More about Clenching and Grinding


Why is Clenching & Grinding a Problem?

Over time the complications of clenching and grinding may cause permanent damage to the teeth and uncomfortable oral and facial pain. During sleep the force of clenching and grinding can be up to six times greater than normal waking biting pressure, approximately 250 pounds of force per square inch, and last for up to 40 minutes per hour of sleep.

The complications of clenching and grinding include:
  • Damage to the teeth
  • Broken fillings and other dental work
  • Worsening of jaw joint problems
  • Limitation or difficulty in jaw opening and closing
  • Headaches
  • Tooth sensitivity
  • Tooth mobility



What Causes Clenching & Grinding?

The cause of clenching and grinding is not completely agreed upon. Consuming stimulants such as caffeine appears to increase the risk of bruxism (teeth grinding) however a variety of psychological and physical factors are also thought to be responsible. In many cases, clenching and grinding has been linked to stress. While approximately equal numbers of men and women clench and grind during sleep, more women clench their teeth during the day.



What are the Symptoms of Clenching & Grinding?

Symptoms of clenching and grinding include:
  • Pain or discomfort around the ears when yawning or chewing
  • Jaw muscles that are tight or painful, especially in the morning
  • Dull morning headaches
  • Rhythmic contractions of the jaw muscles
  • Teeth grinding, which may be loud enough to annoy a sleeping partner



How Long Does Clenching & Grinding Last?

Of all the children who clench and grind between the ages of 3 and 10, more than half will stop spontaneously by age 13. For teens and adults, the duration of clenching and grinding depends upon its cause. If it is dental related, a change in tooth alignment or a professionally made night guard may resolve the issue.



How is Clenching and Grinding Treated?

There is no cure for clenching and grinding, instead the condition is managed. The first step is to have an examination by your dentist. During this exam, your dentist will check for tenderness in your jaw muscles, as well as for any dental and gum tissue abnormalities and damage caused by this condition. Your dentist will also interview you in an attempt to arrive at a cause for your problem.

Night Guard Generally, as a first, and sometimes only step, the pain and discomfort from clenching and grinding is alleviated using a custom fitted nightguard. Further management of bruxism varies depending upon its cause.


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