Bruxism (2024)

What is bruxism?

Bruxism is a problem in which you unconsciously grind or clench your teeth. You may clench andgrind your teethduring the day. Or, at night while you sleep(sleep bruxism). You may not even realize you have it.Signs and symptoms vary, and can include:

The symptoms of bruxism may look like other conditions or health problems. See a dentist or your healthcare provider for a diagnosis and treatment.

What causes bruxism?

Oral health specialists often point to too much stress and certain personality types as causes of bruxism. Bruxism often affects people with nervous tension, such as anger, pain, or frustration. It also affects people with aggressive, hurried, or overly competitive tendencies. There is some proof that in some people, bruxism is caused by an imbalance in brain neurotransmitters. Also, some medicines, such as the antidepressants fluoxetine and paroxetine, can cause bruxism.

How is bruxism diagnosed?

During regular dental visits, your dentist will examine yourteeth for signs of bruxism such as flattened tips of the teeth.If signs andsymptoms are present, your dentist or other healthcare provider will watch the condition over the next few visits before treatment is started.

Treatment for bruxism

Your healthcare provider will figure out the best treatment based on:

  • How old you are

  • Your overall health and medical history

  • How well you can handle specific medicines, procedures, or therapies

  • Your opinion or preference

In most cases, bruxismcan be successfully treated. Treatment may involve:

  • Behavior changes. You may be taught how to rest your tongue, teeth, and lips properly. You may alsolearn how to rest the tongue upward to relieve discomfort on the jaw while keeping the teeth apart and lips closed.

  • Mouthguard. You may be fitted for a plastic mouthguard that you can wear at night to absorb the force of biting. It can be worn in the day if you grind your teeth while awake.This mouthguard may help prevent future damage to the teeth and aid in changing behavior.

  • Biofeedback. Biofeedback involves an electronic instrument that measures the amount of muscle activity of the mouth and jaw. It then signalsyou when there is too much muscle activity soyou can take steps to change that behavior. This is especially helpful for daytime bruxism. More research is needed to develop a treatment program for those who clench during the night.

  • Medicine. Some medicines may be helpful in regulating the neurotransmitters. Changing medicines may be needed if antidepressant medicines are found to be the cause of bruxism.

Bruxism (2024)

FAQs

Does bruxism ever go away? ›

Most children eventually outgrow bruxism and suffer no permanent damage to their teeth. Of all children who brux between the ages of 3 and 10, more than half will stop on their own by age 13. In teenagers and adults, how long bruxism lasts depends on its cause.

Can bruxism be really bad? ›

Many people grind their teeth every now and then, especially during stressful times. But if you do it a lot, it can put extra strain on your teeth and jaws, leading to dental damage, headaches, jaw pain and other issues. Anyone can develop bruxism, but it's most common during childhood, adolescence and young adulthood.

What can be mistaken for bruxism? ›

Many people get confused between bruxism and TMJ disorder. They can be associated and interrelated but they are two very different things. Bruxism, also known as teeth grinding, is a condition which occurs as a result of an individual grinding or clenching their teeth.

Can dentists tell if you have bruxism? ›

During routine dental examinations and cleanings, dentists can detect oral symptoms of stress, including orofacial pain, bruxism, temporomandibular disorders (TMJ), mouth sores and gum disease. If you're feeling tense or anxious, you should keep a watchful eye for signs of the following stress-related disorders.

At what age does bruxism stop? ›

By around age 6, most little ones will stop grinding their teeth on their own. Awake bruxism, even in children who are school-aged or older, might not warrant any treatment or cause any issues, though it can be a sign that your child is stressed or anxious.

Which vitamin deficiency causes teeth grinding? ›

Conclusions. Sleep bruxism was associated with vitamin D deficiency and low consumption of calcium and was also associated with increased scores of anxiety and depression. Further investigations should be performed to check if vitamin D and calcium supplementation could relieve sleep bruxism.

Can you reverse damage from bruxism? ›

However, severe cases of bruxism that have led to significant tooth wear or broken teeth may require more extensive dental procedures. In cases where this is severe bruxism damage, it is typically not reversible, but there are dental treatments that can help moving forward like orthodontics and custom night guards.

Can bruxism ruin your face? ›

If left untreated, bruxism can result in TMJ disorders, which can further affect the functionality of your bite and jawline, resulting in a more square or boxy-looking jawline.

What age is bruxism most common? ›

One in 5 children up to the age of 11 are reported to have sleep bruxism, although the real figure is probably higher as parents often are unaware. Children who brux usually begin at 4-8 years of age, the numbers increase between 10‑14 years of age and then start declining after age 14.

How do I know if my bruxism is severe? ›

Many cases of bruxism are mild and may not require treatment; however, severe bruxism can lead to damaged teeth, jaw pain or tiredness, and headache.

How rare is bruxism? ›

Bruxism is defined as the repetitive jaw muscle activity characterized by the clenching or grinding of teeth. It can be categorized into awake and sleep bruxism (SB). Frequent SB occurs in about 13% of adults.

What are 3 common causes of bruxism? ›

It's often linked to:
  • stress and anxiety – this is the most common cause of teeth grinding.
  • sleep problems like snoring and sleep apnoea.
  • taking certain medicines, including a type of antidepressant known as selective serotonin reuptake inhibitors (SSRIs)

What does bruxism pain feel like? ›

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.

How do dentists fix bruxism? ›

Three main types of restorative dentistry for bruxism include dental crowns, composite bonding, and porcelain veneers. A dental night guard can help prevent future instances of tooth damage caused by grinding.

Which teeth are most affected by bruxism? ›

The distal corners of the maxillary central and lateral incisors are very common areas where damage from bruxism is noticed.

Does bruxism get better with age? ›

The condition becomes less common with age, as around 8% of middle-aged adults and only 3% of older adults are believed to grind their teeth during sleep.

Will my face go back to normal after bruxism? ›

Can Changes to Your Facial Appearance from Bruxism be Reversed? To some extent, they can. Getting treatment for teeth grinding and clenching will prevent bruxism from causing further changes to your face shape and reduce the appearance of overworked chewing muscles.

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