Jul 13

Teeth Grinding (also known as Bruxism) is a part of the active medical research world and there are researchers all over the world looking into all aspects of this disorder.
Looking at what the latest research is uncovering can provide you with some great insight into the disorder.  Here are some of the latest studies.

Shift Work may be your problem.

A February, 2008 study looked at the prevalence of sleep quality and insufficient sleep problems in patients with self-reported bruxism, particularly in employees who did nighttime shift work.

Bruxism was reported in 10.6 percent of all subjects, who also reported difficulties getting to sleep (16.8 percent) and disrupted sleep (46.7 percent).

Frequent bruxism was positively correlated with difficulty getting to sleep and disrupted sleep, as well as with dissatisfaction with one’s work schedule.  Researchers were unable to tell if the bruxism caused the sleep disorders or whether the sleep problems contributed to bruxism.

It was apparent that shift work was positively correlated with the existence of bruxism.

No link with TMJ disease?

A January, 2008, a study looked into the correlation between bruxism and temporomandibular joint (TMJ) disease.  They found healthy controls and compared them to people who had known TMJ disease.

After having all subjects go through a sleep study, they found no particular correlation between those who had TMJ disease and normal controls.  This basically means that there are other causes of TMJ disease other than bruxism.

BruxChecker.

A 2006 study looked at the usefulness of a device known as a BruxChecker that helped determine if an individual with typical tooth damage of bruxism really had the condition.

It was found that the BruxChecker was able to detect specific grinding patterns and to visualize real or actual interferences during sleep.

The BruxChecker was able to identify the grinding pattern, able to make it easier for doctors and dentists to define the best treatment for the bruxer.

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Jul 12

It’s important to take careful note of the lifestyle treatments detailed below. These are often the simplest treatments, but can offer the most benefits not just for your teeth clenching but for your whole life.

For example. Would you rather wear a mouthguard every night for the rest of your life or cut back a little on the drinking?

Things you can try :
Caffeine, Tobacco and Alcohol are all basically poisons of various degrees. Over consumption of any of them can cause a lot of unwanted side effects  including teeth grinding at night. As for exercise  countless studies and millions upon millions of people testify to its health benefits. It really can be that simple.

  • Reduce or eliminate Caffeine consumption
  • Reduce or eliminate Tobacco consumption
  • Reduce or eliminate Alcohol consumption
  • Exercise! An exercise program can help reduce bruxism.  Exercise is a natural relaxant that can reduce anxiety and anxiety-related conditions.  The exercise program can be as simple as a walking program or as complex as using a trainer to do a variety of exercises that ultimately relax an individual and reduce or eliminate the condition.

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Jul 12

In some cases it can be very difficult to stop grinding teeth. In these instances how do you learn to cope with the condition?

1. First of all, regular dental visits are a must.


Your dentist can tell you how much damage to your teeth is going on and can help recommend possible treatment plans. Remember that there sometimes needs to have several treatments for grinding of teeth for it to be under control.  Only your dentist can tell you which treatments are working and which are not.

2. Learning to control one’s stress is also highly important.
First, identify the source of the stress.  Is it your job, relationships, children, money problems or other stressor that is triggering the problem or making it worse?
It sometimes takes controlling external stressors to get a handle on the condition.
Meditation and yoga are good things to add to your life.  Both will help you come to a better understanding of how to handle stress and can work to keep you relaxed and not grinding your teeth.

3. Sleep as comfortably as you can and get enough sleep.


Failure to get enough sleep can worsen both daytime and nocturnal bruxism. In addition, making sure your bed is comfortable as well as your pillow and blankets is a good way to minimize tooth grinding.  Don’t sleep on the couch as that can reduce the quality of your sleep.

4. Eat foods that aren’t particularly hard and avoid acidy foods like tomatoes and citrus.
Acidy foods can sensitize the teeth and your teeth can hurt while eating them. Hard foods can chip away at the enamel of your teeth, furthering the wear on the teeth.
You don’t have to eat a soft diet, just not one that has a lot of hard foods in it like nuts or hard candy.

5. Follow the recommendations of your doctor and dentist. This may mean that you wear a dental appliance when you go to sleep or that you undergo relaxation exercises or take muscle relaxants.
You never know which treatment is going to make the difference so it is worth trying as many as necessary.  Some of the treatments will be temporary while others will be lifelong.
Bruxers tend to be anxious or angry individuals so that the taking of certain antianxiety or other relaxant medication may need to be undertaken for a long period of time-perhaps indefinitely.

It is possible to live a healthy life with bruxism as long as proper measures are taken to reduce stress and to control symptoms. All of this takes a special relationship with your dentist and doctor in order to remain on the proper treatment regimen. Be persistent and your persistence will be rewarded.

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Jul 12

It is important to remember that in some cases, it is completely possible to stop teeth grinding while in others, only the damage to the teeth can be prevented.

Lets have a closer look.

Under the following circumstances, tooth grinding can be completely cured:

  • Fixing the malocclusion
  • Biofeedback
  • Relaxation techniques like yoga and meditation
  • Lifestyle changes, such as eliminating alcohol abuse

These techniques only minimize the bruxism:

  • Muscle relaxants
  • Botox
  • Anti-anxiety medication

This technique only minimizes the damage to the teeth:

  • Oral appliance or mouth guard

Regardless of the method that works for you, there will come a time that you will be relatively free of the damage.  How do you extend that to the rest of your life?

You must see the dentist regularly to make sure no evidence of  is showing up.  You must also remind your sleeping partner to inform you whenever you are showing symptoms of grinding your teeth again.

Most importantly, recovery from bruxism is a lifestyle choice in which you choose a less-stress option in your life so that there is no tension coming out in your jaws.

Should you choose to brush off tension and embrace relaxation, bruxism can be a thing of the past for good.

How to make sure it doesn’t reoccur.

1. Go to the dentist. Regular dental visits are a must.

2. Live as stress free as possible . Learning to control one’s stress is also vital.

3. Sleep as comfortably as you can and get enough sleep.

4. Follow the recommendations of your doctor and dentist.

5. Keep as clean a lifestyle as possible. There are thousands of reasons not to abuse alcohol, caffeine and tobacco. Grinding teeth at night is just one of them.

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Jul 12

Teeth Grinding occurs in about 50% of children. The good news is it is generally mild and resolves without treatment. So for the majority of children who grind their teeth it can be seen as a normal part of childhood and nothing to worry about.

In kids, the first sign is the grinding of the teeth that can be heard while they are sleeping. It sounds like a creaking sound when they grind their teeth together.

Like any medical condition if you are concerned about your child and teeth grinding it is best to consult a medical professional.

If it doesn’t resolve or if bruxism occurs in adults, there are several treatments that can help reduce the incidence of side
effects of the condition.

Children with epilepsy are more likely to be grinding teeth at night.

Lets have a look at some recent studies.

Tonsils. An interesting February, 2008, study looked at children with bruxism who also had some upper airway obstruction due to enlarged tonsils and adenoids.  It was postulated that removing the tonsils and adenoids would reverse or eliminate the bruxism.  The study took 140 children with upper airway blockage and discovered a rate of bruxism of 25.7 percent amongst them.  After having the tonsils and adenoids removed, the rate of bruxism dropped to 7.1 percent.  The study suggests that having the tonsils and adenoids removed may help some children with severe bruxism.

Blocked nasal pagges can be a problem. A related March, 2008, study showed that children with nasal obstruction due to allergies or enlarged adenoids have a much higher chance of night teeth grinding.  In the study, it was found that more than 65 percent of all children with nasal obstruction had some degree of bruxism.  This points again to the possibility of reducing the nasal construction as a means of treatment.

Headaches may be linked.In another study of children with headaches, 26 percent reported bruxism as compared to 16 percent in children who didn’t have headaches.  It was found that sleep disturbances in general were found to be related to the pattern of having headaches in young children.

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Jul 12

There are a lot of different things you can do to stop teeth grinding (bruxism).

Most experts agree that the treatment of bruxism depends upon the nature of the condition and its underlying causes.
For example, if a person bruxes because of malocclusion (abnormal alignment of the bite), oral surgery to correct the abnormal bite can resolve the problem.

  • Mouth guards. A common treatment is an oral protective mouth guard or teeth grinding guard.

This is a plastic mouth guard that fits over the lower teeth to prevent damage to the teeth during bruxing. This works fairly well at night but is not applicable to daytime use.
Mouth guards can be specially fit to the person’s mouth or generic mouth guards can be purchased at certain pharmacies.
If the problem is due to a brain injury or due to a neuromuscular disease, a mouth guard may be the only safe and effective option.
A good mouth guard actually corrects the bite of the person wearing it and reduces tension on the jaw.  This is why having custom-made mouth guards is better than just buying one at the pharmacy or dental supply store.
There are different types of mouth guards and it is worth trying another one if the first one doesn’t work.  Some are made from soft silicon while others are made from a harder plastic.  Some cover the bottom teeth and others cover the top teeth.  Still others cover just the front teeth, keeping the molars separated by the front mouth guard.

  • Orthodontic adjustment of the bite may work.  This involves having braces placed that improve the malocclusion of the teeth and, over time, the teeth move into their correct alignment.

This is a very effective method of treatment; however, it is very expensive and takes up to two or more years to correct the malocclusion.

  • Psychotherapy or counseling:  Talking about some of the root causes of anxiety or anger and frustration can gradually reduce these feelings.

Psychotherapists can help an individual find more direct ways to handle difficult feelings and practicing these techniques can reduce the repressed feelings that led to the problem.
Such treatment can last for several months, depending on the underlying causes of the repressed feelings.  The cost of such treatment can run into several thousand dollars.

  • Medications directed at improving a relaxed state have also been used as treatment.

For example, anti-anxiety medications like alprazolam, lorazepam and clonazepam are used to relax an individual and reduce the extent of the bruxism.
These medications can be prescribed by a family doctor, internist or psychiatrist and are often used when psychotherapy is too expensive or isn’t working.
Medications can also be used along with psychotherapy as a stop gap and can be weaned off once the psychotherapy begins to work.

  • Muscle relaxant. These medications can be a temporary relief from the tension that is the underlying root of night teeth grinding.

Muscle relaxants can be addictive so that should be used on a temporary basis while there is another, more permanent, therapy in the works.
Some physical therapists have expertise in training a person to reduce their grinding.

  • Mouth exercises and biofeedback exercises are done to relax the jaw and keep the teeth clenching at bay.
  • Stress management with a stress management counselor can also manage daytime teeth grinding.

This type of counselor helps the individual recognize and handle all types of stressors in ways that do not include bruxism.
There are many other ways to reduce stress.

  • Yoga and meditation can also make a big difference.

Meditation allows an individual to have more control over their thoughts and their body and yoga is a great form of relaxing exercise.  Using yoga and meditation together provide the best combination of mental and physical advantage.

  • Biofeedback can be an amazingly good way to tackle this condition.

This involves using cues that help a person learn to relax certain muscles, in this case, the jaw muscles.  It is a very effective way of handling bruxism when done by a skilled practitioner of biofeedback.
Biofeedback is only really useful for daytime bruxism as it requires feedback consciously from the muscles.

  • GrindAlert. A biofeedback device called GrindAlert is particularly effective in the biofeedback management of teeth grinding.

It is a device worn around the forehead like a headband that can detect when the initial symptoms of grinding occur. It allows the individual to progressively train oneself to stop grinding and clenching their teeth.
The individual can monitor their progress by seeing their score in the morning and can chart their progress with the device.

  • Hypnosis can be a viable treatment choice.

A qualified hypnotist can work with the individual to reduce the incidence and severity of episodes.

  • Relaxation Exercises. A holistic way of handling grinding and the pain associated with it is to consciously relax your facial muscles and jaw muscles throughout the day.

Relax

Massage the muscles of your face, neck and shoulders regularly.  Search for hot spots or trigger points where the pain is more intense and put finger point pressure on those areas.
Stretch and relax the muscles of your jaw so it isn’t so tense.  Yawn a lot to stretch the jaw muscles.  Apply moist heat to the jaw muscles to help relax them and ease any jaw pain you may have.
Avoid eating hard foods like nuts, hard meats and candies.  Instead, drink a great deal of water during the day to flush out your system.
Learn relaxation techniques and get enough sleep at night.

  • Botox. Botulinum toxin or Botox has been used in treatment of teeth grinding.

The Botulinum toxin is a microbial toxin that, in small doses when injected into muscle, causes several weeks or months of muscular relaxation.  Instead of using it for wrinkles, doctors inject the Botulinum toxin into the jaw muscles, allowing them to relax better and to stop grinding at the teeth.  The injections have to be repeated every few months.

  • Antidepressants. If an individual is taking an antidepressant that causes bruxism, there may need to be a switch to an antidepressant that is less known to cause the problem.

The major point here is that there are a variety of ways to stop grinding teeth. It can be difficult to manage at times so that trying different things might be the only option.

However there is one treatment that we think is the best. In a nutshell it’s a great solution that works for most sufferers and is easy to implement. Click here to find out more about the best way to stop grinding permanently.

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Jul 12

A lot of people suspect they grind their teeth, but aren’t 100% sure. After all they are asleep when it’s supposed to be happening. So here is a guide on how to find out if you are suffering from night time teeth grinding or not.

The simplest way to diagnose night time teeth grinding is simply to notice yourself doing it. Quite possibly why you are on this blog in the first place.


But it is very easy to not notice this in yourself  and it is VERY risky not to do anything about it. So here are some ways of diagnosis :

  • Do you have a family history of grinding teeth in sleep?
  • Are you under a great deal of job or life stress?
  • Do you sleep walk or do you have nightmares at night?
  • Do you clench your teeth when you are angry?
  • Do you drink a great deal of caffeine or eat a lot of chocolate?
  • Do you smoke?
  • Do you drink alcohol, particularly in the evening?
  • Do you use cocaine or Ecstasy?
  • Do you work the graveyard shift?
  • Do you take antidepressants like SSRIs?
  • Are your teeth out of alignment?
  • Do you snore or do you have blocked nasal passages?

If you answered yes to three or more of these questions, it is a possibility that you suffer from some degree of teeth grinding.

One of the biggest problems with teeth grinding during sleep is that it is a subconscious behavior so that unless someone tells the person that they grind their teeth; or unless the person themselves has an awareness of the condition, it often goes undiagnosed.

The best way to diagnose teeth clenching is a good dental exam, looking for signs of wear on the teeth, particularly on the chewing surfaces of the teeth.  Fractured teeth can be seen as well.

In some cases, nocturnal bruxism can be diagnosed by doing a sleep study where the individual is monitored while sleeping.  The tooth grinding can be picked up just by watching the individual as he or she sleeps.  The dentist can identify misaligned teeth, which is a common cause.

A simple way of diagnosing night teeth grinding is through the use of something called a BiteStrip. It is an in-home device that can help diagnose the condition before it does damage to the teeth.  The device is a miniature electromyogram machine (the machine that creates ‘dive bomber’ sound) that can sense jaw muscle activity while a patient is sleeping.
The dentist can use the outcome of the test to detect the frequency of the bruxing and the test can therefore diagnose the disease.

The diagnosis is not always easy unless an individual is observed doing the behavior.

The dentist can find signs of it, including flattening of the bite surface of the teeth, indentations of the tongue, or tooth sensitivity due to exposure of the dentin of the teeth.

While you may think it is pretty easy to ’self diagnose’, like any medical problem it’s always best to check with a health care professional.

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Jul 12

Teeth Grinding can produce numerous symptoms. Here are some questions to ask yourself to see if you have any of them .

  • Do I have painful teeth in the morning?

  • Do I feel pain around the upper jaw below the temples while eating?
  • Does my jaw hurt in the morning?
  • Have my teeth flattened and worn away?
  • Do I have unexplained chips in my teeth?
  • Do I have frequent headaches?

  • Are my teeth sensitive to cold and citrus?
  • Do I awaken frequently during the night?

For a dentist the most obvious sign of tooth grinding is a typical wear pattern on the chewing surfaces of the teeth after prolonged periods of teeth grinding.  Wearing and fractures of the teeth can occur in severe cases, and tooth loss is not out of the question (I should know,it happened to me).

In typical cases of teeth grinding at night, the canine teeth and the incisors (the teeth at the front of the mouth which cut the food) are rubbed across one another causing damage to the inside and chewing surface of the teeth.

As time goes on, grinding your teeth can shorten and blunt the teeth that are being ground down by the excessive chewing behavior. The cusps of the chewing surfaces of the back teeth can become worn down as well.

The muscles involved in bruxism are the same ones that affect the temporomandibular joint. This is the jaw joint just next to (or anterior to) the ear, and is also known as ‘TMJ’.  This is a very strong joint but, over time, it can become inflamed from overuse as seen in night tooth grinding.
This, in turn, can yield to headaches caused by the TMJ inflammation.  Arthritis of the TMJ is possible in very severe cases.

The vast majority of bruxers do not know that they have the condition and fortunately, only 5-10 percent of the total go on to develop more severe symptoms like headache and jaw pain.

Usually, it is only at a visit to the dentist’s office that the problem is uncovered.

If you think you or a loved one suffers, you need to do something and get an accurate diagnosis. If nothing else to confirm whether or not you should be worried.

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Jul 12

The cause of bruxism varies according to the individual and there is no ‘one size fits all’ answer. The most common reasons are :

  • Anxiety or worry
  • Stress

  • Aggressive personality
  • Suppressed anger.
  • People who are ‘type A’ personalities.

Wikipedia defines a type A personality as  “individuals who can be described as impatient, excessively time-conscious, insecure about their status, highly competitive, hostile and aggressive, and incapable of relaxation.They are often high achieving workaholics who multi-task, drive themselves with deadlines, and are unhappy about the smallest of delays. Because of these characteristics, Type A individuals are often described as “stress junkies.”"

  • People who get easily frustrated about something are more inclined to become a bruxer.
  • While there is no personality test that can prove whether or not a person is a bruxer, aspects of one of the most frequently used personality tests in mental health (the Minnesota Multiphasic Personality Inventory) may show increased aggression, anxiety or frustration in an individual grinding teeth at night.
  • Teeth clenching is associated with snoring and daytime sleepiness, perhaps due to a lack of solid, healthy sleep.
  • It is also related to consuming too much caffeine
  • Excessive alcohol consumption or Tobacco use

  • Certain illicit drugs like MDMA (Ecstasy), amphetamines and cocaine.
  • Even antidepressants like SSRIs can cause bruxism in susceptible individuals.
  • In one study, it was reported that bruxism was associated with those workers who did shift work
  • Those who have difficulties initiating sleep.
  • Job dissatisfaction had a great deal to do with the onset of nocturnal teeth grinding.
  • Some research has linked digestive problems with sleep Bruxism
  • When it occurs during the day it is felt to be due in part to malocclusion of the teeth. This is a condition when all of the teeth don’t fit together properly and the malocclusion triggers a grinding response.
  • Hypersensitivity of the dopamine receptors within the brain as a cause.  This may be why Huntington’s chorea and Parkinson’s disease, also related to dopamine, have been linked to the onset of the condition.

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Jul 12

Imagine going to the dentist for a routine checkup only to find out that there is wearing of the chewing of your teeth you didn’t know you had. Your dentist asks you if you grind your teeth and you’re embarrassed to admit that you do not know.

You ask your partner later, who admits you sometimes grind your teeth in your sleep and that he or she has noticed you clench your jaw a lot when you’re stressed out.

You very well may have bruxism (the medical term for night time teeth grinding), a relatively common condition of adults and children in which there is grinding or gnashing of the teeth under certain conditions.

Perhaps you’ve had it for years and now it is starting to show up in your dental visits. Perhaps it’s a condition that you inherited from a parent or other relative as grinding of teeth is inherited in some conditions.  Whether or not, the name of what you’re now called is a bruxer.

Night teeth grinding occurs in 10 percent of the adult population and occurs in nearly 50 percent of children.

It is the result of a rhythmic motion of the chewing muscles that occurs, for the most part, subconsciously and isn’t picked up unless someone notices it happening or unless a dentist notices tooth damage occurring.

Other side effects of nocturnal bruxism can bring a bruxer to medical attention.  Side effects like headaches and problems with the TMJ in the jaw can lead one to seek medical attention.

Bruxism can be part of a range of sleep disorders like sleep walking, nightmares and bed wetting.

It can be mild and easily manageable or it can be severe, causing arthritis of the TMJ and severe tooth damage.

There are a range of treatments available. Ranging from lifestyle adjustments (such as lessening the amount of alcohol drunk) to wearing a bruxism mouthguard, to taking medication.

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