Is There a Cure For Teeth
Grinding and Clenching?
~~~~~~~~~~~~~~~~~~~~~~
Do you grind or clench your teeth at night?
Has your dentist told you that you have
bruxism?
Clenching or grinding your teeth at night is
probably only going to get worse.
And lead to even more problem s than
the symptoms you might be suffering from right now.
In this article I am going to give you all the
info you need so you don’t have to spend hours searching the internet for it.
First let’s discuss the problem and why you need
to solve it as fast as you can.
Then let’s discuss the possible solutions out
there and the pros and cons of each.
By the time you finish reading this article, not
only might you have a solution to your teeth grinding and clenching or bruxism but you will know more about the
research and solutions than even your dentist.
Bruxism actually can be one of two different
forms. It can be important for you to know which one you have, even though most of the professional literature
and studies don’t differentiate between them. The symptoms and consequences of each are very different. They are
clenching or grinding your teeth. Some people just clench their teeth and some people just grind their
teeth.
Clenching the teeth puts tremendous pressure on
your teeth. For many the clenching will be so great the teeth start to fracture and crack.If you were awake you might become aware of what you were doing and stop (this is not always
true because some people continue to grind and clinch their teeth while awake). But since you are sleeping, and not conscious, the normal warning signals that say to
your mind “STOP you are hurting yourself” just aren’t there. Some experts estimate that during the night you can
apply ten times the normal pressure exerted when chewing.
 |
Your head, jaw and teeth are not meant to
sustain that much pressure night in and night out.Not only can it cause jaw tenderness and pain but
headaches, neck aches, earaches and even hearing loss.
|
What a lot of people don’t realize is that with
all the grinding and clinching going on the muscles are getting a great work out. They are exercised so much that they start to become larger. This can cause deformity of the face.
Because this clenching or grinding (bruxism) involves excessive
muscle use it can cause enlargement of the jaw muscles. This enlargement can cause deformity of the face. In some
causes in might even be necessary to have surgery and cut away part of the muscle to restore the look of the
face.
Clenching of the muscles this hard at night can
also cause inflammation and blockage of some salivary glands. Not only can inflammation interfere with the
saliva glands but sometimes the muscle becomes overdeveloped which causes saliva to accumulate in the glands
with no way out, causing swelling, pain and inflammation.
The extreme pressure of clenching and constant
use with grinding can damage the temporomandibular joints. Bruxism is believed by most experts to be one of the
leading causes of TMJ or temporomandibular disorders (TMDs). Besides causing chronic pain that can last years, a
sufferer may wake up and be unable to open their mouth. The jaw can also suddenly dislocate during chewing.
Sometimes a difficult surgery that may or may not work is required.
The research says “it is unrealistic to expect”
to cure temporomandibular disorders once they start. “At best, we are only managing signs and symptoms” (Pertes
& Attansio, 1992, pg 146) That is one reason it is so important to stop the clenching and grinding instead
of some of the treatments that allow it to continue but not damage the teeth (like splints and mouth
guards).
Clenching and the extreme pressure can sometimes
put more pressure on one side than the other and cause “malocclusion” or a “bad bite”. This can also be true
with grinding as it can wear out one side more than the other.
While clenching can crack and fracture teeth,
grinding can literally “wear out” the teeth.
The teeth of some chronic “grinders” look like
someone took a file and filed them down.
Another form of Bruxism is grinding the
teeth. Grinding the teeth can wear them down to just stumps. It can wear them completely
flat. In the beginning it can wear off the enamel which makes it
easier for bacteria to cause cavities.
A lot of the time this leads to fillings, crowns,
and root canals. Sometimes the teeth become so damaged you might have to have bridges, implants or even
dentures.
As long as you keep clenching or grinding your
teeth, the bruxism continues and the problem just gets worse.
The problem is even fixing your teeth won’t help.
The bruxism can damage any repairs that are made.
Long term bruxism can even change the way you
look in several different ways. First is the look of damaged and worn-out teeth. Also as the teeth are ground
down they shorten which causes the entire look of the face to change and the person to look really
old.
Another problem with bruxism is the clenching and
grinding on the mercury fillings that a lot of people have. There is some research that shows higher levels of
mercury in the blood of some people with bruxism and mercury fillings (Isacsson et al., 1997). Mercury can cause
a whole host of health problems both mentally and physically.
What Causes Bruxism?
No
one really knows exactly what causes people to clench or grind their teeth at
night.
It is
commonly believed to be related to how much stress and or anxiety the individual is
experiencing.
Many dental professionals believe that emotional
stress triggers, or anxiety exacerbatesbruxism.
Negative stress is bad for one's health,
regardless of its effects onbruxism. It may be worth while therefore to try to reduce stress levels (with such things as
hypnosis, changed lifestyle, or other relaxation techniques).
Trauma
In
some cases,bruxismmay present itself shortly after dental procedures
such as fillings, crowns, or bridges; after an injury to the mouth; or after a prolonged operation in or
through the mouth. To be sure, at timesbruxismmay be caused by the psychological stress of the
treatment or injury (and not by the injury itself).
Bruxism as a Side Effect ofDrugsand Medications
In
some cases,bruxismmay be traceable to drugs. Smoking (Madrid et al.,
1998) and alcohol (Hartmann, 1994) may cause, or at least exacerbate, the condition.
Antidepressant and antipsychotic medications may triggerbruxism. The effect of anti-depressants is still
uncertain (Stein, VanGreunen, Niehaus, 1998). Still, clinicians and bruxers should bear
in mind the risk that drugs or medications may induce or exacerbatebruxism.
If
you have bruxism, which by now you know means you either clench or grind your teeth at night, you absolutely
mush do something about it. If you don’t your teeth will be permanently
destroyed.
But what should you
do?
What is the best thing to
do?
What Doesn’t
Work ?
Splints or Mouth Guards
The
most common treatment is for a dentist to make you a splint or mouth guard that you wear at
night.
In
the United States alone, some 3.6 million splints (aka nightguards,
biteguards, occlusal splints, biteplates, removable appliances, or interocclusal orthopedic appliances ) are
annually prescribed by dentists in an effort to combat bruxism (1.6 million splints), myofacial pain (0.9
million), and TMJ pain (1.1 million)--a $1 billion industry (Pierce et al.,
1995).
Many
researchers feel that the splint does not diminish bruxing behavior, in the long term, nor alleviates most
symptoms and consequences. They insist, in fact, that the splint only provides a measure of protection for the
teeth, and, in the case of grinders, a moderation of the sound. And even this is purchased at a price: the
splint is uncomfortable to wear, some patients remove it during sleep, and it may negatively affect one's bite,
cause tooth decay, and lead to degenerative joint disease (Messing, 1992, p.
438).
"Occlusal splints worn at night did not significantly reduce bruxing-clenching activity in
bruxing subjects" (Kydd and Daly, 1985).
The
most common complication of splint therapy is the creation of changes in the patient's occlusion" (Messing,
1991, p. 437). Another complication of splint therapy is decay under the splint, which may in turn cause caries
and gum inflammation. Still another problem is severe degenerative joint disease (Messing,
438).
To
sum up, the splint may help slow down the destruction of teeth and it may moderate the sounds of grinding. In
some patients, it may bring about atemporaryreduction in bruxing, lowering it to about 50% of its former
value.
This
effect, though real, may be nothing more than the well-known placebo effect, or it could be ascribable to the
fact that the nighttime introduction of just about anything into the mouth temporarily alleviates bruxism
symptoms. In a few patients, the splint may produce long-lasting improvements, although we are far from being
sure about this more moderate claim. In other cases, it may intensify bruxism.
Thus,
the splint may or not stop bruxism for a while, it partially protects the teeth, and it moderates grinding
sounds. For most patients, it accomplished little else.
A
patient may wear this uncomfortable appliance for years and years, perhaps risking an open bite where none
existed before, and still destroy her teeth, still develop headaches, still change her appearance for the worse,
still develop TMD.
Given
these shortcomings, even the most enthusiastic advocates of splint therapy would have to concede that, at the
very least, something else is required to treat the millions of chronic bruxers whose condition is getting worse
despite faithfully wearing this appliance for years.
There
is a major problem with doing that.
The
splint does not stop you from clenching or grinding your teeth. All it does is put something between your teeth.
You still end up clenching or grinding all night long.
Which
means you are still going to have some of the major problems.
The
muscles in your jaw are still going to be exercising all night. Which means they will still either grow and
cause those problems. Or they will cause headaches as the muscles go into spasms. You will still have the
problem of possible joint damage. Which means all of the possible TMJ problems.
Sleep Feedback
Sleep
feedback uses some sort of a “sensing” device, either electrodes attached to the face or some sort of device in
between the teeth.
When
the sensing device detects muscle tension or teeth pressure it sets of some sort of alarm, either a sound or an
electric shock to wake you up.
The
vast majority of people will discontinue using a sleep feedback device.
Sometimes they learn to ignore and sleep thru the alarm.
Pierce and Gale (1988) found that bruxing only decreased by about 50% during two weeks of
biofeedback therapy, but that, following withdrawal of treatment, the condition returned right back to where it
was before.
Piccione et al. (1982), to cite another example, found that "biofeedback does not appear to be
effective in reducing nocturnal bruxing," probably because, over time, "subjects learned to ignore the tone and
to maintain sleep."
The only real solution is to
somehow get your unconscious mind to stop grinding or clenching at night. You have to stop the behavior
somehow.
What does
work?
There are two ways to answer this
question.
Ifbruxismoccurs only sporadically and
intermittently, especially in children, waiting may provide the best
strategy.
You chould try and find a highly skilled and
trained hypnotherapist that hopefully has specific training in Hypnodontia.
While even the psychological community does not
really understand hypnosis, it has been used successfully for over a hundred years.
No one really understands how or why it works.
But the facts are in certain cases it definitely does work.
Reseach
Research: Journal of the
California Dental Association
Dentist Henry Clarke, at the Oregon Health Sciences
University, used hypnosis to help relax anxious patients. Knowing that stress is believed to
be a major cause of tooth grinding, (Bruxism), the researchers tried the technique on eight
volunteers who were moderate bruxers. He hypnotized the patients weekly for up to two months,
using such phrases as "lips together, teeth apart" and relaxing images such as hot towels on
the face. Patients were instructed to play a tape of a session while falling asleep each
night. Clarke found that nightly jaw muscle activity had decreased an average of nearly 40%,
and facial pain was reported to be much diminished. (Changing States - more rapid results can
be obtained when the seeding event is resolved / processed, in combination with self
hypnosis).
|
Research: Understanding
change: Five-year follow-up of brief hypnotic treatment of chronic bruxism
LaCrosse, M. (1994) Understanding change:
Five-year follow-up of brief hypnotic treatment of chronic bruxism. American Journal of
Clinical Hypnosis. Vol 36(4)
Describes the treatment of a 63-yr-old woman with
a 60-yr history of nocturnal bruxism. Treatment included assessment, 2 psychotherapy
sessions, including a paradoxical behavior prescription to reduce daytime worrying, hypnotic
suggestions for control of nocturnal grinding, and reinforcement of the patient's
expectations for success. Follow-up assessments at 2, 3, and 5 yrs revealed that she
continued to be symptom-free with her self-reports corroborated by her spouse and family
dentist.
|
Hypnosis is probably the only way to solve the
problem at it’s root cause. The real problem is the unconscious mind is for some reason causing you to clench or
grind your teeth at night. The solution seems obvious. It is to get your unconscious mind to stop doing
that.
The problem you will most likely run into is most
hypnotherapists are not that skilled or trained, they are hard to find and expensive.
Even a Psychologist “trained” is hypnosis has
usually had only a weekend of training.
You need to find a Hypnotherapist that has had
thousands of hours of training and experience. There are very few of them.
The
other way is to listen to a skilled Hypnodontia specialist recordings.
This
is often the easiest and cheapest solution.
By
listening to an experienced Hypnotherapists recording of a session you may solve the problem
instantly.
Obviously this is not quite as good as finding an experienced therapist and having them
conduct an in depth case history. They might even be able to use regression to find the exact root cause and
eliminate it.
But
often just listening to specific specially worded suggestions while you are asleep will cause your unconscious
to stop bruxing.
In
fact you might be able to stop clenching and grinding your teeth tonight.
And
it is inexpensive. A regular session with a trained Hypnotherapist if you can find one will often cost you at
least $125 an hour. Often the intake and case history and actual hypnotic session can take 4 to 5 hours
minimum.
But
that is often better than a splint. Mouthguards and splints can often cost $600 or more and as we know they
don’t “solve” the problem. You will need to keep buying new ones as the old ones wear
out.
Right
now though you can order a hypnosis recording for only $19.95! You would think that it would cost
more than that, but my interest is not in making a fortune off each person that orders my
CD's.
My
interest is in making sure that no matter who you are, if you suffer from Bruxing, you will
be able to afford the cure.
Think
about this for a moment. With just the click of your mouse you will soon have a cure to a problem you, and
your dentist, thouht you would never cure.
Don't
spend another night or day in pain from Bruxing. Order right now!
Exercise
Quinn
(1995) and many others suggest isokinetic and stretching exercises of the mandible. Such exercises may or may
not help alleviate bruxism, and they may perhaps be used to complement other approaches, but it seems unlikely
that they could ever be used as the sole therapeutic approach. Evidence that this approach is effective:
non-existent.
Drugs
Both the stress and the brain malfunction etiological theories give at
times rise to the use of anti-anxiety agents, muscle relaxers, and other drugs. Most authorities, however, feel
that, at best, drugs in use now are of limited value in the treatment of the great majority of chronic bruxers,
and that they often involve, moreover, untoward side effects. Evidence that this approach is effective:
non-existent.
Disclosure:
By
law only a doctor can diagnose or treat a medical condition. Obviously this web page and this information on it
is not meant to diagnose or treat you or any medical condition. Heck we have no idea who you are or what your
problem is or even if you have one.
This
web page and everything on it is intended for information only. And because of attorneys and the fact we don’t
want to be sued, you shouldn’t rely on or even believe that anything on here is true. It could all be made up
and fictiscious. Everything written here is for entertainment and information
only.
If
you have a medical problem you should really get advice and pay lots of money to a medical doctor. In fact
according to the research you should probably contact at least 7 to 10 doctors, dentists, and other
professionals because "the average TM disorder patient has been seen by at least seven physicians, dentists,
psychologists, or other health professionals. Of these patients, 7 out of ten have been incompletely diagnosed
or misdiagnosed" (Goldman, 1992, p. 215)
|