Bruxism

Some patients unconsciously grind their teeth and clench their jaws when awake. They may do this as a stress response or while deeply concentrating at work. Other patients may unknowingly grind their teeth while they are sleeping. Since sleeping is associated with the nighttime hours, this variant is called “nocturnal” bruxism. It is also possible for patients to grind their teeth persistently throughout the day and when at rest. 

There are many potential causes. Bruxism may be a primary condition not connected to other underlying medical problems. Or it could be a secondary problem or complication associated with certain disorders, medications, and stimulants. So, risk factors range from sleep disorders and sleep-disordered breathing (sleep apnea) to the use of caffeine or some psychiatric medications. Bruxism is also more likely to affect those who are under great or poorly managed stress and anxiety. 

Dentists like Dr. Puri are often on the front lines of detecting this condition, especially among those patients who grind their teeth when sleeping. During routine checkups, she may notice signs of wear and tear, such as the loss of tooth enamel and chipped or fractured teeth. Bruxism is also associated with Temporomandibular Joint Disorders or Dysfunction. TMJDs affect the jaw joints and related tissues. They can arise when stress is placed on these joints and surrounding supportive structures. Bruxism places excessive force on these tissues, which can result in many symptoms that transcend the teeth, gums, and mouth – including chronic migraines, earaches, and neck and shoulder pain. 

Mild or infrequent teeth grinding may not require treatment; however, if Dr. Puri notices potential signs of bruxism on your teeth and you are experiencing TMJD symptoms, that is a sign of a chronic and severe form of this condition. Treatment is largely recommended to protect the teeth and other oral tissues from further damage. Therapies at the office of Newport Smiles also help to improve your overall quality of life and well-being by resolving other far-reaching complications of bruxism (such as frequent headaches).

Recommendations vary depending on the source or root cause of your bruxism/TMJD. Some patients may find stress management and relaxation techniques to be beneficial. As dentists, we also provide an entire treatment category known as oral appliance therapy. Custom appliances, such as night guards, are worn during sleep to protect the teeth from damage when you grind them. Still, other appliances are so lightweight and small that they may be worn easily while working to address daytime or awake bruxism. These appliances have the added benefit of slightly repositioning the teeth and jaws. So, the back teeth do not touch when you bite down, which helps to ease migraines and other TMJD symptoms by lifting the excessive forces from these tissues. 

Don’t let bruxism ruin your smile or overtake your life. If you are concerned about potential symptoms and complications, call (949) 353-5622 to speak with a Newport Beach, California, team member and schedule your consultation with Dr. Puri.