Teeth can be a real grind

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

Flying or Diving this Summer? Avoid Tooth Squeeze!

Ever have tooth pain during a flight? You may be experiencing barodontalgia, also known as “tooth squeeze”. Tooth squeeze is not itself a dental disease but may indicate a dental problem. When air pressure changes, a cavity, poorly done filling or crown, or even sensitivity, can trigger pain. Pilots and flight crew are vulnerable to this condition but it can happen to anyone. 

Barodontalgia generally occurs on ascent and descent but can also happen during any flight over 5,000 feet in altitude and in pressurized as well as smaller, non-pressurized planes. The pain may persist or go away quickly and the type of pain can help identify the problem. A dull, throbbing pain may indicate a cavity while a sharp, deep pain may indicate the need for a root canal. Pain in the upper, back teeth may even indicate a sinus issue.

Plane - yml 2014

Divers also can experience tooth squeeze. Even dental recession can make a person susceptible. The change in pressure can cause a build-up of air in the tubules of the tooth and in severe cases even crack a tooth. Anyone planning to dive should wait a week after having dental treatment with anesthesia and anyone planning to take a flight in a small non-pressurized plane, should wait at least twenty-four hours before doing so.

If you are experiencing any kind of dental pain, you should see a dental professional right away. Don't ignore it regardless of whether it is persistent or comes and goes. The last thing you want to do while on vacation is end up in a dental chair!

Have a safe and healthy summer.

Source: Open Journal of Dentistry and Oral Medicine 3(2): 35-38, 2015 http://www.hrpub.org DOI: 10.13189/ojdom.2015.030201 Barodontalgia: Etiology, Features and Prevention Prajna V. Kini1 , Vinod Rakesh Jathanna2,* , Ramya V. Jathanna3 , Karthik Shetty2

This blog is not intended to treat or diagnose any disease or condition. If you are experiencing a dental or medical issue seek treatment from a dental or medical professional right away.