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st Johns in St John, st john
The Dental Room
Telephone: 861343
From outside Jersey
Telephone: 44 (0) 1534 861343
Address:
3b Temple Court,
La Rue du Temple,
St John Jersey JE3 4BJ
info@thedentalroom.je
Bruxism is the technical term for grinding and clenching that abrades teeth and may cause facial pain. People who grind and clench unintentionally (bruxers) bite down too hard at inappropriate times, such as in their sleep. It is caused by activation of reflex chewing activity and is not a learned habit. In most people, bruxism is mild enough not to be a health problem. However some people suffer from significant bruxism especially during sleep which may result in symptoms.
In addition to grinding teeth, bruxers also may bite their fingernails, pencils and chew the inside of their cheek. The condition is not often diagnosed with bruxism until it has resulted in symptoms. Others mistakenly believe that their teeth must touch at all times. About one in three people suffer from bruxism, which can easily be treated by a dentist.
Factors which may be associated with bruxism include:
Bruxism can result in abnormal wear patterns of teeth or even fractures in the teeth caused by occlusal trauma and is a significant cause of tooth loss and gum recession. Typically, the canines and incisors of the opposing arches are worn by a side-to-side action abrading tooth structure and wearing down the incisal edges of the teeth. People with bruxism may also grind their posterior teeth, in which the cusps wear down.
Bruxing can be loud enough to wake a sleeping partner.
Eventually, bruxing shortens the teeth being ground and may lead to myofacial muscle pain and headaches or migraines. In very severe cases, it can lead to arthritis of the tempormandibular joints (see TMJ Dysfunction Syndrome). Most bruxers are not aware of their bruxism and only 5-10% go on to develop jaw pain or headaches.
Where the enamel has been abraded, the softer dentine is exposed and abrasion accelerates leading to the possibility of further dental deacy and tooth fracture and in some gum recession also. Early intervention by a dentist is advisable and any dental treatment plan needs to take account of bruxism as this can severly affect any dental work provided. The teeth may also become sensitive with the wear pattern which may further reinforce bruxism when asleep.
Bruxism may also cause the jaw to move out of proper balance and may further worsen any jaw pain, tense muscles and headaches. Tongue indentations are another sign of clenching the teeth.
During regular dental visits, the dentist checks for physical signs of bruxism. If the dentist or patient notices signs of bruxism, the condition may be observed over several visits to be sure of the problem before recommending and starting any treatment.
The objective of treatment is to encourage the bruxer to rest the tongue, teeth and lips properly. When some people become aware of their problem, often advising them to rest their tongue upward with teeth apart and lips shut may be enough to and relieve the discomfort. Sometimes the dentist will make a plastic night guard which is worn to absorb the force of clenching and grinding. The appliance can help reduce the bruxism, while limiting tooth damage allowing any wear to the night splint instead.
Damaged teeth can be repaired by replacing the worn natural crown of the tooth with prosthetic crowne. Materials used to make crowns vary; some are less prone to breaking than others, and can last longer. Porcelain fused to metal crowns may be used in the anterior (front) of the mouth; but the posterior full gold crowns are preferred. To protect the new crowns and dental implants, a night splint should be fabricated to wear during sleep.
Download Document (Bruxism)
The Dental Room
Telephone:
(01534) 861343
3b Temple Court,
La Rue du Temple,
St John Jersey JE3 4BJ
info@thedentalroom.je