Bruxism

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Finally, there have been numerous approaches to try to help people unlearn their clenching behaviors. These are more successful for daytime clenching, since nighttime clenching is cannot be consciously stopped. In some people, just relaxing and modifying daytime behavior is enough to reduce nighttime bruxism. Methods to directly modify nighttime clenching have not been well studied. They include various biofeedback devices, self hypnosis, and other alternative therapies.

Bruxism is not a dangerous disorder. However, it can cause permanent damage to the teeth and uncomfortable jaw pain, headaches, or ear pain.

If clenching leads to jaw pain, this in turn can lead to insomnia, depression, and eating disorders. Clenching and grinding can worsen existing dental or TMJ problems. Nightly grinding can awaken roommates and sleeping partners.

See a TMJ specialist immediately if you are having trouble eating or opening your mouth. Keep in mind that a wide variety of possible conditions can cause TMJ symptoms, from arthritis to whiplash injuries. Therefore, see a TMJ specialist for a full evaluation if self-care measures do not help within several weeks.

Grinding and clenching does not fall clearly into one medical discipline, and TMJ specialists have a variety of treatment approaches. For a massage-based approach, look for a massage therapist trained in trigger point therapy, neuromuscular therapy, or clinical massage, particularly as it applies to TMJ disorders.

Dentists who specialize in evaluating and treating TMJ disorders will typically perform x-ray exams and prescribe a mouth guard. Surgery is now considered a last resort by the vast majority of TMJ experts.

Review Date: 07/20/2006
Reviewed By: Johanna Jacobs, D.D.S., General and Cosmetic Dentistry, New York, NY. Review provided by VeriMed Healthcare Network.