Bruxism
A Stressful Condition: Clenching & Grinding
Sometimes people exposed
to chronic stress or high-pressure situations can develop a damaging
habit known as bruxism: unconsciously biting down with too much force
at non-mealtimes. It can happen at night or during the day, is generally found
in about one third of the population and is more prevalent amongst women. Since “bruxers” are
often individuals with personality types who react to stress with anger, pain,
frustration, aggression or competition, the inappropriate tendency to constantly
clench or grind the teeth may be related to poor stress management. Sometimes
it's a conscious attempt to force the upper and lower teeth to touch at all times.
People with bruxism may have other 'biting' habits as well such as biting fingernails,
pencils, lips, or the insides of their cheeks. In any case, it’s a harmful
habit that wears down biting surfaces, causes bite imbalances and can lead to
serious dental problems.
A Solid Solution: Protection & Rest
Since bruxers are often unaware
of their habit, we carefully evaluate all our patients for the problem
by checking for fractured or chipped
teeth, excessively
worn or flat teeth, worn enamel, unexplained tooth or gum sensitivity, jaw
pain, temporomandibular joint (TMJ) pain, popping and clicking jaws,
tense muscles,
headaches, partially exposed and sensitive tooth interior (dentin) and/or tongue
indentations. Severe bruxism can even lead to a dislocated jaw! If you're diagnosed
a bruxer, we can do several things to help break the habit, treat the pain
and eliminate further damage to your teeth and oral structures. This
may involve
fitting you with an orthotic appliance or nightguard to stop the trigger mechanism
that initiates the unconscious clenching and grinding. Sometimes wearing the
guard will eliminate the problem. If not, we can do further examination to
determine the cause, while in the meantime advising continuous wearing
of the guard to
spare the teeth from further damage.
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