Causes of Teeth Grinding (Bruxism)
The exact causes of teeth grinding and clenching, known as bruxism, are not fully understood. However, several factors can contribute to this condition, including stress, environmental changes, movement disorders, periodic limb movements (PLM), and a general lack of suppression of muscle activity during sleep (such as sleep talking or sleepwalking). It is important to note that the position of your teeth or a misaligned jaw is not believed to be a significant cause of grinding and jaw pain, contrary to popular belief.
Treatment for Teeth Grinding (Bruxism)
If you are only experiencing teeth grinding without any associated discomfort, wearing a custom-fitted mouthguard can help protect your teeth from damage. However, if you are experiencing pain and jaw locking, a comprehensive evaluation by Dr. Reddy & Dr. Kodali is necessary. They will assess your condition and develop a personalized treatment plan to address all the issues related to your discomfort, including teeth protection, headaches, and jaw snapping.
Symptoms and Side Effects of Teeth Grinding
Bruxism can exert excessive strain on the surfaces of your teeth, leading to the need for dental fillings and crowns. It can also cause small fissures that reach the nerve inside the tooth, potentially requiring a root canal procedure. Prolonged teeth grinding can make it difficult for the teeth to remain firmly rooted in the bone, increasing the risk of tooth loss. Additionally, individuals who grind their teeth often experience complications with their temporomandibular joint (TMJ) and may also suffer from headaches.
Treatment Approaches for Bruxism
A thorough evaluation is essential to identify and address any underlying causes of bruxism. Many patients find relief through the use of custom-designed mouthguards, which stabilize the jaw and provide cushioning for the teeth. These mouthguards not only alleviate muscle pain, joint locking, and headaches but also protect the teeth. It is crucial for mouthguards to be custom-made using high-quality materials and design techniques to effectively treat bruxism. Furthermore, these mouthguards are extremely comfortable and do not interfere with normal sleep patterns.
In some cases of severe sleep bruxism, Botox© injections into the jaw muscles may be considered to temporarily reduce clenching forces on the teeth. However, this procedure is not suitable for all patients, and it is important to undergo a thorough evaluation by a TMJ & Orofacial Pain Specialist like Dr. Reddy & Dr. Kodali prior to considering this option. It should be noted that Botox© treatment for TMJ disorders and bruxism is considered off-label, and there may be rare side effects such as a decrease in jaw bone density and undesired changes to facial structure. To determine if Botox© is a suitable option for you, please schedule an appointment at our office.