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Grinding your teeth may lead to other problems

  • Published
Bruxism is the technical term for grinding and clenching of the teeth that may cause facial pain, according to dental officials.

People who grind and clench their teeth, called bruxers, unintentionally bite down too hard at inappropriate times, such as in their sleep. In addition to grinding teeth, bruxers also may bite their fingernails, pencils and chew the inside of their cheek.

People usually aren't diagnosed with bruxism until it is too late, as many people don't realize they have the habit, according to the Academy of General Dentistry.

Others mistakenly believe that their teeth must touch at all times. About one in three people suffer from bruxism, which can easily be treated by a dentist.

Signs and Symptoms
Signs and symptoms of bruxism may include:
Teeth grinding or clenching, which may be loud enough to awaken your sleep partner
Teeth that are worn down, flattened, fractured or chipped
Worn tooth enamel, exposing deeper layers of your tooth
Increased tooth sensitivity
Jaw pain or tightness in your jaw muscles
Enlarged jaw muscles
Earache--because of severe jaw muscle contractions, not a problem with your ear
Headache
Chronic facial pain
Chewed tissue on the inside of your cheek
Indentations on your tongue

Causes
Possible physical or psychological causes may include:
Anxiety, stress or tension
Suppressed anger or frustration
Aggressive, competitive or hyperactive personality type
Abnormal alignment of upper and lower teeth (malocclusion)
Changes that occur during sleep cycles
Complication resulting from a disorder, such as Huntington's disease or Parkinson's disease
An uncommon side effect of some psychiatric medications, including certain antidepressants.
Response to pain from an earache or teething

Complications
In most cases, bruxism doesn't cause serious complications. But severe bruxism may lead to:
Damage to your teeth (including restorations and crowns) or jawTension-type headaches
Facial pain
Pain in the temporomandibular joint (TMJ), located just in front of your ears and felt when opening and closing your mouth

When to see your dentist
See your doctor or dentist if:
Your teeth are worn, damaged or sensitive
You have pain in your jaw, face or ear
Others complain that you make a grinding noise while you sleep

Treatments
Stress Management--professional counseling or strategies that promote relaxation, such as exercise and meditation
Splints--usually constructed of hard acrylic and fit over your upper or lower teeth
Mouth guards--available over the counter and from your dentist
Correcting misaligned teeth--In severe cases--when tooth wear has led to sensitivity or the inability to chew properly--your dentist may need to use overlays or crowns to entirely reshape the chewing surfaces of your teeth. Reconstructive treatment can be quite extensive and though it will correct the wear, it may not stop the bruxism.

If you are experiencing any of the signs or symptoms of bruxism, please call the Grand Forks Air Force Base Dental Clinic at DSN 362-5393 or 701-747-5393 to schedule an appointment.

USAF. (U.S. Air Force Graphic by Rosario "Charo" Gutierrez)