Custom-made mouthguards are more expensive than OTC options, but may be a better choice for some people. Custom-made mouthguards come in varying degrees of thickness.
OTC nighttime mouthguards are typically made of plastic. OTC mouthguards may not be as effective for severe bruxism as custom-made types, but their low cost may make them an attractive and viable solution for people with minor teeth grinding.
Reductive coronoplasty is a dental procedure that may be used to reshape or level the biting surface of your teeth. It may be effective if your teeth grinding is caused by crowded, misaligned, or crooked teeth. In some instances, a second procedure called additive coronoplasty may be used to build up the teeth.
Your dentist can perform either procedure. In a meta-analysis of four studies, researchers found evidence that injections of botulinum toxin Botox may reduce pain and the frequency of teeth grinding in otherwise healthy participants. However, researchers who conducted a later study determined that more research is needed to confirm the safety and effectiveness of using Botox for the treatment of teeth grinding.
Discuss the benefits and risks with your doctor before beginning Botox injections to treat bruxism. For this procedure, a medical professional will inject small amounts of Botox directly into the masseter.
This is a large muscle that moves the jaw. Doing so may alleviate teeth grinding and related headaches. The injections may need to be repeated. Benefits typically last for three to four months. Biofeedback is a technique designed to help people become aware of and eliminate a behavior.
It can be used to alleviate both sleep and awake bruxism. During biofeedback, a biofeedback therapist will teach you how to control your jaw muscle movements through visual, vibratory, or auditory feedback generated from electromyography.
One review found evidence that there may be short-term benefits when done with contingent electrical stimulation. More research is needed to understand the long-term benefits and effectiveness with other biofeedback methods. For some people, teeth grinding may be linked to mental health issues like stress, depression, and anxiety. More research is needed to link bruxism to these conditions, though.
If you grind your teeth, stress-reduction techniques may help in some cases. Meditation may help reduce stress and alleviate anxiety, pain, and depression. Try downloading a meditation app or joining a meditation group. Meditation takes practice. It may be best used in conjunction with other treatments, too. Find out which type of meditation is best for you. In particular, teeth grinding is sometimes linked to a type of antidepressant known as a selective serotonin reuptake inhibitor SSRI.
Examples of SSRIs include paroxetine , fluoxetine and sertraline. If you snore or have a sleep disorder, such as obstructive sleep apnoea OSA , you're more likely to grind your teeth while you sleep. OSA interrupts your breathing while you sleep. Other factors that can make teeth grinding more likely, or make it worse, include:. Teeth grinding can also affect children. It tends to happen after their baby teeth or adult teeth first appear, but usually stops after the adult teeth are fully formed.
See a GP if you're concerned about your child's teeth grinding, particularly if it's affecting their sleep. Page last reviewed: 04 May Next review due: 04 May Overview - Teeth grinding bruxism Contents Overview Treatment. It often happens during sleep, or while concentrating or under stress.
Symptoms of teeth grinding Symptoms of teeth grinding include: facial pain headaches earache pain and stiffness in the jaw joint temporomandibular joint and surrounding muscles, which can lead to temporomandibular disorder TMD disrupted sleep for you or your partner worn-down teeth, which can lead to increased sensitivity and even tooth loss broken teeth or fillings Facial pain and headaches often disappear when you stop grinding your teeth.
About teeth grinding Symptoms of teeth grinding Signs of teeth grinding Risk Factors for tooth grinding Teeth grinding in children Treatment for teeth grinding Where to get help. About teeth grinding Bruxism is the involuntary clenching, grinding and gnashing of the teeth. Signs of teeth grinding Problems caused by teeth grinding may include: cracked tooth enamel more wear and tear on the teeth than is normal broken teeth or broken restorations for example, fillings strain on the jaw joint temporomandibular joint pain in the jaw joint or limited movement sore jaw muscles tooth loss rare enlargement of the jaw muscles rare teeth being more sensitive to hot and cold things.
Risk Factors for tooth grinding Stress and anxiety Alcohol Smoking Caffeine Snoring Obstructive Sleep Apnoea Drugs: Antidepressants, anti-psychotics, amphetamines, cocaine Your dentist or other oral health professional can assess the influence of these factors.
Teeth grinding in children Many parents will have noticed the sound of their children grinding their teeth at some point, often as they sleep. The main risk factors for tooth grinding in children include: Pain when teeth are coming through Emotional stress and anxiety Medications such as antidepressants, anti-psychotics Medical conditions such as cerebral palsy, Attention Deficit Hyperactivity Disorder ADHD.
Treatment for teeth grinding If you think you grind your teeth, speak with your dentist or other oral health professional. In most cases, a bite splint will only help with the symptoms and will not stop you from grinding altogether.
Management of bruxism can include: stress management therapy relaxation techniques cognitive behaviour therapy hypnotherapy good sleep hygiene regular exercise. Where to get help Your dentist Dental Health Services Victoria provides public dental services through the Royal Dental Hospital Melbourne and community dental clinics, for eligible people. For more information about public dental services Tel. Teeth grinding , Australian Dental Association.
Tooth wear in the child and youth British Dental Journal. Give feedback about this page. Was this page helpful?
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