Bruxism is an oral parafunctional activity that commonly occurs in most people at some point in their lives. The two main characteristics of this condition are grinding of the teeth and clenching of the jaw. These actions usually occur during a person’s sleeping hours, but occasionally they occur during the day.
Bruxism is one of the most common known sleep disorders. Chewing is a neuromuscular activity controlled by a subconscious process, but more highly controlled by the brain. During sleep, the subconscious process may become active, while the higher control is inactive (asleep), resulting in bruxism. The most common symptoms are earaches, headaches, depression, eating disorders, anxiety, and chronic stress.
Why should I seek treatment for Bruxism?
- Gum recession. Bruxism is a leading cause of gum recession and tooth loss. Grinding can damage the soft tissue directly and lead to loose teeth and deep pockets where bacteria are able to colonize and decay the supporting bone.
- Facial pain. Grinding can eventually shorten and blunt the teeth. This can lead to muscle pain in the myofascial region and in severe cases, incapacitating headaches.
- Occlusal trauma. The abnormal wear patterns on the occlusal (chewing) surfaces of the teeth can lead to fractures, which, if left untreated, may require restorative treatment at a later time.
- Arthritis. In the most severe cases, bruxism can eventually lead to painful arthritis in the temporomandibular (TMJ) joints that allow the jaw to open and close smoothly.
Though there is no known cure for bruxism, there are a variety of devices and services available through our office to help treat bruxism:
- Mouthguards. An acrylic mouthguard can be designed from teeth impressions to minimize the abrasive grinding action during normal sleep. Mouthguards must be worn on a long-term basis to help prevent tooth damage.
- Hawley Anterior Bite Plane: This device is similar to an orthodontic retainer except that only covers the front teeth and must be fitted at our office. The idea behind the Hawley Bite plane is to prevent grinding the rear molars by limiting the contraction of the temporalis muscle in the jaw.
- Botox®: Botox® can be injected into the muscles responsible for bruxing by disabling them enough to prevent grinding, but not enough to disrupt normal functions like speaking and chewing. While Botox® is one of the treatment options listed, it is not currently available at Carroll Periodontics & Implant Dentistry. If, after your appointment with Dr. Kleinman or Dr. O'Sullivan, you would like to schedule Botox® Treatment we can coordinate a referral.
Once bruxing is under control, we can perform a variety of dental procedures to restore the pleasant aesthetic appearance to your smile such as crown application, gum grafts, and crown lengthening.
With over 23 years experience, Dr. Kleinman offers the highest quality and the most comprehensive periodontal and dental implant care in the Westminster area.Call Today Schedule an Appointment