Impact of Uneven Tooth Grinding on Bite Function and Dental Health - Dentistry

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Malocclusion


If a dentist has reduced the size of a filled molar significantly, and has also reduced the size of other molars, resulting in an uneven bite where one side is not making proper contact while the other side is tightly occluded, will the chewing ability of the teeth be compromised? Could there be other related issues? Is there a need for corrective measures? Thank you.

Huang, 20~29 year old female. Ask Date: 2021/10/18

Dr. Lin Jiayong reply Dentistry


Hello: In most cases, it is necessary for both sides to have an even occlusion; otherwise, prolonged unilateral occlusion can lead to joint inflammation or wear.
It is advisable to return to the original clinic to consult with the dentist regarding any follow-up treatment plans (such as crowns, bridges, etc.).
Sincerely, Dr.
Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2021/10/18

More Info


The impact of uneven tooth grinding on bite function and overall dental health can be significant. When dental work, such as fillings or crowns, alters the height or shape of teeth, it can lead to an imbalance in the bite. This imbalance can cause a variety of issues, including discomfort, uneven wear on teeth, and even temporomandibular joint (TMJ) disorders.


Understanding Bite Function
Bite function refers to how the upper and lower teeth come together when you close your mouth. Ideally, all teeth should meet evenly, allowing for efficient chewing and minimal stress on the jaw and surrounding muscles. When some teeth are ground down excessively, as in your case, it can lead to a situation where one side of the mouth is functioning differently than the other. This can cause the following problems:
1. Uneven Wear: Teeth that are not aligned properly can wear down more quickly than those that are. This can lead to sensitivity, pain, and the need for additional dental work in the future.

2. Jaw Discomfort: An uneven bite can lead to muscle strain in the jaw, resulting in discomfort or pain in the jaw muscles and even headaches. This is often associated with TMJ disorders, where the joint that connects the jaw to the skull becomes stressed and inflamed.

3. Changes in Chewing Patterns: If one side of your mouth is more functional than the other, you may unconsciously shift your chewing to that side. This can exacerbate the wear on those teeth and lead to further imbalances.

4. Potential for Tooth Mobility: Over time, an uneven bite can lead to increased mobility of the affected teeth due to the uneven forces applied during chewing.


Addressing the Issue
If you are experiencing discomfort or have concerns about your bite due to uneven grinding, it is essential to consult with your dentist. They can perform a thorough examination and may recommend the following:
1. Adjustment of Fillings or Crowns: If the dental work is causing an uneven bite, your dentist can adjust the height of the fillings or crowns to ensure that your bite is balanced.

2. Orthodontic Evaluation: In some cases, orthodontic treatment may be necessary to correct the alignment of your teeth and improve your bite function.

3. Mouthguards: If you grind your teeth (a condition known as bruxism), your dentist may recommend a custom mouthguard to protect your teeth and help maintain a more balanced bite.

4. Physical Therapy: For TMJ-related issues, physical therapy may be beneficial to help alleviate muscle tension and improve jaw function.

5. Regular Monitoring: After any adjustments, regular follow-up appointments may be necessary to monitor your bite and ensure that it remains balanced.


Conclusion
In summary, uneven tooth grinding can significantly impact your bite function and overall dental health. It is crucial to address any imbalances promptly to prevent further complications. By working closely with your dentist, you can explore options to restore balance to your bite and maintain optimal dental health. Regular dental check-ups and open communication with your dental care provider are key to preventing and managing these issues effectively.

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