Grinding or clenching of the teeth usually occurs when a person is asleep. Sometimes, it can also take place while a person is awake. The grinding noise can be quite noticeable to others who are nearby.
Clenching or grinding the teeth is a mechanism for release of emotional stress. When a person is awake, the action often occurs during anger, intense concentration, or physical exertion. The teeth grinding is unintentional and occurs at inappropriate times. The person is generally unaware of the teeth grinding.
Emotional stress and certain personality types are associated with teeth grinding. People with anger, pain, or frustration may start grinding their teeth. Aggressive, hurried, or overly competitive people may also experience teeth grinding. The grinding can also be caused by an abnormal alignment of the teeth or jaw. It is sometimes connected to drug and alcohol use. Teeth grinding is common in children when their teeth are coming in.
Someone with teeth grinding may make noticeable grinding sounds during sleep. The individual's teeth may be sore, especially in the morning. Following are some of the other symptoms:
Diagnosis of teeth grinding begins with a medical history and physical exam. A dentist who detects certain changes when looking at a person's mouth can also discover it. The person may be totally unaware of the condition, especially in the early stages. Dental X-rays can show early damage to the bone as well as to the teeth.
Prevention and treatment of this condition are very similar. Treatment is aimed at stopping the habitual clenching or grinding of the teeth. A person should visit a dentist as soon as he or she is aware of this problem.
Prevention and treatment may include the following:
If ignored or inadequately treated, teeth grinding can lead to the following serious complications:
If teeth grinding is treated early and adequately, there should be no lasting problems.
Regular exams by a dentist can check for complications of teeth grinding. Any new or worsening symptoms should be reported to the healthcare provider.
Author:Marvin Goldfogel, DDS
Date Written:
Editor:Ballenberg, Sally, BS
Edit Date:08/21/01
Reviewer:Adam Brochert, MD
Date Reviewed:08/21/01