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Bruxism

Bruxism refers to an oral parafunctional activity that occurs in most humans at some point in their lives.   Grinding of the teeth and clenching of the jaw are the two main characteristics of this condition, which can occur during the day or at night.

Bruxism is one of the most common known sleep disorders and causes most of its damage during sleeping hours.  The clenching and grinding which accompanies bruxism is symptomatic of a malfunctioning chewing reflex, which is turned off in non-sufferers when sleeping.  For sufferers, deep sleep or even naps cause the reflex nerve control center in the brain to turn off and the reflex pathways to become active.

Typically, the incisors and canines (front 6 upper and lower teeth) of opposing arches grind against each other laterally.  This side to side action puts undue strain on the medial pterygoid muscles and the temporomandibular joints.  Earache, depression, headaches, eating disorders, and anxiety are among the most common symptoms of bruxism; these symptoms also accompany health issues such as chronic stress, Alzheimer’s disease, and alcohol abuse.

Bruxism is frequently misdiagnosed or not diagnosed at all, because it is only one of several potential causes of tooth wear.  Only a trained professional can tell the difference between bruxing wear and wear caused by overly aggressive brushing, acidic soft drinks, and abrasive foods.

A BiteStrip® is an economical device used to diagnose bruxism at home.  The device itself is a small electromyography which senses and monitors any activity in the jaw muscles during sleep.  The frequency and severity of the condition can then be assessed and the best treatment plan can be formulated.

Reasons for the treatment of bruxism

Here are some of the main reasons why bruxism should be promptly treated:

  • Gum recession and tooth loss – Bruxism is one of the leading causes of gum recession and tooth loss. It damages the soft tissue directly and leads to loose teeth and deep pockets, where bacteria can colonize and destroy the supporting bone. 
  • Occlusal trauma – The abnormal wear patterns on the occlusal (chewing) surfaces can lead to fractures in the teeth, which may require restorative treatment.
  • Arthritis – In severe and chronic cases, bruxing can eventually lead to painful arthritis in the temporomandibular (TMJ) joints (the joints that allow the jaw to open smoothly).
  • Myofascial pain – The grinding associated with bruxism can eventually shorten and blunt the teeth.  This can lead to debilitating headaches and muscle pain in the myofascial region.
Treatment options for bruxism

There is no single cure for bruxism, though a variety of helpful devices and tools are available.  Here are some common ways in which bruxism is treated:

  • Mouthguards – An acrylic mouthguard can be designed from tooth impressions to minimize the abrasive action of tooth surfaces during normal sleep.  Mouthguards should be worn on a long-term basis to help to stabilize the occlusion as well as prevent damage to teeth and to the temporomandibular joint.
  • NTI-tss device – This device is fitted by a health professional and only covers the front teeth.  The goal of the NTI-tss is to prevent the grinding of the rear molars by limiting the contraction of the temporalis muscle.
  • Botox® – Botox® can be injected into the muscles to relax and weaken them.  Botox® is an excellent treatment for bruxism because it weakens the muscles enough to prevent grinding but not enough to interfere with everyday functions like chewing and speaking.

Other methods of treatment include relaxation exercises, stress management education, and biofeedback mechanisms.  When the bruxing is under control, there are a variety of dental procedures such as crowns, gum grafts, and crown lengthening that can restore a pleasant aesthetic appearance to the smile.

If you have questions or concerns about bruxism, please contact our office.

Testimonials.

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Testimonials

Dr. K was kind enough to examine my situation and create a mouth night guard for me. The guard really helped to ease the pain of grinding my teeth at night. She helped explain what was happening to my jaw/joints/teeth and was able to create the guard in a few days. Thanks Dr. K and Ana!

Kristina L.

I sought out dental services by Dr. Kasparian after hearing about her through a colleague at work. She came highly recommended. Happy to say that I've been a satisfied patient of hers since January 2012. My oral hygiene wasn't the best that it could've been back when I first started going to Dr. Kasparian. She was very direct in her recommendations and I appreciated her honesty in describing to me the reality of the situation in how I was going to need to improve my oral hygiene. I have taken her consultations seriously and my teeth are the best they've been. She is the type of dentist who makes you want to follow her advice because she knows what she's talking about. I recommend her to anyone who wants superior service for dental hygiene. Also, her staff are always so nice!

Marissa B.

I was referred to Dr. Kasparian through a coworker after avoiding the dentist for well over 3 years (oops). Upon my first appointment with her, I quickly realized how thorough and knowledgeable she was about dentistry and improving the state of my mouth.

Because it had been years since receiving any dental service, my teeth required extensive help. Dr. Kasparian and her staff were wonderful, patient, and friendly throughout the whole experience. I actually enjoyed going to the dentist, knowing that my oral hygiene was in the hands of a dentist with vast experience in the field and who truly had my best interests in mind.

Now that my teeth are at their healthiest they've been in ages, I must highly recommend Dr. Silvia Kasparian to anyone in need of a dentist. She'll make sure your teeth receive all the attention they require and will set you up with an awesome oral hygiene regimen to get your smile looking as beautiful as possible.

Also, once you've completed all of your necessary treatments, you get a free professional grade teeth whitening kit that is legit. I'm telling you... your smile will be looking beautiful once Dr. Kasparian is through with it.

Chelsea M.

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