Written by Elyse B, RDH (AI-aided)
Edited by Dr. Levy Do, DDS

Have you ever woken up with a sore jaw or a headache? Do your teeth feel extra sensitive, or do you notice chips or wear on your teeth? You might be grinding your teeth—often without even knowing it! Teeth grinding, or bruxism, is a common condition that affects many people, especially during sleep. If left untreated, it can lead to serious dental problems. So how can you tell if you’re grinding your teeth, and what can you do about it? Let’s dive into the signs and solutions for teeth grinding.

Common Signs of Teeth Grinding

Since teeth grinding often happens during sleep, many people aren’t aware they're doing it. However, there are a few key signs to look out for:

• Jaw Pain or Soreness: One of the most common signs of bruxism is waking up with pain or tightness in the jaw. This discomfort can persist throughout the day, especially when chewing or talking. In more serious cases, your jaw might be locked if you also have Temporal Mandibular Joint disorder.

• Headaches, Especially in the Morning: Frequent headaches, particularly dull pain that starts at the temples, could indicate nighttime grinding.

• Worn or Flattened Teeth: Worn or Flattened Teeth: Grinding puts excessive pressure on your teeth, leading to wear, flattened surfaces, or even small chips. Your dentist might notice this during routine exams.

• Increased Tooth Sensitivity: Constant grinding can wear away your tooth enamel, making your teeth more sensitive to hot, cold, or sweet foods.

• Earaches/Dizziness: The pain from grinding can radiate to other areas, including your ears. If you have earaches or dizziness without an infection, bruxism could be the culprit.

• Disrupted Sleep: Some people clench or grind their teeth so hard that it disturbs their sleep. Your partner may even hear you grinding at night.

• Biting the Inside of Your Cheeks: If you frequently wake up with sore spots or cuts on the inside of your cheeks, it might be a sign you're clenching or grinding your teeth.

What Causes Teeth Grinding?

Several factors can contribute to teeth grinding:

• TMJ Disorder (TMD) can lead to teeth grinding: When the temporomandibular joint (TMJ) is not functioning correctly, it can cause discomfort and pain. As a subconscious response to this discomfort, some individuals may begin to clench or grind their teeth (bruxism) in an attempt to find a more comfortable position for their jaw. On the other hand, excessive teeth grinding can put extra stress on the TMJ, leading to inflammation and pain, further exacerbating the disorder.  It's often a vicious cycle - TMJ disorder and teeth grinding can create a vicious cycle, with each condition worsening the other.

• Stress and Anxiety: Stress is one of the biggest culprits behind bruxism. Many people unconsciously clench their teeth when they’re feeling anxious or tense, especially at night.

• Sleep Disorders: Conditions like sleep apnea and insomnia can increase the likelihood of grinding.

• Misaligned Bite or Missing Teeth: A misaligned bite can cause the jaw to work harder, leading to clenching or grinding.

• Lifestyle Factors: Certain lifestyle habits, such as smoking, excessive caffeine consumption, or alcohol use, can increase the likelihood of grinding.

What Can You Do About Teeth Grinding?

If you suspect you’re grinding your teeth, it’s important to address it as soon as possible. Here’s what you can do:

• Visit Your Dentist: Your dentist is the first line of defense when it comes to diagnosing and treating bruxism. They’ll look for signs of wear on your teeth and may recommend solutions like a nightguard to protect your teeth while you sleep.

• Get a Custom Nightguard: A custom-made nightguard from your dentist can be a game-changer. This specially fitted appliance acts as a cushion between your upper and lower teeth, preventing damage while you sleep.

• Manage Stress: Since stress is a major factor in teeth grinding, finding ways to reduce it can help. Practice relaxation techniques such as meditation, yoga, or deep breathing exercises to relieve tension before bedtime.

• Correct Misalignment: If your bruxism is due to a misaligned bite, your dentist may recommend orthodontic treatment or adjustments to help align your teeth properly.

• Practice Good Sleep Habits: Improving your sleep hygiene can reduce the chances of teeth grinding. Try sticking to a regular sleep schedule, avoiding screens before bed, and creating a relaxing bedtime routine.

• Avoid Triggers: Cut back on stimulants like caffeine and alcohol, especially in the evening. These substances can increase your likelihood of grinding at night.

• Jaw Exercises: Gentle jaw exercises can help relieve tension and train your jaw muscles to relax. Your dentist or physical therapist can recommend specific exercises that can help.

• Medications: In certain cases, you might need to take NSAIDs such as Advil/Tylenol short term to decrease the inflammation and pain or in more serious cases your physician or dentist can prescribe a muscle relaxant to health relax your jaw muscles.

When to See a Dentist

Teeth grinding may seem like a minor annoyance, but it can lead to serious long-term dental issues if not addressed. If you suspect you’re grinding your teeth, it’s crucial to seek dental advice as soon as possible. Untreated bruxism can lead to serious complications, including cracked teeth, receding gums, and even tooth loss. By recognizing the signs early and taking proactive steps—such as managing stress, wearing a nightguard, and visiting your dentist—you can protect your teeth and jaw from further damage.

Have more questions about teeth grinding or want to schedule a consultation?

If you’re experiencing any of these symptoms, don’t hesitate to schedule an appointment with your dentist. Catching bruxism early can save you a lot of discomfort and costly treatments down the road. Contact our office today to learn how we can help protect your smile!