Feeling stressed? Your dentist can tell (2024)

Feeling stressed? Your dentist can tell (1)

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.

Bruxism

Bruxism is the technical term for grinding teeth and clenching jaws. Although it can be caused by sleep disorders, an abnormal bite or teeth that are missing or crooked, it can also be caused by stress and anxiety. Nervous tension, anger and frustration can cause people to start showing the signs of bruxism without even knowing it.

Because people are often not aware that they grind their teeth, it's important to know the signs and to seek treatment if you suspect you may have bruxism. Some signs of bruxism include:

  • Tips of the teeth appear flat
  • Tooth sensitivity caused by worn enamel
  • Indentations in your tongue

Your dentist can examine your teeth to determine whether you may have bruxism and, if so, how best to treat it.

Temporomandibular disorders

TMJ refers to a group of conditions that affects the jaw joint (temporomandibular joint) and the associated muscles in the jaw and neck. Stress is thought to be a factor in TMJ. Stressful situations can aggravate TMJ by causing overuse of jaw muscles, specifically clenching or grinding teeth. You may experience symptoms of TMJ, such as jaw joint pain or popping and clicking of the jaw. If you experience any of these, check with your dentist to see if TMJ may be the cause.

Gum disease

Researchers have found that emotional factors play a significant role in the development of adult gum disease.They also discovered that the severity of gum disease increased with the amount of stress (from spouse, children, lack of companionship, finances or work) experienced in a patient's previous 12 months.

Those at greatest risk for gum disease were those who were highly emotional in dealing with financial problems. But there's good news: Patients who dealt with their financial strain in an active and positive manner had no more risk of severe gum disease than those without money problems.

Canker sores (or mouth ulcers) generally occur inside the mouth and are not contagious. They often are triggered by trauma such as biting your cheek, jabbing your gum with your toothbrush or even overzealous tooth cleaning.

Canker sores may also be triggered by stress. Studies have shown that students have a high prevalence of canker sores, yet the sores appear less frequently during breaks and after graduation, when stress levels are lower.

How to treat stress

One of the best ways to fight the negative effects of stress is to remove the source of stress. If it's not possible, counseling, exercise such as yoga or jogging, relaxation or meditation or even massage and physical therapy may help reduce your tension.

Depending on your symptoms, your dentist can also recommend specific treatments. For example, if you have bruxism, your dentist can fit you with a mouth guard to protect your teeth during sleep. ForTMJ, your dentist may suggest some adjustment, including orthodontic treatment, to correct teeth alignment that may be magnifying orofacial pain. Check your benefits to see what treatments are covered under your plan.

Last updated December 14, 2021

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The oral health information on this website is intended for educational purposes only. Always consult a licensed dentist or other qualified health care professional for any questions concerning your oral health.

Feeling stressed? Your dentist can tell (2024)

FAQs

Can a dentist tell if you are stressed? ›

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.

How do dentists deal with nervous patients? ›

Sedation clinics are used for nervous and anxious patients. They allow dentists to carry out necessary work without putting a fearful patient through too much stress. Sedation comes in 2 forms: inhalation sedation, which is done through a nose piece, like gas and air.

How to overcome dentist anxiety? ›

How to manage dental anxiety or phobia
  1. deep breathing.
  2. meditation.
  3. distraction (such as listening to music or the use of devices)
  4. guided imagery.
  5. progressive muscle relaxation.
  6. agreeing with your dentist on a signal to stop during the treatment for a break (such as raising your left pointer finger or hand)

Can a dentist give you something for anxiety? ›

There are several ways that your dentist can help reduce your anxiety with medications through different levels of sedation. Your dentist may prescribe anti-anxiety drugs, such as diazepam (Valium), that you can take one hour before a scheduled dental visit.

Can a dentist tell if you are scared? ›

Dentists are often able to recognize signs of anxiety in their patients. They may notice physical signs, such as dry mouth, sweating, trembling, or rapid breathing. Dentists also notice behavioral signs like nervousness, avoidance, or hesitation. Some patients openly share their concerns with the dentist.

Can dentists tell you have depression? ›

Dentists are trained to look for signs of depression, but they are not mental health professionals. However, some telltale signs may indicate that a person is struggling with depression. For example, people who are depressed may have trouble taking care of their teeth. They may neglect to brush and floss regularly.

Can the dentist give you something to relax? ›

With oral conscious sedation, your dentist gives you sedative medication (usually in pill form) about an hour before your procedure begins. Most dentists use triazolam (Halcion®), which is in the diazepam (Valium®) family. But your dentist might use other medications, too, including zaleplon and lorazepam.

Will a dentist judge me? ›

However, no good dentist will judge you on the state of your teeth. There are some very good reasons why that's the case; if you aren't convinced, here are just a few.

Do dentists like calm patients? ›

However, staying calm is the most important thing during dental procedures. It helps not only you but also the dentist to conduct the procedure without any hassle. Patients who get agitated easily while undergoing dental treatments can make the process complicated.

What is the best medication for dental anxiety? ›

The most commonly prescribed dental related drugs that treat anxiety belong to the “benzodiazepine” family. Drugs such as Valium, Halcion, Xanax, or Ativan.

Is dental anxiety a mental illness? ›

Dental phobia is an extreme, persistent, and unrealistic fear or terror related to going to the dentist. The Diagnostic and Statistical Manual of Mental Health Disorders (DSM-V) recognizes dental phobia as a specific type of phobia.

How do dentists cope with stress? ›

Accept that people say silly things, that they come to you because they DO like and trust you, and don't take the silly comments personally. Try to work with patients, within their time and financial constraints to provide the best treatment you can.

Can a dentist give you Xanax? ›

The most common type of oral medication a dentist may prescribe is called a benzodiazepine, which includes Xanax, Ativan, Valium, Halcion, and others. Benzodiazepines help the brain dampen the sense of danger it interprets, which induces a more relaxed state for the patient.

How do dentists tell you have anxiety? ›

Your dentist will be able to see signs of clenching and teeth grinding during your examination. If you already clench or grind your teeth when you're not stressed, this can make the habit worse. It can even begin to cause issues with your temporomandibular joint (TMJ), which is the jaw joint.

How many people suffer from dental anxiety? ›

About 36% of people in the U.S. have a fear of dental treatment, with 12% having an extreme fear.

Can stress show in your teeth? ›

Experiencing stress can be the cause of many teeth, mouth, gum or jaw problems, but experiencing oral health problems can lead to more stress which then exacerbates the problems. It's therefore crucial to deal with the sources of stress in your life before they can have a chance to impact on your oral health.

Can a dentist tell if you have health issues? ›

Researchers believe that symptoms of these conditions can manifest in the mouth, making dentists key in diagnosing the diseases. For example: Bad breath and bleeding gums could be indicators of diabetes. Dental x-rays can show the first stages of bone loss and osteoporosis.

What can dentists see on your teeth? ›

Your dentist will take a small mirror and a dental “explorer” to check each tooth for any health concerns. They will pay close attention to the strength of the outer layer of the teeth, called the enamel. Stress could cause dental problems like teeth grinding at night, nail biting, or chewing objects.

Should I tell my dentist I have anxiety? ›

If your anxiety is preventing you from getting the care you need, you should have a frank discussion with your dentist about your fear. As health care professionals, dentists are trained to treat patients who have anxiety, and yours can suggest safe and comfortable techniques to make your dental care less stressful.

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