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Not just a daily grind

MaryAnne Shults

Issue date: 9/30/08 Section: News
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If you wake up with a headache or a sore jaw, you may be grinding your teeth at night. Or, perhaps you clench your teeth together when you are stressed or angry. Then you may not realize that you have a condition known as bruxism.

Bruxism refers to a persistent grinding and clenching of the teeth, usually unintentional. Grinding often occurs shortly after one falls sleep during the REM stage, even when napping. Typically, the teeth move against one another in a lateral, or side to side, action. This erodes tooth enamel, removing the sharp biting surfaces. Some grind with such intensity that it is loud enough to wake a sleeping partner.

People who suffer from bruxism may also bite their fingernails or pencils, or chew the insides of their cheeks. When angry or stressed, the teeth and jaw are tightly clenched putting pressure not only on the teeth but on the jaw structure as well.

Bruxism may be mild and occasional or aggressive and frequent.

"I sometimes wake up with my jaw clenched and feel like I have been grinding my teeth through the night," said Yusef Pehlivan, 18, geology. "But only happens once or twice a week and my dentist hasn't said anything."

One may not know they brux until they visit their dentist for a routine exam, and dental erosion is evident.

"Wear facets on a patient's teeth, mostly on the cusps and canines," is one clue for a bruxism diagnosis, said Dean Garcia, a Laguna Hills dentist. "Other signs and symptoms include headache, neck or backaches, and teeth sensitivity."

Bruxers are often unaware of this condition until there is damage to their teeth or jaw. Other symptoms include facial pain, damage to the inside of the cheek, tongue indentations, and jaw pain.

Clenching the puts pressure on the muscles, tissues, and the region around the jaw. The symptoms can cause temporomandibular joint problems (TMJ). One symptom is a popping or clicking sound when opening and closing the mouth.

I suffer from TMJ, I do not noticeably grind my teeth at night, but my jaw tends to lock up throughout the day," said Ian Akerson, 22, journalism. "I'm not sure if it's due to bruxism though."
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calies

posted 10/02/08 @ 2:28 PM NA

If you brux you should also look into over-the-counter nightguards. They are a lot less expensive than the custom-fit version your dentist makes and they work just as well. (Continued…)

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