 |
Bruxism is clenching or grinding of teeth. Bruxism can abrade and eventually wear down dental crowns and loosen teeth. In many people, headaches, jaw pain, or both actually are the result of bruxism. The most severe and extensive grinding and clenching occurs during sleep, so the person may be oblivious to it, but family members might notice.
Treatment requires that the patient consciously try to reduce bruxism while awake. Plastic oral appliances (night guards) that prevent occlusal contact by fitting between the teeth can be used while sleeping. When symptoms are severe, a guard can be used also during the day. Usually, such devices are made by dentists. However, if the only problem is tooth wear, OTC heat-moldable devices, fitted at home, are available. Mild anxiolytics, particularly benzodiazepines, may help until a night guard is available but should not be used for extended periods.
Last full review/revision March 2009 by Robert B. Cohen, DMD
Content last modified March 2009
| |
