BRUXISM/PAIN AND STRESS:
Saturday, May 13, 2017 | 1769 | 0
BRUXISM AND STRESS:
The majority of the medical and dental literature articles that I have read show a positive relationship between stress and the development of parafunctional habits of clenching and bruxism.
Bruxism is believed to be a stress-related sleep disorder occurring in both men and women, children and adults. In most patients, bruxism results in only minor tooth wear; however, it can become extremely severe, with damage occurring in essentially every part of the masticatory apparatus. It should not be overlooked as a cause for muscular headaches. Long-term management involves stress reduction, lifestyle change, and occlusal splint or night guard to protect the teeth and masticatory system.
TMJ problems are characterized by pain, popping, and clicking in the area of the Temporo-Mandibular Joints, just in front of the ears. These joints serve as hinges between the lower jaw and the skull, allowing free movement for chewing, speech, etc. Problems with the TMJs can arise from stress and/or teeth grinding. Without treatment, these problems often lead to deterioration of the joint tissues, chronic pain, and soreness in the muscles that make the joint work.
Our treatment for such problems is based on an accurate diagnosis using state-of-the-art, computerized, diagnostic equipment. The treatment is non-invasive and typically involves neuromuscular positioning. This treatment modality is based on the use of customized splints (orthotics) to obtain a comfortable position for the lower jaw. Once this jaw position is found and the TMJ problem is under control, long term stabilization is accomplished in one of three ways:
1) Long term orthotic wear,
2) Orthodontic treatment to allow the natural teeth to serve as an orthotic, or
3) Full mouth rehabilitation to allow dental prosthetics (crowns, bridges or partials) to serve as an orthotic.
Dr. Yury Geylikman, DMD; Diplomat American Board of Forenstic Dentistry and CEO of Dental Injury Center