Bruxism
Other namesTeeth grinding,[1] dental compression syndrome
Tooth wear caused by tooth-to-tooth contact can be a sign of bruxism.
SpecialtyDentistry
SymptomsMinimal, sensitive teeth, tooth wear, soar jaw muscles, headaches[2][3]
ComplicationsDamage to the teeth[4]
TypesAwake, sleep[3]
CausesUnknown, neurological problems, side effects of medications[2][1]
Risk factorsSmoking, alcohol, sleep apnea, stress[3][1]
Diagnostic methodBased on symptom[3]
Differential diagnosisTMJ disorders, malocclusion[4]
TreatmentRelaxation therapy, mouthguards, physical therapy, biofeedback[2]
Frequency8% to 31%[3]

Bruxism is unconscious and excessive grinding or clenching of the teeth.[2][3] It may occur well awake or when sleeping, with the later often being more severe.[2][5] Symptoms may be minimal or include sensitive teeth, tooth wear, soar jaw muscles, and headaches.[2][3] Complications may include damage to the teeth.[4]

The cause is frequently unknown.[2] In some cases it may be related to neurological problems or the side effects of medications such as SSRIs.[2][1] Risk factors include, smoking, alcohol, sleep apnea, and possibly stress.[3][1] Diagnosis is generally based on symptom.[3] Often it is reported by family members.[4]

Treatment is recommended when symptoms occur.[3] This may include relaxation therapy, mouthguards, physical therapy, sleep hygiene, and biofeedback.[2][1] Evidence for specific measures; however, is weak.[6]

Bruxism is a common behavior; affecting 8% to 31% of the population.[3] Onset is often between the age of 10 to 20.[4] It affects the young more often than older people.[3] Awake bruxism is more common than sleep bruxism.[3] People may frequently be mislead by alternative medicines.[4]

References edit

  1. ^ a b c d e f "Teeth grinding (bruxism)". nhs.uk. 23 October 2017. Retrieved 10 January 2021.
  2. ^ a b c d e f g h i Lal, SJ; Weber, KK (January 2020). "Bruxism Management". PMID 29494073. {{cite journal}}: Cite journal requires |journal= (help)
  3. ^ a b c d e f g h i j k l m Beddis, H; Pemberton, M; Davies, S (28 September 2018). "Sleep bruxism: an overview for clinicians". British dental journal. 225 (6): 497–501. doi:10.1038/sj.bdj.2018.757. PMID 30237554.
  4. ^ a b c d e f Ferri, Fred F. (2017). Ferri's Clinical Advisor 2017 E-Book: 5 Books in 1. Elsevier Health Sciences. p. 212. ISBN 978-0-323-44838-3.
  5. ^ "Bruxism - Dental Disorders". Merck Manuals Professional Edition. Retrieved 10 January 2021.
  6. ^ Lobbezoo F, van der Zaag J, van Selms MK, Hamburger HL, Naeije M (July 2008). "Principles for the management of bruxism". Journal of Oral Rehabilitation. 35 (7): 509–23. doi:10.1111/j.1365-2842.2008.01853.x. PMID 18557917.