Teeth Grinding

Bruxism ( teeth grinding – clenching)Clenching of the jaws and grinding of the teeth, unconsciously caused by strong jaw movements.

Although it mostly occurs during sleep, it can also occur during the day when stress is intense.

It is common in our society. Often individuals with this habit are not aware of it.


  • Stress

The first place in the body to show signs of stress is the oral tissues. Stress is both the cause of bruxism and the most important factor that increases the severity of the event. Having an overly nervous, sensitive, meticulous nature can be a source of stress.

  • Incorrect closing shape of the teeth

Disorders in the alignment and alignment of the teeth (Malocclusion)and is caused by missing teeth.

  • Wrong chewing habits
  • Central nervous system disorders
  • Acute Trauma (coup)

Several reasons can be combined as a source of bruxism. Treatment is determined accordingly.
Teeth GrindingTeeth Grinding

  • Symptoms

1- Wear:

As a result of friction, the chewing surface of all teeth can be worn.

2- Fracture:

As a result of clenching and grinding the teeth, microcracks may occur in the corners of the anterior teeth and in the protruding parts of the posterior teeth. These cracks, which cannot be detected by x-ray, can grow over time and cause the teeth to break.

3- Sensitivity:

In particular, sensitivity to cold may develop. Sudden toothache may occur.

4- Gingival recession:

Bruxism can also cause gingival recession, with the exception of gingival recession due to advancing age or brushing with excessive pressure. In addition to recession, notch-like abrasions can also be seen on the neck of the tooth at the level of the gingiva.

5- Shaking:

Surrounding the roots of the teeth as a result of the excessive pressure created by grinding (between teeth and bones) muscle tissue is injured so that bone support is reduced and teeth may wobble. To compensate for this situation, extra bone protrusions may develop at the level of the roots of the teeth.

6- Gingival bleeding:

Especially if there is a lack of hygiene and tartar, bleeding in the gums may occur with grinding.

7- Irritation of the cheeks:

As a result of excessive activity of the muscles, a swelling may occur in the inner part of the cheeks at the level of the closing line where the teeth come into contact with each other. After this formation, involuntary cheek biting may occur.

8- Muscle and headache:

Excessive work of the muscles, especially in the temple and cheek area, can cause muscle pain in these areas. Muscle pain may present itself as a headache from time to time.

9- Pain in the jaw joint:

Due to the overloading of the jaw joint, there may be pain, crackling sound and locking in the joint.

These symptoms may not appear immediately from the onset of teeth grinding; Depending on the severity and duration of the event, it can sometimes be seen years later. Often, the symptoms may not be all at once. Sometimes it may show very few symptoms.

  • Treatment

1- Intraoral

The primary purpose of the dentist’s treatment is to prevent permanent damage to the teeth and jaw joint and to eliminate pain. For this reason, first of all, intraoral problems that may cause bruxism should be eliminated.

Missing teeth should be completed to ensure a proper closure in the mouth, and errors in old fillings and veneers, if any, should be corrected.

  • Night Plaque

Then, it is necessary to use the prosthesis called “night plate” to prevent the habit of clenching teeth and to protect the oral tissues.

The night plate can be made to be placed on the lower or upper jaw teeth according to the patient’s preference.

Night plaque is of two types, hard and soft.

The purpose of both is to reduce the force during clenching and grinding and to protect the teeth and surrounding tissues from possible damage by equal distribution of force.

In addition, the night plaque makes 1-2 mm thick between the teeth and carries the tension in the jaw and joint muscles to a different position in regular use, so that even when the night plaque is not used, the person cannot tighten his teeth as strongly as before.

Since the night plate is transparent, it can also be used during the day, it is unnoticeable.

Although night plaque is the most important tool used in the symptomatic treatment of teeth grinding, it may not be sufficient on its own.

2- Extraoral

Treatment should be based on the cause. For this reason, according to the picture of the disease, some additional treatments may need to be applied in addition to night guards:

  • Stress therapy (psychologist support)
  • Measures to ensure comfortable sleep
  • muscle relaxant drug administration

Ask yourself:

  1. Has your spouse or family member ever told you that you grind your teeth while you sleep?
  2. Do you feel pain in the jaw-facial muscles when you wake up in the morning?
  3. Do you often have headaches and neck pains?
  4. Do you have pain in your neck and shoulder parts?
  5. Do you hear noise from your jaw joints?
  6. When you wake up in the morning, do you experience fatigue or pain in the jaw-face area?
  7. Are your teeth tingling?
  8. Does your pain increase when you grind your teeth?
  9. Do you have sensitivity in your teeth?
  10. Do you have wear on your teeth?
  11. Do you grind your teeth more when you are stressed?
  12. Are you overly nervous, sensitive, meticulous?

While it is possible to treat the problems caused by bruxism, it is not always possible to completely eliminate this condition.

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