Bruxism or teeth grinding represents an unconscious action that happens at night. A person who has bruxism will grind or clench their teeth and produce loud and unpleasant sounds during sleep. If teeth grinding occurs consciously, during the day, then it is called bruxomania.
The causes of bruxism are:
-stress, emotional burden, fear and fatigue
-malocclusion
-consumption of certain medications (antidepressants)
-aggressive or hyperactive personality types.
Because bruxism occurs unconsciously, the forces transmitted to the teeth are much stronger than those that occur during the chewing process. This leads to serious consequences for the teeth and periodontal structures. The most common symptoms of bruxism are:
-flat chewing surfaces of the teeth
-cracks in the enamel
-damaged gums
-damage of the jaw joint, pain
-teeth sensitivity
-muscle pain
-ear pain
-headache
-tension, nervousness
If you notice any of the previous symptoms, contact your dentist.
The questions that are frequently asked by patients are:
-What leads to bruxism?
-How is bruxism diagnosed?
-Is this condition temporary or permanent?
-What is the best therapy for bruxism?
-What are alternative methods for bruxism treatment?
-What are my limitations in this condition?
Bruxism – teeth grinding treatment
Your dentist will ask you some questions, such as: when did you first notice the symptoms of bruxism?; is this a permanent or a temporary condition?; have you noticed that in certain situations grinding is getting worse or better? …
After examination in the dental office, your dentist will suggest a therapy plan. Also, the dentist will be able to assess the consequences on the teeth and surrounding structures (gums, cheeks, jaw joint).
Orthodontic therapy is the right therapy choice for those with malocclusion. Already present consequences of bruxism on your teeth will be repaired with the white fillings or with ceramic crowns.
The most important therapy is night-guard. It is made for every patient, by taking the impressions of the teeth. Night-guard is worn during the sleep and prevents further damage of the teeth, gums, and jaw joint.
Psychological therapy is recommended for some patients, and also some lifestyle changes such as stress reduction, avoidance of caffeine, alcohol, and cigarettes before bedtime. It is possible to consult a sleeping specialist, who could further test whether a patient suffers from other sleeping conditions such as snoring and obstructive sleep apnea.
