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Bruxism

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Pathologies
Bruxism

What you need to know about Bruxism

Signs, symptoms, diagnosis, treatment and serious complications.

Bruxism is a condition in which a person grinds, grinds, or clenches their teeth using their jaw muscles. It can occur unconsciously during sleep (night bruxism) or when a person is awake (alarm clock bruxism). Bruxism can involve all the teeth or it can occur following grinding or clenching of only the front teeth.

Bruxism is a tension-related disorder. When bruxism is severe it can cause frequent headaches, sleep disturbances and more. Nocturnal bruxism, associated with arousal during sleep, is a specific type of sleep-related movement disorder. People who grind their teeth in their sleep are more likely to snore and are also at high risk for sleep disorders such as sleep apnea.

Sleep apnea is considered a very serious sleep disorder, as a person’s breathing is interrupted (multiple times) during sleep. This can lead to a lack of adequate oxygenation to the brain and other parts of the body.

Signs and symptoms of bruxism may include:

 

Tooth hypersensitivity
Neck pain or soreness
Severe pain in the face
Sore jaw muscles
A stuck jaw (that doesn’t open or close properly)
Pain similar to an earache (without symptoms of ear infection or other ear problems)
Damage to the inside of the cheek (from the chewing movement of the teeth)
Dull headache (which may start in the temples)
Tension headache
Frequent morning headaches (headaches that occur upon waking)
Damage to dental work (such as crowns or restorations/fillings)
Abnormal tooth wear (flattened, chipped, or loose teeth or worn enamel)
Teeth grinding or clenching (may be noticed by a sleeping partner or may be loud enough to wake a person)
Sleep interruption (probably due to waking up to grinding noise)

Interestingly, the two different types of bruxism, nighttime and awake, are thought to have different origins, although the exact cause of bruxism is not fully understood. Some experts believe that bruxism can involve multiple factors. “Nocturnal bruxism is considered a sleep-related movement disorder. People who clench or grind their teeth during sleep are more likely to have other sleep disorders, such as snoring and pauses in breathing (sleep apnea),” says the Mayo Clinic.

Other causes that may be associated with bruxism include:

Certain types of medications (such as antidepressants)

Withdrawal from drugs

Missing or crooked teeth

An abnormal bite

Other underlying medical conditions missing or crooked teeth.

 

Risk factors for bruxism

There are several factors that can increase a person’s risk of having bruxism, these include:

 

Fatigue
Anxiety
Anger
Frustration
Age (bruxism is more common in children and usually disappears during adulthood)
Having a specific personality type (e.g. aggressive, competitive or hyperactive people are at higher risk)
The use of certain medications (such as antidepressants)
Smoking tobacco
Drinking alcohol
Using drugs
Drink beverages containing caffeine
Having a close family member with bruxism
Have a mental health disorder
Additionally, some medical conditions can increase the risk of bruxism. These include:

 

GERD (gastroesophageal reflux disorder)
Epilepsy
Night terrors
Sleep apnea (and other sleep-related disorders)

ADHD (attention deficit/hyperactivity disorder)

When to consult the medical consultant?

It is important to see your doctor if you notice any of the common symptoms of bruxism. If a child grinds their teeth (while sleeping or awake) it is advisable to have a dental visit to assess the severity of the problem.

While the symptoms of bruxism are not always severe and treatment may not be necessary, it is crucial to undergo an evaluation by a professional healthcare provider. Serious complications and symptoms can occur that require prompt treatment, and there is no way to know for sure how serious bruxism symptoms are without a consultation.

 
 
 

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