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Bruxism: This is a clenching of the teeth, associated
with forceful jaw movements, resulting in rubbing, gritting, or grinding
together of the teeth. It is common in persons with disabilities. Bruxism
usually occurs at night during sleep, but can take place throughout the
day.
Bruxism (teeth grinding) occurs in about 15% of people. The
teeth are ground together or the jaw clenched tightly during sleep. It can be
mild and occasional or it can become so frequent and/or violent that the teeth
are damaged. This habit, continued consciously or unconsciously over a period
of time, can result in tooth abrasion and loss of tooth structure.
In permanent teeth, bruxism can lead to peridodontal disease
(bone loss) and/or jaw joint disorder (headaches, facial and ear pain, etc.)
Bruxism can be diagnosed at a routine dental visit.
The cause in some cases is an abnormal dental occlusion. This
is the way the upper and lower teeth fit together when the person shuts the
mouth. More often, the disorder is associated with anxiety, tension, and
suppressed anger. Bruxism is usually worse after intake of alcohol.
Treatment may include bite adjustments, or bite guard
appliance. Sometimes no treatment is necessary or possible.
The goal of treatment is to prevent permanent damage to the
teeth and reduce pain. A night guard or protective dental appliance may be
helpful if bruxism is severe enough to cause damage to the teeth or pain to jaw
muscles. Orthodontic adjustment of the occlusion or bite pattern may be
beneficial for some people. Professional chiropractic adjustments of the jaw
area may also be beneficial.
Professional counseling may help the afflicted person to
express anger and deal with anxiety or stress. Relaxation or stress management
techniques can be beneficial in reducing anxiety or stress. Alcohol use should
be minimized. |
