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    • What Is Bruxism and why you want to avoid it!

    MD Perio What Is Bruxism and why you want to avoid it!

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    You are here: Home / Periodontics / What Is Bruxism and why you want to avoid it!


    Bruxism is the practice or habit of grinding, clenching, or gnashing one’s teeth. Given today’s world, the most surprising thing about bruxism is that we don’t all have it.

    In dentistry terms, bruxism is an involuntary, chronic, and usually nocturnal habit of teeth grinding. A person with bruxism is often unaware of having it, at least until the symptoms make discovery inescapable.

    Woman in bed grinding teeth

    Cases of grinding and clenching teeth are increasing

    In a survey conducted last March by the American Dental Association (ADA), 70% of responding dentists reported a recent increase in patients experiencing teeth grinding and clenching.

    “Our polling has served as a barometer for pandemic stress affecting patients and communities seen through the eyes of dentists,” said an ADA spokesperson. “The increase over time suggests that stress-related dental conditions have become substantially more prevalent since the onset of coronavirus.”

    So, it seems an informational update on bruxism could be appropriate and useful.

    How did bruxism get its name?

    It may sound like a harsh Eastern European political philosophy, but “bruxism” is actually derived from a Greek word (brychien), which means gnashing of teeth. The word “bruxism” in the context of oral health was first used by Bertrand Frohman, MD, in a 1931 treatise entitled “Application of Psychotherapy to Dental Problems.”

    Sleep bruxism and awake bruxism

    Bruxism is generally separated into two semi-distinct problems: sleep bruxism, which occurs nocturnally, and diurnal (or awake) bruxism, which happens during the day.

    Nocturnal bruxism is considered a sleep disorder, related in some respects to conditions such as snoring and intermittent cessation of breathing during sleep, a.k.a. sleep apnea.

    What are the symptoms of bruxism?

    Sleep bruxism and awake bruxism exhibit the same symptoms, which may include:

    Graphic of healthy teeth versus teeth with Bruxism
    • Teeth grinding during sleep, which may be audible enough to wake a sleep partner.
    • Flattening, fracturing, chipping, or loosening of teeth.
    • Tooth wear eroding the tooth enamel, which may, in turn, expose inner layers of the affected teeth.
    • Increased tooth pain or sensitivity.
    • Tired and/or tight jaw muscles, or a sore jaw that becomes locked in either a closed or open position.
    • Jaw pain, facial pain, neck pain, or earache. This pain can emanate from facial muscles or from the temporomandibular joint (TMJ), where the jaw joint connects to the skull. In other words, bruxism can be a cause of temporomandibular disorders.
    • Headaches emanating from the temples.
    • Soreness from biting damage to the inside of the cheek.
    • Sleep disruption. Bruxism can be disruptive enough to often wake the patient.

    What causes teeth grinding?

    The Sleep Foundation acknowledges that “it’s usually not possible to identify one single cause for why people grind their teeth.”

    However, the Sleep Foundation joins with the Mayo Clinic in identifying several factors that appear to increase the risk of incurring bruxism. These risk factors include:

    Stress and anxiety

    These seem to head each and every list of bruxism’s causes.

    Age

    Bruxism is common in young children, especially those with ADHD (attention deficit hyperactivity disorder). This sort of bruxism usually disappears with age.

    Disposition

    Having an aggressive, competitive, or hyperactive personality can increase the risk of bruxism.

    Negative lifestyle choices

    According to the Mayo Clinic, lifestyle choices such as smoking tobacco and/or excessive use of alcohol or recreational drugs, are sometimes linked to bruxism.

    Malocclusion

    One potential cause of bruxism is not related to a patient’s psychology. Malocclusion, or bad bite, is a condition in which the patient’s teeth don’t properly fit with each other.

    Mixed dentition is a stage of a child’s teeth development where the emerging permanent teeth are larger than the baby teeth, causing occlusal misalignment. This condition naturally causes a subconscious effort (i.e., teeth grinding) to create proper alignment.

    A side effect of various antidepressant medications

    The medications most often linked with bruxism are SSRIs, which, ironically enough, are prescribed for depression, anxiety, panic disorder, the downside of bipolar disorder, and other conditions requiring stress management.

    Bruxism treatments

    Woman placing nightguard to help with Bruxism

    Bruxism does not always require treatment. Most children who have it outgrow it without lasting harm. Many cases, however, both juvenile and adult, are serious enough to require treatment.

    Naturally enough, the treatment options correspond to the identified causes. When the cause appears to be malocclusion or mixed dentition, orthodontic appliances that fit over the teeth, known as “mouth guards” or “night guards,” are often the appropriate remedy.

    Night guards can protect your teeth from Bruxism?

    A night guard is a dental appliance made of resilient materials. They are designed to deal with the consequences of bruxism by protecting the top teeth from grinding down the bottom teeth. When properly fitted, they also redistribute the grinding forces, relax the masticating muscles, stabilize TMJ disorders, and thus reduce bruxism and its consequences.

    Although they do not eliminate the underlying cause when bruxism is from mental and emotional difficulties, night guards are critically important to reduce the terribly negative effects of clenched jaws and grinding teeth.

    Although generic over-the-counter models are available, custom-made night guards are preferable. They are made from impressions of the patient’s own dentition and are more comfortable than the over-the-counter models. Comfort increases patient compliance for obvious reasons; who wants to wear something that is uncomfortable?

    Treating anxiety and teeth-grinding

    When stress and anxiety cause bruxism, strategies for mental and physical relaxation are most appropriate. Psychotherapy may eliminate or reduce the patient’s anxious response to stressors.

    Biofeedback is a treatment that uses electronic instruments to measure muscle activity. It can teach patients to reduce that activity when the biting force becomes excessive.

    Bruxism pain relief

    Physicians and dentists have prescribed a wide array of medications to treat bruxism. These include benzodiazepines, anticonvulsants, beta-blockers, dopamine agents, Botox, and muscle relaxants.

    While these medications have been frequently found to be effective against bruxism, many of them are inappropriate for long-term use.

    Last thoughts on bruxism

    Bruxism is mysterious enough to be fascinating. Its origins are ambiguous, myriad, and vague. Its treatments are correspondingly complex.

    Bruxism has considerably less intellectual appeal to the patient who suffers from it. Fortunately, for those who don’t naturally and painlessly outgrow bruxism, an array of effective remedies is available.

    Why MD Periodontics should be your Los Angeles periodontists

    Two of the most trusted and respected periodontists and holistic dentists in Southern California comprise the board-certified husband and wife team of Dr. Abdy Moshrefi, DDS, and Dr. Nazanin Daneshmand, DDS.

    At our beautiful Beverly Hills offices, MD Periodontics offers patients the best periodontic treatment that Los Angeles has to offer. Our holistic approach to dentistry ensures that the treatment you receive will utilize the least toxic materials available, the most advanced technology, and amenities including aromatherapy to minimize discomfort and stress during procedures. You’ll experience a supportive atmosphere you would never expect to find at a dental office and results that you will love.

    To schedule a consultation, click here or call us at (310) 859-9449. Your smile will thank you!

    We are conveniently located to patients throughout the metropolitan Los Angeles area. Our board-certified periodontists and implant dentistry experts are available at locations in or near Beverly Hills, Santa Monica, West Los Angeles, Culver City, West Hollywood, Downtown Los Angeles, Marina del Rey, Pacific Palisades, Malibu, Manhattan Beach, Sherman Oaks, and Encino.

    • About
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    Dr. Abdy Moshrefi
    Dr. Moshrefi has a passion for helping people recover their oral health and as a result, giving them great confidence and improved quality of life. He is well known among his patients for his masterful dental skills as well as his warm and confident bedside manner.

    Dr. Moshrefi, a board-certified periodontist, graduated from UCLA in 1995 with Phi Beta Kappa and Magma Cum Laude honors. He graduated from USC’s Dental School in 2002 with a doctoral and specialty training in Periodontics and has a Master of Science degree in craniofacial biology.
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    Latest posts by Dr. Abdy Moshrefi (see all)
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    The Clinic has not checked on the majority of the websites or links connected to its website and is not in charge of the substance of any such connected webpage. The incorporation of any connection does not infer support by the Clinic of the site. Utilization of any such connected site is at the user’s own risk.

    7. Site Terms of Use Modifications
    The Clinic may update these terms of utilization for its website whenever without notification. By utilizing this site you are consenting to be bound by the then-current form of these Terms and Conditions of Use.

    8. Governing Law
    Any case identifying with the Clinic’s site should be administered by the laws of the country of the United States of America and the General Terms and Conditions applicable to Use of a Web Site.

    Privacy Policy

    Your privacy is critical to us. Likewise, we have built up this Policy with the end goal that you should see how we gather, utilize, impart and reveal and make utilization of individual data. The following blueprints are our privacy policy.

    • Before or at the time of collecting personal information, we will identify the purposes for which information is being collected.
    • We will gather and utilization of individual data singularly with the target of satisfying those reasons indicated by us and for other good purposes, unless we get the assent of the individual concerned or as required by law.
    • We will just hold individual data the essential length for the satisfaction of those reasons.
    • We will gather individual data by legal and reasonable means and, where fitting, with the information or assent of the individual concerned.
    • Personal information ought to be important to the reasons for which it is to be utilized, and, to the degree essential for those reasons, ought to be exact, finished, and updated.
    • We will protect individual data by security shields against misfortune or burglary, and also unapproved access, divulgence, duplicating, use or alteration.
    • We will promptly provide customers with access to our policies and procedures for the administration of individual data.

    We are focused on leading our business as per these standards with a specific end goal to guarantee that the privacy of individual data is secure and maintained.