What causes people to grind their teeth? Some people may
experience teeth grinding, or bruxism (bruchk-siz-uhm,) throughout their lives,
others report teeth grinding more often or only when stressed. It can occur during
the day or may happen only at night. A person may be unaware of it until pain
in the teeth, mouth, face, neck, and/or jaw cause him or her to seek relief. The
person’s partner may be the one who is aware of it first, waking up in the
middle of the night to a noise that sounds like bones cracking. Dental health
professionals are trained to recognize signs of grinding in the mouth, such as
worn down teeth, so regular check-ups are important. Teeth grinding may cause
temporomandibular joint disorder (TMJD) or make it worse.
In conditions such as autism, tooth grinding can be quite
common and worrisome to caregivers. There is also evidence that taking certain
medications, such as those for depression or gastrointestinal disorders, may cause
or increase teeth grinding because of how these drugs affect the body. If it
can be determined that teeth grinding starts upon taking a new medication, a
doctor may switch the patient to another drug or reduce the dosage. But if teeth
grinding develops over time, a medication may not be easily identified as the
cause.
Treatment for teeth grinding typically involves alleviating
pain and discomfort through the use of night guards, dental appliances, and
pain relievers. Some people love night guards, others find them difficult to
tolerate. It is important, however, to seek treatment in order to relieve pain
and prevent damage to the teeth. Dental night guards can be bought in drug
stores or dentists can make them custom-fit for patients.
When evaluating teeth grinding or pain, it is important to
look at a person’s entire dental and medical history, including any medications.
People being treated for mental health issues may not think to report to their
doctor that they are having tooth, face or jaw pain. People often neglect to
write their complete medical histories and medications on their dental forms. They
may be embarrassed or figure that their medical treatment is not information
that a dentist or dental hygienist needs. However, when it comes to medication
and oral health, it can matter quite a bit.
Are you experiencing tooth grinding, or waking up with an
aching face or jaw? Speak with your doctor or dentist to get the proper treatment you need.
This post is not intended to advise, diagnose, or treat any condition. If you are in pain, please see your dentist or doctor.
Sources:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2934876/; Sutin AR, Terracciano A, Ferrucci L, Costa PT. Teeth
Grinding: Is Emotional Stability related to Bruxism? Journal of
research in personality. 2010;44(3):402-405. doi:10.1016/j.jrp.2010.03.006.
Accessed August 26, 2018
https://www.mayoclinic.org/diseases-conditions/tmj/symptoms-causes/syc-20350941; TMJ disorders. Patient care and health
information, diseases and conditions. Mayo Clinic Web site. Accessed August 26,
2018
Expert Opin Drug Saf. 2014
Oct;13(10):1319-26. doi: 10.1517/14740338.2014.947262. Epub 2014 Sep 6.
Psychotropic drugs and bruxism. Falisi G1, Rastelli C, Panti F, Maglione H, Quezada Arcega R.Accessed August
26,2018
