What is Bruxism?

Bruxism is a condition where someone grinds, clenches,
or gnashes their teeth.

Recent research on this destructive condition suggests that 22% of the
global population suffers from either daytime or nighttime bruxism.

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If you played sports in high school, there’s a good chance you wore a mouthguard to prevent concussions. What you probably didn’t know, is just how much these mouthguards protected your teeth and absorbed impact to your jaw (TMJ). As it turns out, mouthguards don’t stop in high school! Mouthguards go on to protect the teeth and jaws of many adults. Let’s look at the different types.

How do mouthguards work?

Mouthguards are not all constructed the same, but they serve the same purpose, to protect the teeth and absorb the impact of clenching and grinding from the jaws. Bruxism, or clenching and grinding, has a significant impact on the teeth and jaws and is a multifactorial habit stemming from factors like anxiety, stress, and teeth that are not properly aligned ^[1]. Mouthguards work by forming a barrier between the upper and lower teeth, preventing them from grinding against one another. They also absorb and redistribute shock that would be transmitted through the base of the skull to the brain, preventing concussions during sports or any kind of traumatic impact ^[2]. Clenching/grinding and over-exertion of the TMJ occur outside of sports and sleeping too. Many people clench and grind their teeth when stressed, paying bills, working on a computer, and when working out and lifting weights. Depending on the time and frequency of these habits, some mouthguards may be better suited than others.

Are there different types? Is custom better?

If you buy a mouthguard at a sporting goods store, it’s likely to cost about $15-$30. If you get one at your dentist’s office it will cost about $500.00 and up. Why the difference? A couple of reasons. One is that a night guard made in your dentist’s office will be custom fit to your teeth. It will require a few trips as they will have to take impressions of your teeth and send them off to a lab. Once the mouth guard is in, the dentist will have you try it on and will adjust it if needed to ensure it fits comfortably. The goal is for it to fit snugly on the teeth and require a little force to pop it out. Mouthguards bought at the store entail a much simpler process. You buy them… and then you wear them! While it’s nice to skip the impressions and extra visits to the dentist, they are not custom-fit to your teeth and can’t be adjusted if they don’t fit properly. If mouthguards are uncomfortable, people are less likely to wear them. Another reason custom-fit guards are so expensive is the materials. Custom, lab-built mouthguards are much more durable and can withstand a lot more force, meaning they will last longer than those purchased over the counter.

Why do dentists call it a night guard?

It may seem confusing to hear the terms mouthguard and night guard used interchangeably but they are essentially the same thing, barriers to prevent teeth grinding and TMJ exertion. Dentists commonly see signs of clenching and grinding through wear facets in a patient’s teeth and the complaint of a sore jaw and headaches. While they are called night guards, patients are still encouraged to wear them whenever they’re prone to clenching and grinding their teeth like when exercising, doing paperwork, or working on a computer.

Mouthguards work wonders in alleviating TMJ pain and pressure in those who clench and grind their teeth. Whether you decide to buy one over the counter or invest in one custom-built for you, your teeth and jaw will thank you for taking the load off!

Esmy Ornelas

Esmy Ornelas is a registered Dental Hygienist, writer, educator, and consultant with 10 years of experience in dentistry. She is passionate about education, empowering hygienists to advance their careers in and out of the operatory, and about community. She has written for RDH Magazine, the RDH Graduate, and is a full-time professor of Dental Hygiene and Assisting at Rose State College in Oklahoma.

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1. Green J. I. (2017). The Role of Mouthguards in Preventing and Reducing Sports-related Trauma. Primary dental journal, 6(2), 27–34. https://doi.org/10.1308/205016817821281738
2. Shetty, S., Pitti, V., Satish Babu, C. L., Surendra Kumar, G. P., & Deepthi, B. C. (2010). Bruxism: a literature review. Journal of Indian Prosthodontic Society, 10(3), 141–148. https://doi.org/10.1007/s13191-011-0041-5

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Tooth pain is often hard for one to ignore regardless if it is sharp, sudden, dull, or a constant ache.^[1] The most common causes of tooth pain is an active tooth infection, decay, injury, or tooth loss.^[1] At times pain might originate from other areas such as the jaw joint, ears, sinuses, and even from heart problems that radiate to your teeth and present as tooth pain.^[1] Most causes of tooth pain are treatable by your dentist.^[3]

What causes tooth sensitivity?

A toothache occurs when the pulp (central portion of the tooth) becomes sensitive to pain, often due to inflammation.^[1] Common causes of pulpal inflammation are dental cavities, trauma, teeth grinding, gum disease, or infection.^[1]

You might be experiencing pain due to having a cracked tooth. This can occur due to clenching or grinding your teeth or even chewing on hard foods such as ice, nuts, or hard candy^[2]Some other causes of a cracked tooth are pressure from clenching or grinding your teeth, large fillings that weaken the tooth’s integrity, or trauma to the mouth.^[2]

Complications of a cracked tooth

You should not ignore pain in your teeth as doing so could lead to complications. Infection from your tooth can spread to the bone, gums, and enter into your bloodstream. Your dentist will determine what treatment may be needed to treat your toothache by finding out what is causing the discomfort. Antibiotics will be prescribed if there is an infection present around the tooth, you have a fever, or swelling of the jaw is present^[1]

Symptoms of a dental infection or a cracked tooth are a fever, pain when chewing, swollen gums, sensitivity to hot and cold food or beverages, and sore lymph nodes^[2]

How tooth pain is treated

The dentist may recommend possible procedures such as fillings, extractions, root canal therapy, occlusal guard, or crowns.

• Fillings – A plastic resin restoration that is placed that resembles the natural look of the tooth is used to fill the crack and restore the tooth to its functionality.^[2]
• Extraction- When the tooth is extremely decayed, cracked, or damaged then it will need to be extracted or permanently removed^[2]
• Root Canal Therapy- when decay or a crack extends into the pulp a root canal is need to remove the damaged pulp and restore the integrity of the tooth, preventing further damage or infection.^[2]
• Occlusal Guard – prevents damage to your teeth that can be caused by grinding and clenching
• Crown – a dental crown is usually made of porcelain or ceramic and fits over the tooth.^[2]

Sometimes the dentist might recommend not to proceed with any treatment. If a patient has a hairline crack in the enamel of their teeth that doesn’t produce pain or negatively affect their appearance no treatment might be needed.^[2]

How to prevent a toothache

Avoid chewing hard foods and use a mouth guard if you clench or grind your teeth. If you play contact sports wear a sports mouthguard to protect your teeth from injury.^[2] Visiting your dentist regularly for preventative care can help your healthcare professional to address concerns when they are small and manageable^[2] Receiving prompt treatment can help you reduce the risks of losing your tooth, further damage, and preventing harmful infection from spreading.^[2] Brushing twice a day and flossing daily will help to prevent dental diseases that contribute to tooth problems.

Kari Carter-Cherelus

Kari Carter-Cherelus RDH, DA is a registered Dental Hygienist, writer, consultant, coach, international keynote speaker, with 23 years of experience in dentistry. She is passionate about helping others recover from burnout, improving organization’s work culture, and helping her clients to improve their mindset. She authored the book The Ultimate Guide For Dental Hygienist Burnout, and has written for RDH Graduate, RDH Magazine, and Inside Dental Hygiene.

View My Profile Contact Kari

1. Web MD. https://www.webmd.com/oral-health/toothache
2. Cracked Tooth. Christiano, Donna. (2018, September 28). https://www.healthline.com/health/cracked-tooth
3. All My Teeth Hurt Suddenly: 10 Possible Explanations Watson, Kathryn. (2019, May 23). https://www.healthline.com/health/all-my-teeth-hurt-suddenly#cracked-tooth-or-crown

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]]> https://www.smilebrilliant.com/articles/can-tooth-enamel-grow-back/ Mon, 29 May 2023 08:20:45 +0000 https://www.smilebrilliant.com/?p=857196 Enamel is the hardest material in the body but it is susceptible to erosion with repeated exposure to acid and other damage. Find out what you can do to strengthen your enamel now! Tooth enamel, the outside layer of your tooth, is the hardest, most mineralized substance in your body [1]. It’s even harder than…

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]]> Enamel is the hardest material in the body but it is susceptible to erosion with repeated exposure to acid and other damage. Find out what you can do to strengthen your enamel now!

Tooth enamel, the outside layer of your tooth, is the hardest, most mineralized substance in your body ^[1]. It’s even harder than bone! However, it is still susceptible to wear as the teeth take an incredible amount of force each day with chewing, clenching, and for many patients, grinding. Enamel is constantly undergoing a process of remineralization and demineralization. Let’s discuss what this means for oral health.

What is enamel and what is it made of?

Enamel is comprised of 95% minerals, 4% water, and 1% proteins ^[1]. It makes up the top layer of the teeth and functions to protect the underlying dentin and pulp (nerve) of the tooth. While enamel is incredibly durable, it still needs to be replenished with minerals like calcium and phosphate to keep it strong ^[2]. It can also break down through the process of erosion in which one eats acidic foods, drinks acidic drinks, or has GI issues that cause acid reflux. These acids eat away at the enamel, breaking it down and exposing underlying tooth structures. While not visible, the enamel is constantly undergoing a process of remineralization and demineralization.

What is enamel remineralization?

Enamel needs its minerals replenished as they are constantly depleted through eating and drinking (especially acidic foods). This process of mineral depletion is known as enamel demineralization ^[2], and when this happens, the enamel is weakened and susceptible to decay. The oral cavity’s defense mechanism is enamel remineralization, in which the body takes calcium and phosphate from the saliva and puts these minerals back into the enamel ^[3]. This is an ongoing process as the enamel loses and replenishes minerals throughout the day with eating and drinking.



What products are good for enamel remineralization?

For the saliva to be able to put calcium and phosphate back into the enamel, it’s going to need somewhere to get it! The first source is saliva, which is why it’s important to eat a diet rich in vitamins and minerals. However, if someone has xerostomia (dry mouth) or is especially susceptible to tooth decay, there are some other ways to remineralize enamel. The first is a fluoride varnish treatment which is done in the dental office and promotes enamel remineralization as well as protects the tooth against hot and cold sensitivity. An oral probiotic is the second as a balanced oral microbiome will reduce the acidity of the pH, reducing enamel demineralization. Finally, good home care will promote remineralization as decreasing plaque biofilm will reduce places for bacteria to populate. Once enamel starts to demineralize, oral pathogens sweep in to take advantage ^[3]. If there is no plaque biofilm or acids for it to cling onto, there’s less of a chance they will cause decay.

Teeth are incredibly resilient but still need nourishment to fight decay and withstand daily forces. Nutrition, proper home care, and maintaining a healthy oral microbiome go a long way in maintaining strong enamel.

Esmy Ornelas
Esmy Ornelas is a registered Dental Hygienist, writer, educator, and consultant with 10 years of experience in dentistry. She is passionate about education, empowering hygienists to advance their careers in and out of the operatory, and about community. She has written for RDH Magazine, the RDH Graduate, and is a full-time professor of Dental Hygiene and Assisting at Rose State College in Oklahoma.
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1. Abou Neel, E. A., Aljabo, A., Strange, A., Ibrahim, S., Coathup, M., Young, A. M., Bozec, L., & Mudera, V. (2016). Demineralization-remineralization dynamics in teeth and bone. International journal of nanomedicine, 11, 4743–4763. https://doi.org/10.2147/IJN.S107624
2. Arifa, M. K., Ephraim, R., & Rajamani, T. (2019). Recent Advances in Dental Hard Tissue Remineralization: A Review of Literature. International journal of clinical pediatric dentistry, 12(2), 139–144. https://doi.org/10.5005/jp-journals-10005-1603
3. Lacruz, R. S., Habelitz, S., Wright, J. T., & Paine, M. L. (2017). Dental Enamel Formation and Implications for Oral Health and Disease. Physiological reviews, 97(3), 939–993. https://doi.org/10.1152/physrev.00030.2016

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]]> https://www.smilebrilliant.com/articles/when-to-see-your-dentist-toothache/ Thu, 13 Apr 2023 06:28:10 +0000 https://www.smilebrilliant.com/?p=850390 Tooth pain is caused by various conditions that require attention. The key is identifying the source. Read on below to learn the potential causes. A toothache is a pain in or around a tooth that can be caused by numerous dental and non-dental conditions, such as dental decay, infections, gum disease, bruxism, and trauma. Toothaches…

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]]> Tooth pain is caused by various conditions that require attention. The key is identifying the source. Read on below to learn the potential causes.

A toothache is a pain in or around a tooth that can be caused by numerous dental and non-dental conditions, such as dental decay, infections, gum disease, bruxism, and trauma. Toothaches can be acute, meaning they come on suddenly and last for a short time, or chronic, meaning they come and go over a more extended period of time. Abnormal dental pain with a non-dental origin can be categorized as referred pain. ^[1]

When it comes to our teeth, we often think of them as being strong and durable; however, they can become fragile and susceptible to pain if not adequately protected and cared for by regular dental visits and optimal homecare and nutritional choices.

Symptoms of Tooth Pain

The symptoms of a toothache vary depending on the underlying cause and can range from mild to severe pain. Common symptoms of a toothache are sharp pain, dull pain, or throbbing pain, but other symptoms can include sensitivity to hot or cold temperatures.

Acute vs. Chronic

Acute toothaches are sudden and severe, while chronic toothaches are more persistent and may last for weeks or months. Several factors, including cavities, trauma, infection, gum disease, and TMJ disorders, can cause tooth pain.

Causes of Tooth Pain

Clenching/Bruxism –Temporomandibular disorders (TMD), such as bruxism, may cause painful clinical conditions and lead to chronic facial pain over time. ^[2] Referred pain originating in the muscles is surprisingly common. The digastric muscle is often pinpointed as the source in people experiencing jaw, throat, tooth, and general facial pain. ^[3] The digastric muscle connects the mandible to the skull and is prone to tense up. Myofunctional therapy is an option for chronic pain associated with bruxism. ^[2]

Trauma – Trauma to the periodontal ligament, a soft connective tissue, acts like a shock absorber to withstand the forces of your teeth and can become inflamed. The benefit of a radiograph can show the widening of this ligament and bone loss associated with periodontal disease.

Periodontitis is characterized by inflammatory destruction of the supporting structures of the tooth (periodontal ligament, cementum, and alveolar bone), which results in the gradual loosening of the teeth. ^[4]

Cavity – When a cavity is small, typically, there is no pain. However, when left untreated and reaches the dentin, the second layer of the tooth, patients can experience sensitivity to hot or cold substances in conjunction with pain. If left untreated too long, it could result in the bacteria reaching the pulp of the tooth, which usually causes more intense pain or discomfort, possibly leading to an abscess. Data from the National Health and Nutrition Examination Survey from 2011 to 2012 conducted by the National Center for Health Statistics for dental caries and tooth loss report that 91% of adults aged 20 to 64 had dental caries. ^[5]

Abscess – Poor dental hygiene, dental cavities, and trauma are the most frequent causes of dental abscesses. Dental abscesses or periapical infections typically arise secondary to dental caries, trauma, or a failed root canal treatment. These infections can be extremely painful if left untreated and pose a significant risk of descending into the deep neck space or ascending to intracranial sinuses. ^[5]

Tooth erosion

Erosive tooth wear can be caused by acidic food sources, such as citric juices, and conditions, such as acid reflux and bulimia, to name a few. These sources and conditions can have a high prevalence of causing tooth erosion and sensitivity because it causes demineralization. Early signs of dental erosion are characterized by a loss of enamel structure and sometimes dulling of the surface gloss. ^[6]

Treatment for tooth-related pain

Diseases and infections associated with a cavity, periodontal disease, or an abscess can quickly spread to other areas of the body, affecting oral-systemic health and resulting in more health expenses and issues.

The best way to relieve toothache pain is to see your dentist or dental professional to have the underlying problem diagnosed and treated. Your dental professional may be able to alleviate your sensitivity with at-home fluoride treatments, nonsteroidal anti-inflammatory medications, or myofunctional therapy. Myofunctional therapy is an option for those experiencing TMD or facial pain.

Other at-home treatment options before seeing your dental professional include rinsing with warm salt water, using a cold compress, taking over-the-counter pain medication, and avoiding chewing on hard foods. Additionally, avoidance of acidic foods can assist in the reduction of experiencing tooth sensitivity. Early intervention of tooth pain is vital to maintaining optimal oral and systemic health.

Lacy Walker
LACY WALKER, RDH, BS, CDA, FAAOSH - dental hygienist, speaker, owner of Shared Hygiene, LLC, & writer w/ 25 years of experience in the dental field working in a psychiatric hospital, cosmetic, restorative, DSO, and periodontal practices. Lacy is the CE Director for A Tale of Two Hygienists podcast & Public Relations Chair for the AADH. She has a passion for the oral-systemic connection & is published in DACE, RDH Magazine, & DrBicuspid. Lacy is an approved provider of CE credits through AADH.
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1. Fukuda K. I. (2016). Diagnosis and treatment of abnormal dental pain. Journal of dental anesthesia and pain medicine, 16(1), 1–8. https://doi.org/10.17245/jdapm.2016.16.1.1
2. Messina, G., Martines, F., Thomas, E., Salvago, P., Fabris, G. B. M., Poli, L., & Iovane, A. (2017). Treatment of chronic pain associated with bruxism through Myofunctional therapy. European journal of translational myology, 27(3), 6759. https://doi.org/10.4081/ejtm.2017.6759
3. Biologydictionary.net Editors. (2017, December 08). Digastric Muscle. Retrieved from https://biologydictionary.net/digastric-muscle/
4. Mortazavi, H., & Baharvand, M. (2016). Review of common conditions associated with periodontal ligament widening. Imaging Science in Dentistry, 46(4), 229-237. https://doi.org/10.5624/isd.2016.46.4.229
5. Sanders JL, Houck RC. Dental Abscess. [Updated 2022 Feb 23]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK493149/
6. Donovan, T, Nguyen-Ngoc, C, Abd Alraheam, I, Irusa, K. Contemporary diagnosis and management of dental erosion. J Esthet Restor Dent. 2021; 33: 78– 87. https://doi.org/10.1111/jerd.12706

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]]> https://www.smilebrilliant.com/articles/why-do-my-teeth-hurt-cold-drinks/ Fri, 17 Feb 2023 10:41:36 +0000 https://www.smilebrilliant.com/?p=838569 Many of us experience some level of tooth pain on a daily basis after consuming cold foods or drinks. Find out why frigid substances can be so irritating and why even mild discomfort can be cause for concern. There’s nothing like an ice-cold glass of water… until you feel a zing in your tooth! Why…

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]]> Many of us experience some level of tooth pain on a daily basis after consuming cold foods or drinks. Find out why frigid substances can be so irritating and why even mild discomfort can be cause for concern.

There’s nothing like an ice-cold glass of water… until you feel a zing in your tooth! Why does this happen and what does it mean for the health of our teeth? Let’s investigate.

What is tooth sensitivity?

Tooth sensitivity can present different ways depending on the cause. If it’s due to something generalized like gum recession (more on this later), it may feel like a zing of pain that subsides quickly. If it is due to a cavity, aside from sensitivity, you may see physical presentations of the cavity like a dark spot or even a hole depending on the size. If the sensitivity is due to something more serious like an infection, the pain will be severe and there will most likely be a small bubble on the gum around the tooth.

How common is it?

Tooth sensitivity occurs in about 33% of the population ^[1] but studies indicate that numbers may be as high as 60% in future^[1]. The theory is that tooth sensitivity is under reported. Often since it’s a transient pain, patients often only tell their dental hygienist or dentist when the pain is unbearable. If you’re feeling any sensitivity, always report it to your health care professional so that they can identify the cause and prevent the discomfort from progressing to intolerable pain.

What are the causes?

Tooth sensitivity is multifactorial with many contributing factors including periodontal disease, aggressive brushing, clenching, and grinding, and so many more. While there are many causes for sensitivity, receding gums is one of the biggest. According to the American Dental Association, “88 percent of people 65 years of age and older and 50 percent of people 18 to 64 years of age have one or more sites with recession” ^[2].

If sensitivity is due to a cavity, the pain will be localized to the affected tooth and possibly the adjacent teeth if the decay is interproximal (in between the teeth). Molars are especially prone to cavities because of their deep pits and grooves so if you’re getting a cavity, you may also feel it when you chew or eat something sweet.

Can sensitive teeth be treated?

Treatment of sensitivity is as varied as the causes of it. If the sensitivity is due to a cavity, the treatment will be a filling or a crown depending on the size. If it is due to an infection, a root canal may be indicated if the infection has caused damage to the nerve of the tooth. In regards to recession, once again it depends on the severity. For generalized light-moderate sensitivity, fluoride treatments – especially varnishes, are a great option as they effectively seal off the dentinal tubules that become exposed with recession. If a patient prefers to avoid fluoride, toothpastes, mouthwashes, or desensitizing gels with potassium nitrate are a great option. Potassium nitrate intercepts the transmission of pain and calms the nerve of the tooth, effectively reducing sensitivity ^[3]. Tooth sensitivity can also be helped with an occlusal guard, gentle circular brushing (no scrubbing), regular visits to the dentists, and a good oral hygiene routine.

Sensitive teeth can be uncomfortable. Luckily there are many options and resources available to treat it!

Esmy Ornelas
Esmy Ornelas is a registered Dental Hygienist, writer, educator, and consultant with 10 years of experience in dentistry. She is passionate about education, empowering hygienists to advance their careers in and out of the operatory, and about community. She has written for RDH Magazine, the RDH Graduate, and is a full-time professor of Dental Hygiene and Assisting at Rose State College in Oklahoma.
View My Profile Contact Esmy

References

1. Kassab, M. M., & Cohen, R. E. (2003). The etiology and prevalence of gingival recession. The Journal of the American Dental Association. https://jada.ada.org/article/S0002-8177(14)61986-3/fulltext
2. Sharma, S., Shetty, N. J., & Uppoor, A. (2012). Evaluation of the clinical efficacy of potassium nitrate desensitizing mouthwash and a toothpaste in the treatment of dentinal hypersensitivity. Journal of clinical and experimental dentistry, 4(1), e28–e33. https://doi.org/10.4317/jced.50665
3. Zeola, Soares, Cruz, et al. (2019). Prevalence of dentin hypersensitivity: Systematic review and meta-analysis. Journal of Dentistry. https://www.sciencedirect.com/science/article/pii/S0300571218305736

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]]> https://www.smilebrilliant.com/articles/signs-you-are-grinding-your-teeth/ Fri, 13 Jan 2023 09:57:19 +0000 https://www.smilebrilliant.com/?p=829170 If left unchecked, teeth grinding can cause irreparable tooth damage and jaw pain. Since teeth grinding often occurs during sleep, symptoms may go unnoticed & untreated. Beyond that, the causes are complex & varied, so effective treatment requires a multifaceted approach. Learn how one dental hygienist gained control of this unconscious behavior to protect her…

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]]> If left unchecked, teeth grinding can cause irreparable tooth damage and jaw pain. Since teeth grinding often occurs during sleep, symptoms may go unnoticed & untreated. Beyond that, the causes are complex & varied, so effective treatment requires a multifaceted approach. Learn how one dental hygienist gained control of this unconscious behavior to protect her teeth.

I often know when I am under a lot of stress, I will wake up with a headache usually coupled with jaw pain. That’s a telltale sign to let me know that I was grinding my teeth in my sleep. Teeth grinding also known as bruxism is a condition in which you grind, gnash, or clench your teeth.^[1] You might unconsciously clench your teeth while awake (awake bruxism) or clench and grind them during your sleep (sleep bruxism).^[1]

Sleep bruxism can be especially concerning as people who clench or grind their teeth during their sleep are more likely to have sleep disorders, such as snoring and pauses in their breathing (sleep apnea).^[1]

Although doctors don’t completely understand what causes bruxism a combination of physical, psychological, and genetic factors seem to play a part in the prevalence of the disorder.(1) Common causes are attributed to anxiety, stress, anger, frustration, and feelings of overwhelm.^[1][2]

Risk Factors:

• Increased stress and anxiety^[2]
• Taking medications such as antidepressants.^[2]
• Smoking tobacco, consuming high levels of alcohol or caffeine, or using recreational drugs.^[1]
• It’s common for young children and teenagers while sleeping especially to grind their teeth until all their adult teeth have developed.^[1]
• Individuals with medical disorders such as Parkinson’s, dementia, gastroesophageal reflux disorder (GERD), epilepsy, night terrors, sleep disorders, and ADHD have increased risk of bruxism.^[1]

Signs and Symptoms of bruxism may include:

1. Teeth grinding or clenching that wakes up a partner or is noticeable to others.^[1]
2. Pain in your jaw, neck, or shoulder.^[1][2]
3. Headache originating at temples.^[1]
4. An earache.^[1][2]
5. Sleep disruption.^[1][2]
6. Tooth pain or sensitivity.^[1]
7. Teeth that are flattened, loose, chipped, or have jagged edges.^[1]
8. Worn down enamel.^[1]
9. Tired jaw muscles or a jaw that has restrictive openings.^[1]
10. The inside of your cheeks show trauma from chewing the inside of your cheek.^[1]

What can I do about grinding or clenching?

First it is important to try to get to the root of the problem. No pun intended! If your dentist suspects that you have bruxism they may try to determine what is causing it by asking you questions pertaining to your general health, medications you take, your daily routine, and your sleep habits.^[1] During the dental examination the dentist may check for TMJ disorders and other dental concerns.^[1]

If your bruxism seems to be related to a sleep disorder, the dentist might refer you to a sleep specialist who will conduct more tests, such as a sleep study.^[1] If the issue seems related to anxiety or a psychological issue you might be referred to a licensed therapist or counselor to determine the next steps to assist you in managing the disorder with various anxiety management techniques.^[1]

Your dentist might recommend a mouthguard that you would wear when you are most prone to grind your teeth. A mouthguard keeps your teeth separated to prevent you from clenching and grinding and further potentially damaging your teeth. The dentist might suggest that they make you a custom fit mouthguard that will be from with or hard acrylic, soft materials, or a combination of the two to fit over either your upper or lower teeth.^[1] If your bruxism has caused significant damage and wear to your teeth, the dentist might recommend restorative treatment such as crowns to repair the damage.^[1]

What if teeth grinding/clenching are left unchecked?

You can certainly choose to ignore your clenching or grinding disorder. It is not however recommended as overtime it can lead to jaw problems and damage your teeth causing your teeth to crack, loosen, or fall out.^[3] You should schedule regular dental appointments so that your dentists can recognize early signs of teeth grinding instead of diagnosing the condition then it is significant.

In my case a combination of treatments helped. I started using a custom fit mouthguard that I wore at night while I was sleeping. I took a look at what was contributing to my bruxism, in my case it was work related stress that needed to be managed better. I started to use relaxation techniques to reduce my stress and found positive outlets to help in this endeavor. If you think that you are grinding or clenching your teeth or you have any of the above symptoms, speak with your dentist for treatment recommendations.^[3]

Kari Carter-Cherelus
Kari Carter-Cherelus RDH, DA is a registered Dental Hygienist, writer, consultant, coach, international keynote speaker, with 23 years of experience in dentistry. She is passionate about helping others recover from burnout, improving organization’s work culture, and helping her clients to improve their mindset. She authored the book The Ultimate Guide For Dental Hygienist Burnout, and has written for RDH Graduate, RDH Magazine, and Inside Dental Hygiene.
View My Profile Contact Kari

References

1. Mayo Clinic. Bruxism (teeth grinding). 2017, August 10. https://www.mayoclinic.org/diseases-conditions/bruxism/symptoms-causes/syc-20356095
2. NHS. Teeth Grinding (bruxism). 2022, June 27. :www.nhs.uk/conditions/teeth-grinding/
3. NIH news in Health. Taking on Teeth Riding and Clenching Halt Dental Damage and Jaw Pain. ://newsinhealth.nih.gov/2021/12/taking-teeth-grinding-clenching

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]]> https://www.smilebrilliant.com/articles/custom-night-guard-review/ Tue, 20 Dec 2022 06:21:27 +0000 https://www.smilebrilliant.com/?p=825391 One Smile Brilliant customer’s enthusiastic feedback about the comfort, affordability & fit of his custom night guards. “This is the first time I’ve found a product that fits well, is pliable, and stays in my mouth. Congratulations for solving my night guard issues.” Neil’s history with night guards “So I’ve been wearing night guards forever.…

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]]> One Smile Brilliant customer’s enthusiastic feedback about the comfort, affordability & fit of his custom night guards.

“This is the first time I’ve found a product that fits well, is pliable, and stays in my mouth. Congratulations for solving my night guard issues.”

Neil’s history with night guards

“So I’ve been wearing night guards forever. I’m 67 and was a news and documentary cameraman. I traveled globally for years and always had issues with night guards. They were expensive, and I could never get more than one really stiff night guard made. Eventually I gave up on my dentist and started buying them over the counter but never liked the fit.”

How do Smile Brilliant night guards compare to the dentist?

“All amazing. And I’m telling you this because my West Los Angeles dentist who charged me $750.00 for a super hard night guard that broke the first time I dropped it told me your service / product was no good. BS. Your services and night guard products are excellent..thanks again. I’m a big fan.”

What did you think when you received your custom Smile Brilliant night guards?

“I received the night guards.WOW. There were 4 of them !!!”

“…And they all fit !!! and they’re very pliable !!!!”



Neil’s custom night guards with breathable carrying case & personalized impression mold for future re-orders.

Photo Credit: Neil A.

Neil A. purchased the Deluxe Night Guard System to put an end to years of struggling with teeth grinding without a solution to properly protect his teeth. Over the years, Neil tried expensive night guards from the dentist which were brittle & fragile as well as over-the-counter options that failed to properly fit. He says his custom Smile Brilliant night guards are the best of both worlds with a pliable, comfortable fit that stays safely in place throughout the night to protect from the damaging effects of teeth grinding & clenching.

GET THE PACKAGE

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]]> https://www.smilebrilliant.com/articles/how-to-care-for-sensitive-teeth/ Thu, 24 Nov 2022 07:00:29 +0000 https://www.smilebrilliant.com/?p=820066 Find out what causes tooth sensitivity and how to stop the daily pain & discomfort. Having sensitive teeth is an uncomfortable problem that you might notice after having something cold such as ice cream or hot, such as a bowl of hot soup.[2] Although this discomfort at times can alert us to a potential cavity,…

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Find out what causes tooth sensitivity and how to stop the daily pain & discomfort.

Having sensitive teeth is an uncomfortable problem that you might notice after having something cold such as ice cream or hot, such as a bowl of hot soup.^[2] Although this discomfort at times can alert us to a potential cavity, it might be an indication that we might need to make some changes in our oral hygiene home care routine.^[2]

What are some common causes of sensitive teeth?

Although some people are more prone to having sensitive teeth due to having thinner enamel, there are many factors that can lead to the development of your teeth becoming sensitive. The enamel is the hard protective outer layer of the tooth. If it becomes worn down then the next layer, dentin which is much softer becomes exposed, this exposure can lead to tooth sensitivity.^[3] Some other factors that contribute to tooth sensitivity are:

• Brushing too hard can cause the enamel to wear away overtime, leaving the teeth exposed. This often happens where the teeth and gum meet at the gum line.^[3]
• Grinding or clenching your teeth may wear down surfaces of your teeth.^[1]
• Gum Recession is usually developed as a result of periodontal disease. It occurs when the gum tissue pulls away from your teeth, exposing the roots of your teeth which will lead to increased sensitivity.^[1]
• Cracked teeth, tooth decay, or worn down fillings can leave the dentin exposed and open to harmful bacteria.
• Acidic foods and medical conditions such as GERD or Bulimia can contribute to tooth erosion. The excess acid can coat the teeth and wear down the layers of the teeth overtime. Consume acidic foods less often and see your physician if you have a contributory medical condition.^[1][3]
• Your teeth might feel temporarily sensitive following certain dental procedures such as teeth bleaching or restorative treatments like fillings or crowns.^[2] This sensitivity usually diminishes in four to six weeks. If you have discomfort after a procedure make sure to inform your dentist so that they can determine if this normal or is a concern needing additional treatment.^[1]

How is tooth sensitivity treated?

• If your tooth sensitivity is mild, you can try over-the-counter sensitivity treatments such as toothpastes labeled specifically for sensitive teeth. Sensitivity toothpastes contain ingredients such as Potassium Nitrate that will help desensitize your teeth overtime and help block the discomfort of the tooth sensitivity you have been experiencing.^[2]
• Gently brush with a soft toothbrush, using a medium or hard toothbrush is not recommended as it contributes to wearing away the enamel of your teeth quickly.^[2]
• If you grind or clench your teeth, discuss this with your dentist to see if a night guard or corrective treatment is advised.
• Use a non-alcoholic mouthwash that contains fluoride or xylitol. These ingredients help prevent cavities and help desensitize uncomfortable areas.
• If you plan to do in-office or at-home dental bleaching, discuss this with your dental professionals prior. They may recommend certain desensitizing products to be used prior to the treatment and after to help prevent or alleviate any discomfort.^[3]
• Visit your dental office regularly. If you have sensitivity don’t ignore these symptoms, they could be indicators that immediate treatment might be necessary. Your dental professionals can help with sensitive areas by applying fluoride gels, prescription-grade desensitizing agents in-office, and might prescribe you prescription strength treatments to use at home.^[1][3]

Tooth sensitivity can definitively be a pain, pun intended. However thankfully as discussed there are several options that can help it to be treated and successfully managed.

Kari Carter-Cherelus
Kari Carter-Cherelus RDH, DA is a registered Dental Hygienist, writer, consultant, coach, international keynote speaker, with 23 years of experience in dentistry. She is passionate about helping others recover from burnout, improving organization’s work culture, and helping her clients to improve their mindset. She authored the book The Ultimate Guide For Dental Hygienist Burnout, and has written for RDH Graduate, RDH Magazine, and Inside Dental Hygiene.
View My Profile Contact Kari

References

1. Cleveland Clinic. Teeth Sensitivity.(2022).
   https://my.clevelandclinic.org/health/symptoms/10954-teeth-sensitivity
2. 2. Frank, Christine. (2018, September 29). Why Are My Teeth So Sensitive? https://www.healthline.com/health/sensitive-teeth
3. Oral Health Foundation.Sensitive Teeth. https://www.dentalhealth.org/sensitive-teeth

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