Biting the inner lining of the mouth during sleep?
Hello Doctor: Recently, I have been experiencing sudden episodes of biting the inside of my mouth while lying flat in my sleep, which wakes me up in pain.
This has happened several consecutive mornings just before waking up.
Could you please advise me on the possible causes? Thank you.
Xu, 50~59 year old female. Ask Date: 2020/02/22
Dr. Lin Jiayong reply Dentistry
Hello: If the nighttime teeth grinding issue is solely caused by emotional tension, a combination of an occlusal splint and muscle relaxants can be used for treatment.
If there is a condition of autonomic nervous system dysfunction, it is recommended to consult a neurologist for further examination.
Thank you!
Reply Date: 2020/02/22
More Info
Biting your cheek while sleeping can be a distressing experience, and it often raises concerns about underlying issues. This phenomenon, known as "sleep-related chewing," can occur for several reasons, and understanding these can help in finding effective solutions.
Causes of Cheek Biting During Sleep
1. Bruxism: One of the most common causes of cheek biting is bruxism, which is the involuntary grinding or clenching of teeth during sleep. This condition can lead to excessive pressure on the teeth and surrounding tissues, resulting in cheek biting. Bruxism is often associated with stress, anxiety, or misaligned teeth.
2. Sleep Position: The position in which you sleep can also contribute to cheek biting. If you sleep on your side, your jaw may shift in a way that increases the likelihood of biting your cheek. Additionally, if you tend to move around a lot in your sleep, you may inadvertently bite your cheek.
3. Sleep Disorders: Certain sleep disorders, such as sleep apnea, can lead to disrupted sleep patterns and increased muscle activity during sleep. This can result in unintentional biting of the cheeks or tongue.
4. Neurological Conditions: In some cases, neurological conditions may lead to involuntary movements during sleep, including biting the cheeks. Conditions such as epilepsy or other movement disorders can manifest in this way.
5. Dental Issues: Misaligned teeth or dental appliances that do not fit properly can also contribute to cheek biting. If your teeth do not align correctly, it may increase the risk of biting your cheeks during sleep.
Solutions and Recommendations
1. Consult a Dentist: If you suspect bruxism or dental issues, it is essential to consult a dentist. They can evaluate your bite and may recommend a night guard to protect your teeth and cheeks from damage while you sleep.
2. Stress Management: Since stress and anxiety can contribute to bruxism, incorporating stress management techniques into your daily routine can be beneficial. Practices such as mindfulness, meditation, yoga, or regular exercise can help reduce stress levels.
3. Sleep Hygiene: Improving your sleep hygiene can also help. Ensure you have a comfortable sleep environment, maintain a regular sleep schedule, and avoid stimulants like caffeine or nicotine before bedtime.
4. Adjust Sleep Position: If you tend to sleep on your side, consider trying to sleep on your back. This may help reduce the likelihood of cheek biting. You can use pillows to support your body and keep you in a more stable position.
5. Medical Evaluation: If the problem persists, it may be worthwhile to seek a medical evaluation. A sleep specialist can conduct a sleep study to determine if there are underlying sleep disorders contributing to the issue.
6. Behavioral Therapy: In some cases, cognitive-behavioral therapy (CBT) may be recommended to address underlying anxiety or stress that may be contributing to bruxism or cheek biting.
Conclusion
Biting your cheek while sleeping can be caused by various factors, including bruxism, sleep position, and dental issues. Identifying the underlying cause is crucial for finding an effective solution. Consulting with a dentist or sleep specialist can provide valuable insights and recommendations tailored to your specific situation. By addressing potential stressors and improving your sleep hygiene, you can work towards reducing the frequency of this uncomfortable occurrence.
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