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Bruxism Treatment |
Understanding the Causes of Bruxism
Bruxism, commonly known as teeth grinding, is a condition where a person grinds, clenches or gnashes their teeth. It can occur during sleep, called sleep bruxism, or during the day while someone is awake. Some of the main causes of bruxism include stress, anxiety, certain medical conditions like Parkinson's disease or insomnia. Genetics may also play a role. In many cases, the exact cause is unknown. It is believed that bruxism occurs due to abnormal functioning of the masticatory muscles in the jaw.
Managing Stress and Anxiety
Stress and anxiety are significant triggers for bruxism. Learning stress
management techniques can help control teeth grinding caused due to these
factors. Deep breathing, meditation, yoga and mindfulness exercises are
effective natural ways to relax the body and mind. Bruxism
Treatment
focuses on stress management techniques such as deep breathing, meditation and
counseling to alleviate teeth grinding caused by anxiety and stress. Counseling
or cognitive behavioral therapy may also help people address underlying anxiety
issues causing bruxism. Keeping a relaxed lifestyle, prioritizing rest and
avoiding excessive caffeine intake help reduce daily stress levels.
Dental Guards and Night Guards
Custom-made occlusal splints or mouthguards, commonly known as dental guards or
night guards, are important non-surgical bruxism treatments. These thin plastic
covers fit securely over the top or bottom teeth and create a small space
between upper and lower jaw. This protects the teeth from clenching pressure
when worn during sleep or daytime. Dental guards redistribute biting forces
more evenly across teeth and jaws. Soft acrylic versions are comfortable for
long-term daily wear. Replacing guards every few years ensures best
effectiveness.
Biofeedback and Behavioral Therapies
Some dental professionals use techniques like biofeedback therapy for bruxism.
This involves attaching sensors to mouth muscles to help identify clenching and
grinding episodes. The wearer gets real-time feedback about muscle activity
through visual or auditory signals. Over sessions, people learn to recognize
and relax muscle contractions associated with teeth grinding. Behavioral
modification therapies also teach relaxation techniques and conditioning
responses to reduce stress-induced bruxism.
Medications in Select Cases
Muscle relaxants may be prescribed short-term in severe teeth grinding cases to
relax jaw muscles. Drugs like Cyclobenzaprine are used at lowest effective
doses for a few weeks at most as they can cause side effects. Antidepressants
have also shown benefits for reducing stress-related bruxism but require close
medical supervision. Botox injections into masticatory muscles are occasionally
used off-label on a short-term basis, but long term safety is still being
evaluated. Medications are not first-line bruxism treatments and doctors
closely monitor risks versus benefits.
Physiotherapy and Soft Diet
Physiotherapy focuses on relaxing jaw muscles through techniques like
massage, ultrasound therapy and microcurrent therapy. At-home jaw exercises and
stretches taught by physiotherapists help improve flexibility and relieve
tension. Following a soft diet that does not require much chewing effort can
temporarily reduce grinding severity. Soft foods cause less muscle contraction
compared to tough, crunchy items that require extensive chewing. This gives
muscles a chance to rest.
Treating any Underlying Medical Conditions
In some cases, bruxism may be linked to medical issues like Parkinson's
disease, Tourette's syndrome, untreated sleep apnea or neurological disorders
affecting motor functions. Consulting a doctor helps diagnose and manage
underlying contributors effectively. For example, continuous positive airway
pressure (CPAP) machines are often very successful at treating sleep bruxism
caused due to undiagnosed sleep apnea. Controlling medical triggers with
medications or lifestyle changes reduces symptoms over the long run.
Reducing Relapse with Maintenance Therapies
Though non-surgical bruxism treatments effectively reduce teeth grinding severity,
there remains a risk of symptoms relapsing over time if triggers are not
addressed. Dental guards should continue being worn periodically as a
maintenance and preventive measure even once symptoms improve significantly.
Identifying personal stress triggers helps implement long-term stress-reducing
habits and lifestyle modifications. Periodic counselling or medication
adjustments with doctors are important to address any ongoing psychosocial
issues contributing to bruxism. This maintenance approach helps keep symptoms
well-managed long-term without major flare-ups.
Bruxism has multiple causes but effective treatments exist without needing
surgery or dental procedures in majority cases. A comprehensive approach
focusing on stress control, use of dental guards, physiotherapy, treatment of
medical triggers if any and long-term maintenance yields good success in
reducing teeth grinding. With adherence, non-surgical options can significantly
improve both dental health as well as quality of life.
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