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Teeth grinding (bruxism)

Bruxism, or teeth grinding, can cause problems with teeth, jaw pain, earache and headaches.

Bruxism is often caused by stress, and in many cases it happens during the night while a person is asleep.

Up to one in 10 adults and children in the UK experience teeth grinding, with the condition being most common between 25 and 44.

Why do people grind their teeth?

Although teeth grinding can be caused by stress and anxiety, it often occurs during sleep and can also be caused by an abnormal bite, or missing or crooked teeth.

How do I find out if I grind my teeth?

Because it often occurs during sleep, most people are unaware that they grind their teeth. However, a dull, constant headache or a tender or painful jaw is a definite symptom of bruxism. People often first learn that they grind their teeth from their partner who hears the grinding at night.

If you suspect you may be grinding your teeth, talk to your dentist. He or she can examine your mouth and jaw for signs of bruxism, such as jaw tenderness and abnormalities in your teeth.

Why is teeth grinding harmful?

In some cases, long-term teeth grinding can result in a fracturing, loosening or even loss of teeth. The chronic grinding may wear teeth down to stumps. When these events happen, bridges, crowns, root canals, implants, partial dentures and even complete dentures may be needed.

Not only can severe grinding damage teeth and result in tooth loss, it can also affect your jaw and jaw joints, result in earache, cause or worsen jaw joint (temporo-mandibular joint) disease, and even change the appearance of your face.

What can I do to stop grinding my teeth?

Your dentist can fit you with a mouth guard to protect your teeth from grinding during sleep.

If stress is causing you to grind your teeth, ask your GP about options to reduce your stress. Attending stress counselling, starting an exercise programme, seeing a physiotherapist or obtaining a prescription for muscle relaxants are among some of the options that may be offered.

Other tips to help you stop teeth grinding include:

  • Avoid or cut back on foods and drinks that contain caffeine, such as colas, chocolate, tea and coffee.
  • Avoid alcohol. Grinding tends to intensify after alcohol consumption.
  • Do not chew on pencils or pens or anything that is not food. Avoid chewing gum as it allows your jaw muscles to get more used to clenching and makes you more likely to grind your teeth.
  • Train yourself not to clench or grind your teeth. If you notice that you clench or grind during the day, position the tip of your tongue between your teeth. This practice trains your jaw muscles to relax.
  • Relax your jaw muscles at night by holding a warm flannel against your cheek in front of your earlobe.
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