Ever wake up with a headache or sore jaw? Or maybe you have noticed your teeth are getting shorter or more flattened than they used to be. If so, you may be grinding your teeth—a condition known as bruxism. According to the American Dental Association, bruxism is “grinding of the teeth and clenching of the jaw.” While bruxism can occur during the daytime, it is most commonly a nighttime activity—hence why you may not even be aware that you are doing it!
There can be several contributing factors that cause grinding and clenching to occur. Some things are: stress, sleep apnea and ill-fitting appliances. Treatment can consist of sleep apnea appliances that bring the lower jaw forward (mandibular advancement device), night guards or upper/lower retainers.
Let’s take a closer look at each of these treatments.
Sleep Apnea Appliances
Sleep apnea is typically diagnosed from a sleep study where your sleeping patterns and breathing is monitored overnight. Once a diagnosis is made, medical insurance may cover solutions necessary to treat sleep apnea. One appliance worn to treat sleep apnea is called a mandibular advancement device (MAD). This appliance brings the lower jaw slightly forward which opens up the airway in the back of the throat. Over time, the tongue and soft palate learn to stay away from the back of the throat and sleep apnea events lessen or go away altogether. There are different types and sizes of MADs and each person is fitted with what works best for them after being seen by a dentist who specializes in this type of appliance.
Nightguards
A nightguard is an appliance that is usually worn over the upper teeth at night to protect the upper and lower teeth from damage due to grinding or clenching. The nightguard keeps the upper teeth from touching the lower teeth so that there is no damage done while you are asleep. There are different types of nightguards that your dentist may recommend for you.
Upper/Lower Retainers
These appliances do just what they sound like—they help keep your teeth in place! Upper and lower Invisalign-style retainers hold your teeth in their new position, but can also take stress off of your teeth if you are grinding/clenching. If you are a severe bruxer, you may wear through these retainers or break them more frequently. An upper nightguard with lower retainer use may be indicated.
Conclusion
If you think you may be grinding your teeth at night, talk to your dentist about which appliance may work best for you. Depending on what is causing your bruxism, different appliances may work better than others. All three options discussed in this blog post—MADs, nightguards and retainers—are highly effective in treating bruxism and can help you get a good night’s sleep without worrying about damaging your teeth!
Dr. Thomas is a general dentist that loves sharing information about all aspects of dentistry, but is passionate about digital and implant dentistry. Dr. Thomas received his DMD degree from Tufts University School of Dental Medicine and continues to find helpful ways to inform and educate people about dental procedures and products.
Are you looking for a second opinion? Dr. Thomas is the CEO of Opinion Two Nonprofit Organization. Opinion Two is available online or on mobile app and it allows patients to receive dental second opinions with top US-licensed dentists. All proceeds are used to benefit future generations of dentists through scholarships and benefits to pre-dental programs.