Bruxism

• A
• B
• C
• D
• E
• F
• G
• H
• I
• J
• K
• L
• M
• N
• O
• P
• Q
• R
• S
• T
• U
• V
• W
• X
• Y
• Z

Teeth grinding and clenching

The goals of treatment are to reduce pain, prevent permanent damage to the teeth, and reduce clenching behaviors as much as possible.

To help relieve pain, there are may self-care steps you can take at home. For example:

• Relax your facial and jaw muscles throughout the day. The goal is to make facial relaxation a habit.
• Massage the muscles of the neck, shoulders, and face. Search carefully for small, painful nodules called trigger points that can refer pain throughout the head and face.
• Learn physical therapy stretching exercises to help the restore a normal balance to the action of the muscles and joint on each side of the head.
• Apply ice or wet heat to sore jaw muscles. Either can have a beneficial effect.
• Avoid eating hard foods like nuts, candies, steak.
• Drink plenty of water every day.
• Try to reduce your daily stress and learn relaxation techniques.
• Get plenty of sleep.

To prevent damage to the teeth, mouth guards or appliances (splints) have been used since the 1930s to treat teeth grinding, clenching, and TMJ disorders. A splint may help protect the teeth from the pressure of clenching. It may also actually help reduce clenching behaviors, but some people find that it makes their clenching worse. In others, the symptoms go away as long as they use the splint, but pain returns when they stop or the splint loses its effectiveness over time.

There are many different types of splints. Some fit over the top of the teeth, some on the bottom. They may be designed to keep your jaw in a more relaxed position or provide some other function. If one type doesn't work, another may.

For example, a splint called the NTI-tss fits over just the front teeth. The idea is to keep all of your back teeth (molars) completely separated, under the theory that most clenching is done on these back teeth. With the NTI, the only contact is between the splint and a bottom front tooth.

As a next phase after splint therapy, orthodontic adjustment of the bite pattern may be beneficial for some people. Surgery should be considered a last resort.