Teeth grinding is a condition that occurs at night during sleep and can cause serious problems such as gingival recession, broken teeth, joint dysfunctions, etc. if no action is taken.
Teeth grinding occurs when the daily stress manifests itself during sleep at night in the form of teeth unconsciously grinding against each other.
It causes problems such as erosion and even breaking of the teeth, gingival recession, and thus heat and cold sensitivity, joint diseases due to excessive load on the jaw joint, and disturbing the people around because of the noise.
Soft or hard occlusal splints prepared by taking the impression of your mouth to be worn at night during sleep are recommended. These splints should be replaced periodically. Also, being subjected to less stress in daily life is important for the success of the treatment.
Contrary to popular belief, the habit of teeth clenching happens not only at night but during the day as well. The individual can try to prevent it by being wary of this situation.
They are disorders observed in the bony and soft tissues of the jaw joint that connects the lower jaw and the upper jaw. In such cases, several symptoms can be observed, from simple symptoms such as jaw popping to serious ones such as jaw lock. They can occur because of many reasons (accidents, wrong treatments, stress, habits, etc.). Jaw joint disorders gradually deteriorate over time. Therefore, the sooner the treatment starts, the more the treatment is successful.
These reasons can be divided into three main groups:
1) Reasons related to dental treatments:
Keeping the mouth open for a long time in procedures such as the extraction of the wisdom teeth,
After orthodontic treatment,
Poor dental crowning and filling.
2) Personal habits:
Sleeping face down,
Chin resting on hand
Chewing for long,
Exposure to wind for long (especially for motorcycle divers)
3) Individual being under stress:
It causes jaw joint disorders more than other factors. As the individual under intense stress constantly contracts the facial muscles, the jaw joint is subjected to more pressure than usual.
In the advanced stages of jaw joint disorders, permanent deformations occur in the tissues and structures in the joint area, and the jaw may dislocate during engagement and shift forward. The main problem here is not jaw dislocation. Jaw can be put back in its place with the help of simple joint movements, but the main problem is if this occurs frequently over time and is accompanied by severe ache.
The muscles around the face have the ability to contract at the slightest reaction. One of the effects of stress on individuals is muscle contraction without relaxation for prolonged amounts of time. Therefore, in stressful situations, the muscles contract, the teeth come into contact with each other by applying intense force against each other, and therefore, the joint is pressured.
You should use the joint splint regularly as recommended by your doctor and follow their recommendations.
Jaw joint treatment lasts for an average of 3 months. However, depending on the severity of the disorder, this period may extend.
The joint splint is stored in the prosthesis box with a clean damp cloth.
Upon the removal of the splint in the morning, it is brushed under cold water using an old toothbrush and liquid soap.
After the splint is placed, check-ups are carried out in first week, third week, and third month.
Depending on the severity of the disorder, full recovery may not always be achieved in the treatment of jaw joint disorders. Here, the main criterion for healing is that the patient can perform basic jaw movements in daily life (eating, speaking, swallowing, etc.) without feeling any pain.
In some cases, physical therapy exercises are prescribed by your doctor to strengthen the jaw muscles or to reduce the restriction of jaw movement.
There are many possible symptoms of jaw joint disorders. These symptoms include a clicking noise coming from jaw, jaw lock, or jaw pain. If you feel that something is different with your jaw, consult your doctor. The stage of the disorder is important for the treatment.
Author of the Article: Dr. Tuğrul Saygı
The jaw joint is the joint that is located in the temple area and connects the jawbone to the skull. It enables to chew and speak, operating in harmony with jaw muscles. There is a cartilaginous pad (jaw joint disc) that protects jawbone and skull from friction and erosion, and facilitates the movement of jaw joint. The ligaments surrounding the joint hold this system together. An individual uses the joint 1500 to 2000 times a day.
It is the deterioration of harmony between jaw joint and the surrounding structures abruptly or in time. Symptoms that are mild at the beginning may lead to more severe disorders over time, such as severe jaw joint pain, head, neck or shoulder pain, a clicking noise coming from joint, jaw dislocation, jaw sliding, or restriction of jaw movement. The first step of the treatment process is dentist examination, which reveals causes of the disorder.
The biggest problem for patients with jaw joint disorders is to be unaware of which specialist to consult and whom to contact with. However, jaw joint problems are treated by Specialist dentists from the Maxillofacial Surgery branch and after the correct diagnosis, the problem can be solved with various treatment methods. In some cases, doctors from the branches of otorhinolaryngology, psychiatry, neurology or physiotherapy contribute to the treatment as well.
You should contact a doctor when abnormal changes are noticed around jaw joint. Slight-feeling jaw joint pain may deteriorate the disorder. The earlier the cause is determined, the more likely the treatment to be successful.
There are many factors that cause jaw joint diseases. The most important of those factors are:
Decrease in the quality of life and deterioration of mood due to symptoms
Daily stress causes us to clench our teeth involuntarily during the day and night, and it is usually noticed later. As a result of continuous teeth clenching, the muscles remain contracted and the jaw joint is subjected to more pressure. Transmitted to the jaw joint area through the teeth, the pressure cause pain and irreversible changes. Therefore, it is very important to consult a dentist early.
A detailed examination of teeth, occlusion, masticatory muscles and jaw joint is performed. In some cases, intra-articular imaging methods such as MRI can be used.
In the treatment of jaw joint disorders, full recovery may not always be achieved. The main objective here is to enable the patient to perform basic jaw movements without feeling any pain. For this purpose, methods such as a joint splint, exercises, pain relievers, muscle relaxants, and botox are applied. The treatment method is determined according to the severity of the disorder. The cooperation of the patient is very important in this process.
Joint splint is a custom-made, transparent dental tray that is used to relax the muscle in the jaw and regulate jaw motion.
It minimizes jaw dysfunction and prevents the damages caused by clenching and grinding.
The treatment period varies between 3-6 months.
After the joint splint is removed from the mouth, it should be washed with cold water using liquid soap and a brush. Toothpaste should not be used and splint should not be contacted with hot water. Otherwise, the splint may be deformed. It should be stored in a dry environment and in its box until the next use.
What to be careful about in jaw joint disorder
The Author of the Article: Dt. Alara Naz Kenir