To Grind or Not to Grind? Dental Debacle Exposed

Information & Alternative Treatments for Bruxism Go Beyond Dentist

Nov 13, 2009

Learn about the causes and solutions to this gnawing tooth grinding problem that affects a significant segment of the population.

Tooth grinding can be traced back to Biblical times when it was referred to as “gnashing.” The modern day dental term for this is "bruxism." Bruxism is a diurnal or nocturnal para-functional activity that includes tooth clenching, bracing, gnashing and grinding. This tooth quandary is of great interest to dentists, oral surgeons, psychologists, neurologists, primary care physicians and others who provide treatment. Although many etiologic factors such as stress and occlusal disorders have been proposed, bruxism’s exact pathophysiology still is unknown. The American Dental Association (ADA) states that up to 50% of the American population has experienced some form of bruxism or teeth grinding condition at some point in their lives. Approximately 20% of the adult population and an estimated 25-33% of children have a chronic problem.

Most Dentists Pay Attention to Only the Effects of Tooth Grinding

Over the years, continuous grinding will flatten teeth, which can first be identified as the cuspids appearing flattened in the smile. Some patients make noises in their sleep and/or complain of sleeping disorders. One of the first signs of this growing problem is tooth sensitivity because of the flexing that results. This area can become very sensitive and indentations appear with time. The constant pressure can result in gum inflammation and early loss of traumatized teeth if not treated. Many patients develop large bone bumps as the body strengthens the supporting bone. Temporal headaches from overworked chewing muscles can also occur. Occasionally, patients complain of dreams regarding loss of their teeth. This is most likely due to the brain incorporating the pressures on the teeth into the dream. In severe cases, patients end up having painful and loose teeth, which may even weaken and break eventually. Most grinding patients are not aware that they grind.

The Root Causes of Bruxism are Varied and Seem to Have a Direct Link to the Brain, Stress and Nutrition

Tooth grinding can be caused by some prescription drugs such as antidepressants. Patients often have sore jaws from overworked jaw muscles. Caffeine and nicotine have been shown to aggravate sore jaw muscles. In children, this nagging predicament may originate from the body's attempt to open a blocked eustachian tube caused by allergies. Children who grind their teeth tend to do so at two peak times -- when their baby teeth emerge and when their permanent teeth come in. Most children lose the teeth grinding habit after these two sets of teeth have come in more fully.

Deficiencies in pantothenic acid (one of the B-vitamins), calcium, and magnesium have also been shown to contribute to tooth grinding. Even parasites can be a culprit. Believe it or not, pinworms, a common parasite, can contribute to teeth grinding. A large percentage of the population has some form of parasitic infestation. It is recommended to have a stool analysis test to determine if parasites are present. If these leeches are detected, then a natural herbal parasite cleanse may help to remedy the situation.

Some people with bruxism have been found to internalize their anger. Anything that will induce relaxation can be beneficial. A process called the "Emotional Freedom Technique" may be helpful in dealing with stress and anger.

Lastly, Temporomandibular Joint Disorder, or TMJ for short, can be an underlying problem that affects tooth grinding. "TMJ" is an umbrella term for a cluster of problems that start in the jaw joint and often recruit nearby muscles. The ailment’s most prominent byproduct is jaw pain; however, it comes in many guises. Symptoms vary from the conspicuous jaw popping, clicking, and locking to the covert recurring migraines, earaches, and shoulder tension. Although doctors do not know what causes TMJ, the primary suspect is damage to the joint’s cartilage.

A Lower Night Guard is the Best Form of Defense Against Tooth Deterioration From Grinding

Prevention of tooth wear and tear by placing a plastic barrier such as a night guard appliance, otherwise known as a bite splint or mouth guard, between the top and bottom teeth is the best known solution. The plastic appliance is sandwiched between the teeth and absorbs the stress when the teeth start to brux or clench, preventing the teeth from wearing. Night guard therapy should begin as soon as premature erosion of the teeth is detected. Even though most bite splints typically have been formed to fit the upper teeth, it has now been found that the lower guard is more tolerable. Most dentists still mold the plastic guards for the upper teeth out of habit so it is good advice to request a lower if you want a more comfortable experience.

Botox has also been used in treating those with serious tooth grinding. The results of a recent study suggest that Botox administered by skilled practitioners is a safe and effective treatment for people with severe bruxism, particularly those with associated movement disorders. It should be considered only for those patients refractory to conventional therapy. Future placebo-controlled studies may be useful in further evaluating the potential of Botox in the treatment of bruxism.

Many Alternative Methods have also been Proven Successful in Deterring Grinding of the Teeth

To eliminate tooth grinding problems, there are several simple suggestions. Try taking a warm bath before bedtime and drinking less alcohol - your dentist will be able to assess the extent of tooth damage caused by this problem. Furthermore, chiropractic adjustments to the head, neck and shoulders on a regular basis have helped many sufferers of TMJ and related jaw/headache pain. Taking supplements or foods rich in pantothenic acid and calcium can also help relieve chronic tooth grinding.

Bruxism can be a nightmare; however, as stated above, there are many simple and inexpensive preventive measures, treatments and alternative solutions to stop this growing problem from eventually ruining teeth, gums and general health of the mouth. “Not to grind” is, indeed, the answer!

The copyright of the article To Grind or Not to Grind? Dental Debacle Exposed in Oral Health is owned by Susan Tabar. Permission to republish To Grind or Not to Grind? Dental Debacle Exposed in print or online must be granted by the author in writing.