Tag Archives: bruxism

3 Reasons to Be Concerned about PTSD and Teeth Clenching and Grinding

I suffer from PTSD, and for the past 4 years, I clench my teeth during the day and grind them at night. I have some neck pain and headaches that I think are related to my habit. I’ve had the same dentist since 2011, and he says my teeth look okay. But I’m starting to feel short spurts of dull pain in my lower molar teeth. My last exam and cleaning appointment was in mid-February. I’m afraid of the dentist anyway and need sedation for all my appointments. Now with the COVID-19 restrictions, I’m not going to any dentist. Besides, the office is only open for emergencies. I’m wondering if the dull pain and pressure on my lower teeth might be due to cavities or from teeth grinding. Is there anything I can do about this at home? – Thanks. Quinn from San Antonio

Quinn – We’re not sure why your dentist though your checkup appointment was good if you’ve been clenching and grinding your teeth for about four years. And you’re feeling pain and pressure in your teeth. That’s a problem.

Photo of female patient sitting and relaxing in a dental chair, for information on sedation dentistry from Plano female dentist, Dr. Miranda Lacy.
Sedation will help you relax throughout dental procedures

Dr. Lacy would need to review your x-rays and check your teeth and mouth. We’re concerned that your dentist didn’t thoroughly examine your teeth.

When you clench and grind your teeth, more than cavities and fillings are involved. Other oral health issues can arise, including

  • TMJ disorder
  • Gum disease
  • Poor occlusion

We recommend that you seek a second opinion from a dentist who will be more thorough. The pain you’ve described could be from gum disease or the trauma of grinding your teeth. In either case, you need an examination. Without an exam, gum disease can progress and lead to jawbone loss. Grinding your teeth will wear them away.

Your new dentist may be able to resolve your pain and discomfort with a custom night guard. It’s worth it to contact a new dentist and at least have a video conference to describe your symptoms. You’ll receive recommendations on what you can now and how to handle the situation before you see a dentist.

Plano, TX female dentist Dr. Miranda Lacy sponsors this post.

Bruxism – Teeth Grinding

Bruxism is the act of clenching or grinding your teeth. The problem occurs mostly at night, when most people are unaware that they have the habit. An estimated 8% of adults are teeth grinders, and 1/3 of parents report that their children have the habit.

What are the causes?

Exactly why bruxism occurs is not clear. But there are circumstances that make people more susceptible to it.

  • Anxiety and stress – People with nervous tension, anger, pain, or frustration can put forceful tension on their teeth. It is estimated that 70% of bruxism is related to anxiety and stress.
  • Sleep disorders – Snoring, obstructive sleep apnea, sleep talking, or aggression while asleep increase the likelihood that a person also grinds his or her teeth while asleep.
  • Lifestyle – Bruxism is much more common in people who use psychoactive substances (antidepressants, anti-anxiety medication, sleep aids, tobacco, caffeine, and alcohol).

What are the symptoms of teeth grinding?

  • Gum recession, abnormal wearing of the teeth, tooth pain
  • Neck pain, jaw pain, earaches, headaches
  • Jaw clicking or popping
  • Sensitivity in the teeth

Why seek treatment?

If teeth grinding is left untreated, the results can be damaging to your oral health and overall health. In addition to toothaches, headaches, and facial pain, your sleep can be affected. If the problem progresses, it can lead to tempormandibular joint (TMJ) disorder. Teeth can wear and break and require restoration.

Bruxism treatment

An occlusal split, or mouthguard, can be custom fit by your dentist for maximum effectiveness. The mouthguard moves your lower jaw forward to limit teeth grinding. It also relaxes the jaw, which in turn relieves jaw pain and soreness.

If it is suspected that teeth grinding is related to sleep apnea, a sleep study may be recommended. A sleep apnea machine (CPAP) or an oral appliance can be used to alleviate sleep apnea.

Behavioral approaches, including relaxation techniques, medication, or reducing stress factors in life may be recommended.

This post is sponsored by Plano, TX dentist Dr. Miranda Lacy.