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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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