Aug 17

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Coping with Tooth Grinding.

A 2007 study looked at coping skills when compared to those without the disorder.  It looked at a group of bruxers and a control group to determine their coping strategies.  Using the German coping questionnaire, it was found that there was a significant difference in the coping strategies in bruxers when compared to controls.

There appeared to be less functional coping in bruxers when compared to controls.  This points to the possible benefit of psychotherapy in the treatment of some individuals.

A Definitive Treatment for Bruxism?

A 1997 review study looked at all the different treatments as to their effectiveness.  The study noted that there is no definitive treatment for the disorder.   The study compared patients using oral devices and patients taking medication (clonidine).

It determined that both methods were helpful in reducing effects of bruxism but that mandibular advancement devices and clonidine had some adverse effects linked to them.  The occlusal splint was therefore felt to be the recommended treatment of choice.

It also said that clonazepam treatment was effective but felt that because it can cause dependency, it should be a lesser used treatment.

Splints.

Another 2007 study looked at the effectiveness of occlusal splints on controlling bruxism.  They looked at a comparison between alternative treatments, occlusive splints and no treatment.  Some of the treatments used were the palatal splint, the mandibular advancement device a TENS unit (which blocks pain signals in the face) and no treatment.

It was found that the occlusal splint did not improve sleep outcome but that it was effective in reducing tooth wear.  In other words, the grinding was still occurring but there was less damage to teeth as a result.

Antidepressants.

A 2007 Netherlands study reported on fourteen reports it had on SSRIs (antidepressants) causing new cases of bruxism.  It noted that there have been several reports in the literature of SSRIs causing bruxism and recommended that bruxism be asked about as a possible side effect in patients who have been prescribed this type of drug.

There are hundreds of studies out there on this subject and some disagree with one another.  This is partly because the condition is difficult to treat and there is no single way of treating it that everyone can turn to.

Each case is unique and the sufferer must look for a way to treat it that works the best for them.

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Aug 2

Here are some more summaries of Teeth Grinding research that has been done. Any thoughts or questions then please let us now. More coming soon…. :)

Sleep Study.

A study in 2003 looked at doing polysomnography or sleep studies in patients with possible bruxism who had dental implants.  Such patients often had loosening of their implants and misplacement of their implants due to possible bruxing behavior.

A study group was treated to polysomnography to see whether or not the sleep study would be able to identify the night time teeth grinding.  In fact, the sleep study was an excellent way to identify bruxism in patients with dental implants.

Presumably, polysomnography would be a good way to detect nocturnal bruxism in patients without implants as well.

Groaning.

Bruxism and nocturnal groaning were compared in a January, 2008, study.  Nocturnal groaning is a nocturnal monotonous sound occurring during the expiratory phase of breathing.

While nocturnal groaning is less common than teeth griding, the two behaviors have been found to be closely linked.  This means that if a sleep partner notices nocturnal groaning sounds, an evaluation should be undertaken to make sure that undiscovered bruxism doesn’t exist.

Sleep Arousal.

A 1998 study found that bruxism is related to sleep arousal.  In normal sleep, there are transient arousals occurring at 20-40 second intervals.  During sleep studies of bruxism patients and comparing the studies to controls, it was found that bruxers showed a marked increase in the number of transient sleep arousals during the night.

A total of 88 percent of episodes occurred during non-REM sleep, which is when sleep arousal occurs.  Leg jerking was noticed during episodes as well.  It appears from this study that bruxers don’t get a solid night’s rest when compared to normal controls.

Bite Splints.

A 1999 study looked at the various bite splints for bruxism and especially looked at the risks of using such splints.  It was found that there was a risk of tooth damage when using mandibular (lower jaw) splints for more than a couple of months.

According to the study, the splint should be a temporary measure during which time the patient should be working on stress reduction or the fixing of malocclusion of the teeth.  The recommendation didn’t differentiate between the materials used to make the bite splints, which can be made from composite, acrylic or silicon.

A related study indicated that oral splints should be used as temporary crutches for those with bruxism and/or TMJ dysfunction.

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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

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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