Do you wake up some mornings with a headache of origins you can’t define? Do you experience vague muscle pain in your face? If so, you may be experiencing symptoms of bruxism. What’s bruxism? You likely know it by its more informal name – two names, actually: “clenching” and “grinding.” It’s also not something you’ll want to ignore, because bruxism wears down the surface of your teeth and sets you up for cavities and tooth fractures. Severe cases can even contribute to tooth loss. Let’s find out how to stop this menace in its tracks.
Many factors can combine to create a bruxism habit. Stress and anxiety are believed to be leading causes, as are a misaligned bite, missing teeth, and sleep abnormalities. Some medications can also trigger episodes, as can neurological or musculature illnesses.
Teeth grinding may be common, but it’s not “normal,” per se. Because the stresses of bruxism affect the entire jaw, this pressure can create cracks and chips in teeth, and over time can contribute to a shortening of lower face height due to bone loss. If that sounds scary, it should. It’s also a change you’ve seen before – in individuals who have lost all their teeth and do not wear dentures. We’re pretty sure that’s not a look you’re aiming to achieve.
In many cases, your dentist will see evidence of bruxism in your X-rays, and on the surface of your teeth, and will alert you to the problem long before you exhibit a single symptom – particularly if you sleep alone. Occasionally however, you may start to clench and grind in between visits and begin to notice symptoms on your own. If that’s more like your situation, and you find that you often wake with a sore jaw, a headache that goes away shortly after rising, or if a loved one tells you your teeth are making clickity-clankity noises all night, mention it the next time you’re in the office.
As far as treatment goes, because the causes of bruxism are varied, the treatments vary as well. If your doctor determines stress is the primary cause, they may recommend you abstain from excessive caffeine and alcohol, and attempt some form of daily relaxation. Even something as simple as a warm bath before sleeping can work wonders. If your bite is a concern, they may suggest you visit an orthodontist for an evaluation, and if prescription medicine or neuromuscular illnesses are believed to be the cause, referral to the appropriate specialist would be part of your plan to break the habit.
In each of these cases, though, your dentist and/or physician will likely recommend a splint, or occlusal mouth guard to protect your teeth and bone from further damage. These protective devices are easy to wear, and contrary to what you may believe, will not impede your ability to get a good night’s sleep. In fact, they tend to enhance the quality of your sleep so you’ll wake up more refreshed.
So, check with your dentist! Many people go years without being aware they’re clenching and grinding since it takes time for symptoms to show in your mouth. Getting a mouthguard or splint once you know you have this habit, though, will help you with headaches and muscle pain now – and tooth trouble down the road.