It seems we have all been experiencing a lot more stress in our lives over the past few years. One consequence of this increased stress that dentists have been observing is a rise in the number of patients who have been grinding or clenching their teeth. This has led to an above-average number of emergency patients coming to their dentists with fractured teeth. How do we stop people from breaking their teeth, which only leads to more stress?
The technical term for grinding or clenching is called bruxism, and it can occur during the day or at night. Sometimes patients are alerted by their bed partner that they are grinding, but many times they are unaware. Symptoms can include dull headaches, jaw soreness, increased temperature sensitivity of the teeth, loosening teeth, and/or broken teeth.
The forces transmitted onto the teeth by bruxism can cause detrimental and irreversible damage. Patients may experience moderate to severe jaw joint pain, which can interfere with eating and daily activities. Enamel can wear down relatively quickly, causing the teeth to shorten and the nerves to be exposed. In some cases, patients can fracture a tooth right off to the gum line. As teeth wear, the bite shifts, and this can lead to even more instability.
How do we stop people from breaking their teeth, which only leads to more stress?
Fortunately, there are preventative measures that can be taken to lessen the damage to the teeth. A night guard can be fabricated, which reduces the forces transmitted to the teeth and jaw joint. This can reduce headaches, protect the enamel, and prevent teeth from fracturing. There are several over-the-counter options, but for many, a custom one fabricated by the dentist is the best treatment. In some cases, a dentist may suggest muscle relaxants, Botox injections or physical therapy. If left untreated for a long time, treatment to restore the teeth can become more extensive, requiring root canals and crowns.
Although stress can be a major cause of bruxism, it is not the only cause. Sometimes bruxism can be a sign of sleep-disordered breathing, such as sleep apnea, which can have serious health implications. It is therefore imperative that patients who experience any symptoms of clenching or grinding see their dentist for a consultation.
If left untreated for a long time, treatment to restore the teeth can become more extensive.
