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Teeth Grinding Tips

What is Clenching and Grinding?

Dr. Hetal Chheda 85% (10 ratings)
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

Bruxism (Teeth Grinding)

Dr. Isha Malhotra 93% (6103 ratings)
BDS
Dentist, Gurgaon
Bruxism (Teeth Grinding)

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.

Symptoms

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.

Causes

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 anxiety, stress, 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.

    Risk factors

    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).

  • Complications

    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

Diagnosis

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

Evaluation

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.

Referral

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.

Treatment

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.

Other approaches

One or more of these approaches may help relieve bruxism:

  • Stress or anxiety management. If you grind your teeth because of stress, you may be able to prevent the problem by learning strategies that promote relaxation, such as meditation. If the bruxism is related to anxiety, advice from a licensed therapist or counselor may help.

  • Behavior change. Once you discover that you have bruxism, you may be able to change the behavior by practicing proper mouth and jaw position. Ask your dentist to show you the best position for your mouth and jaw.

  • Biofeedback. If you're having a hard time changing your habits, you may benefit from biofeedback, a method that uses monitoring procedures and equipment to teach you to control muscle activity in your jaw.

  • Muscle relaxants. In some cases, your doctor may suggest taking a muscle relaxant before bedtime, for a short period of time.

  • Botox injections. Injections of Botox, a form of botulinum toxin, may help some people with severe bruxism who don't respond to other treatments.

  • Medication for anxiety or stress. Your doctor may recommend short-term use of antidepressants or anti-anxiety medications to help you deal with stress or other emotional issues that may be causing your bruxism.

Treating associated disorders

Treatment for associated disorders may include:

  • Medications. If you develop bruxism as a side effect of a drug, your doctor may change your medication or prescribe a different one.

  • Sleep-related disorders. Addressing sleep-related disorders such as sleep apnea may improve sleep bruxism.

  • Medical conditions. If an underlying medical condition, such as gastroesophageal reflux disease (GERD), is identified as the cause, treating this condition may improve bruxism.

    Lifestyle and home remedies

    These self-care steps may prevent or help treat bruxism:

  • Reduce stress. Listening to music, taking a warm bath or exercising can help you relax and may reduce your risk of developing bruxism.

  • Avoid stimulating substances in the evening. Don't drink caffeinated coffee or caffeinated tea after dinner and avoid alcohol during the evening, as they may worsen bruxism.

  • Practice good sleep habits. Getting a good night's sleep, which may include treatment for sleep problems, may help reduce bruxism.

  • Talk to your sleep partner. If you have a sleeping partner, ask him or her to be aware of any grinding or clicking sounds that you might make while sleeping so you can report this to your dentist or doctor.

  • Schedule regular dental exams. Dental exams are the best way to identify bruxism. Your dentist can spot signs of bruxism in your mouth and jaw during regular visits and exams.

  • Preparing for your appointment

  • You may start by seeing your dentist or your primary care doctor. In some cases when you call to set up an appointment, you may be referred to a sleep medicine specialist.

What you can do

Prepare for your appointment by making a list of:

  • Relevant medical history, for instance, past bruxism-related problems and information on any medical conditions.

  • Any symptoms you're experiencing, including any that may seem unrelated to the reason for the appointment. If you experience pain, make a note of when it occurs, such as when you wake up or at the end of the day.

  • Key personal information, including any major stresses or recent life changes.

  • All medications, including over-the-counter medications, vitamins, herbs or other supplements, you're taking and the dosages. Let your doctor know about anything you've taken to help you sleep.

  • Medications

In general, medications aren't very effective for treatment of bruxism, and more research is needed to determine their effectiveness. Examples of medications that may be used for bruxism include:

  • Other damage to your teeth, the underlying bone and the inside of your cheeks, usually with the help of X-rays

Prevention of Bruxism (Teeth Grinding)

Dr. Anand Jasani 90% (9887 ratings)
Certification in Full Mouth Rehabilitation, Post-Graduate Certificate in Oral Implantology (PGCOI), M.Sc - Master of Oral Implantology (MOI), Certified Implantologist, BDS
Dentist, Rajkot
Prevention of Bruxism (Teeth Grinding)

 

If you know you cleanch or grind your teeth,during night or day time ask your dentist about the use of a Night guard,which prevents teeth grinding and TMJ pain.

1 person found this helpful

Oral Health!

Dr. Farah Manasawala 88% (166 ratings)
BDS
Dentist, Mumbai
Oral Health!

If you get up in the morning with headache or pain on cheeks,its probable that you may be clenching or grinding your teeth at night.consult your dentist who can verify and provide you a solution for it.

4 people found this helpful

Intestinal Worms - Signs You Are Suffering from It!

Dr. Sanket Gupta 90% (85 ratings)
BHMS, MD-Homeopathy, PGPC - Preventive Cardiology
Homeopath, Delhi
Intestinal Worms - Signs You Are Suffering from It!

A number of worms/parasites can infest the stomach and intestines. Children are more prone, and contract them by ingesting uncooked foods or fruits, contact with animals, playing in soil, or even unhygienic water.
The most common worms include pinworm, threadworms, roundworms, whipworms, hookworm, and tapeworm.

Signs and Symptoms

Whatever the type of worm, the symptoms are more or less the same and include the following:

  1. Allergies: When worm infestation happens, there could be blisters on the body and the oral mucous membranes and food sensitivity can occur.
  2. Anemia: The parasites growing inside the stomach suck out nutrition from the food, and therefore the body is deprived of essential nutrition. It could lead to severe anemia in some cases.
  3. Altered bowel movement: While some organisms produce constipation by blocking the colon, others result in diarrhea which is body’s way of removing harmful substances from the body
  4. Fatigue: Needless to say, all this results in extreme fatigue and dehydration for the infested person.
  5. Abdominal bloating: The parasites produce gas, which produces a gassy, bloated sensation
  6. Altered immune function: As most parasites induce an allergic reaction, there is an increased amount of immunoglobulin A in the circulation.
  7. Other: Restlessness, dark circles under the eyes, bedwetting, headaches and light sensitivity.

Some of the most popular homeopathic remedies are listed below and aim at strengthening the child’s overall health. As always, the child will be asked thoroughly for all symptoms and then a remedy identified.

  1. Cina: Very useful for all types of worm, it is the most popular remedy. The child is irritable, angry, has a pale appearance with rings around the eyes. When asked more, there will be teeth grinding (bruxism) at night, may have had convulsions, crying at night, nose picking, extreme hunger, milky urine, bluish discoloration around the mouth.
  2. Calcarea: The child is usually fat, flabby child with a strong appetite and craving for things like chalk, coal, and pencils. There is aversion to dairy products and meat. There will be a crawling feeling in the rectum and anus. There is profuse sweating from the head, causing a wet pillow.
  3. Spigelia: The child will have a pale face, blue rings around the eyes, tendency to faint, nauseating sensation, and pain around the navel. Stool with mucus and worms are an indication for using Spigelia.
  4. Caladium: The worm travels from the perineum to the vagina and causes the girls to constantly itch around the vagina
  5. Teucrium: Used in pinworm infestation, where there is a lot of irritation in the rectum. A thin dilution or tincture of this medication is used.
  6. Indigo: Very effective in roundworms. The child is usually melancholic, has intense pain around the bellybutton, and may have had convulsions. If you wish to discuss about any specific problem, you can consult a homeopathic.
5089 people found this helpful

Tooth Pain - 5 Causes Behind it!

Dr. Dhruba Bhattacharya 90% (1659 ratings)
MBBS, PGC In Family Welfare & Health Management, DHA, PGD In Medical Laws & Ethics
General Physician, Kolkata
Tooth Pain - 5 Causes Behind it!

Mild to severe tooth pain can turn out to be debilitating and damaging condition if it is persistent. Also, the pain in head/ears can spread to the rest of the head and give you an uncomfortable ache and tingling sensation all day long. So what are the causes behind tooth pain? Here's our list!

  1. Tooth decay: The presence of food debris that has not been cleaned out can stay on and cause cavities and persistent tooth pain. This condition can also make the teeth extra sensitive and pain then emanates as a natural response to signify that all is not well in the area. This can also lead to sharp pain when bite an apple or munch on nuts. One must see a dentist for this kind of pain so that scaling and plaque removal can take place. 
  2. Injury: If there is persistent, throbbing pain after eating something that is too hot or too cold, then it might be more than mere tooth sensitivity. This condition could also point at chipped, broken or cracked teeth due to excessive teeth grinding or a fall or accident. It could also be caused due to sports injury. The dentist will usually take a dental X ray to find the cause of the pain and to unravel the extent of the damage as well.
  3. Inflammation: Constant pain may also point at inflammation of the pulp. This may be caused due to damaged roots. If this kind of inflammation comes with bleeding and fever, then you must consult a dentist immediately. It can also mean that the pulp or root of the tooth is dying, in which case a root canal may be required. 
  4. Sinus: A dull ache in the sinus area of the upper teeth usually point at sinusitis, which is a condition that emanates due to pain in the nerves of that area. This pain can also happen due to cold and cough as well as an allergic attack that affect the facial muscles due to excessive sneezing and watering of the eyes. Also, a flu and fever can lead to this kind of pain. 
  5. Infection: Inflammation along with fever and bleeding can also point at infection. This can render the complete pulp tissue damaged. Also, the growth of abscess in such cases can cause acute tooth pain. The dentist will usually diagnose the issue with a tooth X ray before prescribing antibiotics and carrying out a root canal for severe cases. 

Persistent toothache with other symptoms should always be checked by a dentist so as to rule out long term damage that can result in tooth loss.

3448 people found this helpful

Teeth Grinding

Dr. Premendra Goyal 91% (821 ratings)
BDS
Dentist, Mumbai
Teeth Grinding
Grinding your teeth or clenching your jaws? it's called bruxism, and often it happens as you sleep and is often caused by stress.

Teeth grinding can be caused not just by stress and anxiety but by sleep disorders, an abnormal bite or teeth that are missing or crooked. The symptoms of teeth grinding include:

Dull headaches
Jaw soreness
Teeth that are painful or loose
Fractured teeth
Your dentist can fit you with a mouth guard to protect your teeth during sleep. In some cases, your dentist or physician may recommend taking a muscle relaxant before bedtime. If stress is the cause you need to find a way to relax. Meditation, counseling and exercise can all help reduce stress and anxiety.

Teeth grinding is also common in children. However, because their teeth and jaws change and grow so quickly it is not usually a damaging habit that requires treatment and most outgrow it by adolescence.

Although in adults teeth grinding is often the result of stress, the same is not always true with children. Other possible causes of teeth grinding in children include:

Irritation in the mouth
Allergies
Misaligned teeth

Keep smiling
Be happy
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