as sleep apnea. The treatment procedure depends on the condition that you are in. Slight bruxism does not require any special treatment. Severe bruxism might also cause jaw disorders, headaches, damaged teeth and other problems. In this condition you also experience that your teeth are flattened, chipped or even loose. This also causes a sign of tooth sensitivity and tooth pain. One of the main impacts that this condition has is the sleep disruption that it causes on you. People find it very irritating as they can not sleep properly and it causes loud snoring noises which are a bit of a problem to the people around you. This condition is caused by a combination of physical, genetic and psychological factors. This condition also leads to anxiety, stress, unnecessary anger and frustration. And during sleep bruxism, the involuntary chewing activity keeps you awake for a long time and sometimes might help you to develop other teeth problems as well.

Who is eligible for the treatment? (When is the treatment done?)

First the necessary tests are conducted to determine that the condition is bruxism or a sleep related disorder. In case of this condition the doctors will advise you to take splints and mouth guards. These external medical equipments help you to keep your teeth separated and prevent them from grinding every now and then. Dental correction procedures may also be applied on you to eliminate the sensitivity of your teeth and reshape the chewing surfaces that cause the inability to chew. Crowning of the tooth even helps to repair the damage. There are some other approaches to tackle the problem. This condition is somewhat also related to a sleeping disorder. This is why medical experts also provide you with stress and anxiety management to enable proper sleep at night. Some behavioral changes are also implemented to help you adapt which position of your jaw and mouth is the best. The doctors might also suggest certain muscle relaxers to eliminate the symptoms of clenching. The doctor will also look into the case of sleep apnea to be sure what is the main cause of this condition as sometimes sleeping troubles leads to these symptoms. If the symptoms rejuvinate again after treatment then seek medical help as soon as possible.

Who is not eligible for the treatment?

You should see a doctor if you are facing symptoms such as involuntary teeth clenching, sleeping troubles, excessive snoring, sensitivity of teeth. This might be a case of bruxism.

Are there any side effects?

The condition is sometimes confused with sleep apnea. The problems in your sleeping time might also cause you to face the symptoms. In case of sleep apnea, you are not eligible for the treatment of bruxism.

What are the post-treatment guidelines?

There are some complications regarding to this condition. You might experience a problem of unnecessary stress and anger due to the excessive teeth grinding. The medications used in bruxism may cause certain side effects if you are also a psychological patient. Also smoking would also deteriorate the symptoms of bruxism. The side effects involve little nausea, fatigue and loss of appetite. You might also face a bit of irritation every now and then as the clinching takes time to fade away. Until the clenching goes away, you continue to have certain sleeping and snoring troubles.

How long does it take to recover?

You may use the splinters that are prescribed by your medical expert for as long as you think you need. To eliminate the symptoms of this condition, you should take necessary steps to reduce your stress level, you should also make sleeping habits or power naps till you feel fully energized to carry out your day to day activities. If you continue to have dental problems, do consult your dentist as soon as possible.

What is the price of the treatment in India?

With proper treatment and follow up of the post treatment medicines and activities, you should be normal within one to two weeks. However, if you are not careful enough then the symptoms of the condition of bruxism might re occur again.

Are the results of the treatment permanent?

The cost of the therapy sessions ranges from Rs. 800 to Rs. 2,000. The medicines and the equipments range between Rs. 500 to Rs. 2,500. If you wish to take other stress management sessions then they usually range from Rs. 3,500 to Rs. 4,500.

What are the alternatives to the treatment?

The condition of bruxism usually occurs at an early age and gradually fades away as you grow up. The results of the treatment are proven to be permanent when properly obtained treatment via reshaping of the gums, crowning of the teeth and ample sleep time.

Safety: Condition Effectiveness: High Timeliness: High Relative Risk: Low Side Effects: Low Time For Recovery: Low Price Range:

Rs. 800 to Rs. 4,500

Popular Health Tips

Benefits of Botox Is Not Just Limited to Wrinkles

Benefits of Botox Is Not Just Limited to Wrinkles

The quest to look and feel young is never ending. Almost everybody feels they could look a couple of years younger with a few wrinkles less and firmer skin. While this was within access of only celebrities who could afford the various plastic surgical procedures a few decades ago, times have changed now. Scientists and doctors are doing researches to find more affordable and non-surgical ways of getting to look younger.

Botox was one of the wonderful results of this search. Clostridium botulinum causes food poisoning and produces a toxin known as botulinum. In extremely minor amounts, this toxin can paralyze muscles and this property of it is used to treat facial wrinkles and fine lines.

How Botox works: The muscles react when they receive a message from the nerve through chemicals known as neurotransmitters. Acetylcholine is one such chemical, which is present in the face and sends messages to the facial skin from the nerves. What Botox does is prevent the release of acetylcholine and so the muscle does not receive any message, and so does not contract. This reduces the amount of wrinkles and fine lines.

Medical Indications: Botox is one of the most powerful toxins identified to date. About 2 kg of the toxin is sufficient to wipe out the entire human race from Earth. That being its potency, the dosage and administration should be done only under experienced medical supervision.

For cosmetic purposes, they are most frequently used to reduce wrinkles on face and fine lines under the eyes and on the forehead. The wrinkles appear softened after the use of Botox, producing a younger, firmer skin. Aside from its cosmetic use, there are various other conditions for which Botox is medically approved for a number of medical ailments like

  1. Chronic migraine
  2. Blepharospasm (spasm of the eyelids)
  3. Chronic neck spasms
  4. Excessive sweating
  5. Overactive bladder (resulting in frequent urination)
  6. Spasticity resulting from stroke
  7. Crow's feet (outer corner of the eyes)
  8. Urinary incontinence
  9. Lazy eye (strabismus)
  10. Bruxism (tooth grinding)
  11. Esophageal motility disorders

The list is only set to get longer as more indications for Botox are identified. However, as mentioned, being an extremely toxic substance, it should be used only under complete medical supervision.

Side effects: Needless to say, there are side effects to this too, but when administered properly, it is an extremely safe procedure.

  1. Allergic reaction: Very few people might have an allergic reaction to the toxin
  2. Mild pain or redness at the injection site
  3. Temporary numbness

However, these are very transient and will subside in a couple of days, by which time the effect of Botox will be visible. Have a thorough discussion with a doctor before going for it.

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What is Clenching and Grinding?

BDS, Certificate of Speciality Training In Restorative Dentistry & Endodontics, Advanced Certificate Course In Aesthetic Dentistry
Dentist, Mumbai
What is  Clenching and Grinding?

Grinding or bruxism involves moving the jaw with teeth held tightly together.
This results in visible wear and flatenning of teeth.
Clenching is holding the teeth together and tightining the jaw muscles.
It may be done conciously or during sleep.
It may lead to jaw pain, stiffnes, enamel wearing, recession, clicking sound in the jaw joint etc. 

Treament includes.

Making patient aware of his situation
Psychological counselling 
Bite guard or night guard is made to wear at night

1 person found this helpful

What Is Bruxism And Its Benefits?

MDS - Orthodontics, BDS
Dentist, Meerut
What Is Bruxism And Its  Benefits?

Occasional teeth clenching is fairly common disorder among adults and children throughout the world. But if the teeth grinding occurs repeatedly, it can cause significant damage to your teeth or gums (with chances of potential tooth loss) and overall dental hygiene. Furthermore, recurrent episodes of bruxism might cause other serious complications such as severe headaches, facial pain or disorders in the temporomandibular joints (located in the forepart of the ear).

According to recent studies, 15-33% of children tend to grind their teeth while they develop their first few pairs and generally stop with the gradual development of adult teeth. In adults, this disorder might occur as an involuntary response, completely unbeknownst to the concerned individual.


The most likely causes of bruxism are as follows:

  1. According to the doctors, in 70% of the adults, repressed stress or anxiety might result in teeth grinding while you are sleeping.

  2. Bruxism might also occur as a result of excessive consumption of alcohol, caffeine, sleeping pills, tobacco, and selected anti-depressants.

  3. Bruxism might also occur due to depression and the sheer competitive nature in certain individuals.

  4. Bruxism might also occur due to a serious disorder such as Parkinson ’s disease.

  5. Bruxism might also occur as an axillary of other sleep related disorders such as excessive snoring, sleep apnoea, etc.

  6. If you have an irregular structural alignment among the upper and lower sets of teeth, Bruxism is more likely to occur.

  7. In children, Bruxism might occur as a response from to pain in the ear or tooth.


The following treatments can be implemented to treat permanent instances of bruxism:

  1. If it is caused by severe stress and anxiety, stress management therapies can be very useful to prevent Bruxism.

  2. If you have a habit of grinding your teeth while you are asleep, you can consult your doctor to provide you with mouth guards.

  3. Regulated consumption of alcohol, tobacco might help prevent Bruxism if it is caused by a side effect of either one of them. Likewise, if the disorder occurs due to a side effect of antidepressants or any other psychiatric medications, you must consult your doctor to change the particular medication.

  4. You can also opt for Dental correction procedures like night guard if the reason of the disorder is the misalignment of the upper and lower teeth or other related dental complications. A custom fit night guard will not only safeguard your comfort, but improve the quality of your smile as well.

  5. Although medications are not common, muscle relaxants (for a certain period of time) or Botox injections are prescribed by doctors when the patient does not respond to other forms of treatments.

Bruxism: What You Need To Know?

BDS, MDS - Orthodontics
Dentist, Yamunanagar
Bruxism: What You Need To Know?

Bruxism is a condition in which you grind, gnash or clench your teeth. If you have bruxism, you may unconsciously clench your teeth when you're awake (awake bruxism) or clench or grind them during sleep (sleep bruxism).
Sleep bruxism is considered a sleep-related movement disorder. People who clench or grind their teeth (brux) during sleep are more likely to have other sleep disorders, such as snoring and pauses in breathing (sleep apnea).
Mild bruxism may not require treatment. However, in some people, bruxism can be frequent and severe enough to lead to jaw disorders, headaches, damaged teeth and other problems.
Because you may have sleep bruxism and be unaware of it until complications develop, it's important to know the signs and symptoms of bruxism and to seek regular dental care.

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 dentist or doctor if you have any of the symptoms listed above or have other concerns about your teeth or jaw.
If you notice that your child is grinding his or her teeth — or has other signs or symptoms of bruxism — be sure to mention it at your child's next dental appointment.


  • Doctors don't completely understand what causes bruxism, but it may be due to a combination of physical, psychological and genetic factors.
  • Awake bruxism may be due to emotions such as anxietystress, anger, frustration or tension. Or it may be a coping strategy or a habit during deep concentration.
  • Sleep bruxism may be a sleep-related chewing activity associated with arousals during sleep.

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 may be an uncommon side effect of some psychiatric medications, such as certain antidepressants. Smoking tobacco, drinking caffeinated beverages or alcohol, or using recreational drugs may increase the risk of bruxism.
  • Family members with bruxism. Sleep bruxism tends to occur in families. If you have bruxism, other members of your family also may have bruxism or a history of it.
  • Other disorders. Bruxism can be associated with some mental health and medical disorders, such as parkinson's disease, dementia, gastroesophageal reflux disorder (gerd), epilepsy, night terrors, sleep-related disorders such as sleep apnea, and attention-deficit/hyperactivity disorder (adhd).

In most cases, bruxism doesn't cause serious complications. But severe bruxism may lead to:

  • Damage to your teeth, restorations, crowns or jaw
  • Tension-type headaches
  • Severe facial or jaw pain
  • Disorders that occur in the temporomandibular joints (tmjs), located just in front of your ears, which may sound like clicking when you open and close your mouth

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

If you have any signs, your dentist looks for changes in your teeth and mouth over the next several visits to see if the process is progressive and to determine whether you need treatment.

Determining the cause
If your dentist suspects that you have bruxism, he or she tries to determine its cause by asking questions about 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
  • A dental exam may detect other disorders that can cause similar jaw or ear pain, such as temporomandibular joint (tmj) disorders, other dental problems or health conditions.

If your bruxism seems to be related to major sleep issues, your doctor may recommend a sleep medicine specialist. A sleep medicine specialist can conduct more tests, such as a sleep study that will assess for episodes of teeth grinding and determine if you have sleep apnea or other sleep disorders.
If anxiety or other psychological issues seem related to your teeth grinding, you may be referred to a licensed therapist or counselor.

In many cases, treatment isn't necessary. Many kids outgrow bruxism without treatment, and many adults don't grind or clench their teeth badly enough to require therapy. However, if the problem is severe, options include certain dental approaches, therapies and medications to prevent more tooth damage and relieve jaw pain or discomfort.
Talk with your dentist or doctor to find out which option may work best for you.

Dental approaches
If you or your child has bruxism, your doctor may suggest ways to preserve or improve your teeth. Although these methods may prevent or correct the wear to your teeth, they may not stop the bruxism:
Splints and mouth guards. These are designed to keep teeth separated to avoid the damage caused by clenching and grinding. They can be constructed of hard acrylic or soft materials and fit over your upper or lower teeth.
Dental correction. In severe cases — when tooth wear has led to sensitivity or the inability to chew properly — your dentist may need to reshape the chewing surfaces of your teeth or use crowns to repair the damage.

Signs That You Have Bruxism

Dentist, Indore
Signs That You Have Bruxism

Do you clench and grind your teeth at night? this is known as bruxism, and it can cause significant damage to your oral health including your teeth, and jaw joints. You may not even be aware that you have this issue, but there are certainly telltale signs of bruxism.

Signs that you have bruxism
The american dental association claims that nearly 15 percent of adults exhibit some form of bruxism. It can occur while you sleep or even during the day, especially if you are under a lot of stress. When bruxism occurs, it exerts as much as 600 pounds of stress on your teeth and jaws!

Here are signs that you may be experiencing bruxism:
• sore jaw
headaches (upon waking up)
• worn down teeth (on the chewing surface)
sensitive teeth
receding gums
• broken or chipped teeth
• failing dental work
• tooth pain
facial pain
• head and neck pain

One of the most obvious signs of bruxism is the wear and tear that is causes on your teeth. If you grind and clench your teeth regularly, you will find that the top surface of your teeth is worn down. Eventually, if you do not protect your teeth from these effects, you could end up wearing your teeth down to numbs or even lose your teeth as they become weak and brittle.

What causes bruxism?
Bruxism is most often caused by stress or anxiety. It is normal for adults or even teens and children to experience varying degrees of stress or anxiety. Therefore, you may unknowingly divert that stress by clenching and grinding your teeth while you sleep. Also, if you suffer from temporomandibular joint disorder or a sleep breathing disorder, you may be more likely to have bruxism.

Treatment for bruxism
The good news is that your dentist at smile kraft tmj & orofacial dental care can help you protect your teeth against the perils of bruxism by prescribing you a custom-made oral appliance known as a night guard. This appliance is made from impressions that we take of your mouth. This way, we are sure to get a customized, snug fit. Our night guards are of higher quality than the one-size-fits-all guards you may find in stores or online. It is important to understand that when you choose a custom-made night guard from your dentist, that you are investing in your oral health, an investment that is well worth the cost.

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Popular Questions & Answers

I have tmj disorder and most probably it is due to bruxism. The clicking sound arises from my right side of my jaw. I have also neck pain and facial pain. Now I am feeling little asphyxia. What will I do now. Please help me.

BDS, CDE Endo-Prostho, CDE - Cast Partial & Complete Dentures
Dentist, Pune
Hello, You need to visit a dentist and get it checked. Ask for a night guard. You need to relax. Try to calm down. You can do hot fomentation near your right ear. You can take hot water bath before sleeping and listen to music. This will help you to calm down.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Having issues? Consult a doctor for medical advice