Can Malocclusion Affect Your Sleep Quality? - Dentistry

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Can malocclusion affect sleep?


Can malocclusion affect sleep? I didn't have this issue when I was younger, but it has developed as I've grown older.
I personally believe my malocclusion isn't very severe; my lower jaw is slightly shifted to the right.

Jason, 20~29 year old female. Ask Date: 2023/08/14

Dr. Lin Jiayong reply Dentistry


Hello: Malocclusion can affect sleep, and individuals will definitely be aware of it.
Common manifestations include waking up with soreness in the temporomandibular joint, teeth grinding leading to dental damage and sensitivity, bite marks or bruising on the cheeks or tongue, and in severe cases, symptoms such as snoring, sleep apnea, and pain extending from the temples to the shoulder area.

Reply Date: 2023/08/14

More Info


Malocclusion, or misalignment of the teeth and jaws, can indeed affect sleep quality, although the relationship may not be immediately obvious. As you mentioned, you didn't experience issues with your bite when you were younger, but as you grow older, the effects of malocclusion can become more pronounced.
Firstly, malocclusion can lead to various dental and orthodontic issues, such as teeth grinding (bruxism) and temporomandibular joint (TMJ) disorders. Both of these conditions can significantly impact sleep quality. Bruxism, which often occurs unconsciously during sleep, can lead to tooth wear, jaw pain, and headaches, all of which can disrupt sleep. If you find yourself waking up with a sore jaw or headaches, it may be a sign that you are grinding your teeth at night due to malocclusion.

TMJ disorders, which are often associated with malocclusion, can cause pain and discomfort in the jaw, neck, and even the ears. This discomfort can make it difficult to find a comfortable sleeping position, leading to restless nights and poor sleep quality. Additionally, TMJ disorders can cause clicking or popping sounds in the jaw, which may further disrupt your sleep or the sleep of a partner.

Moreover, malocclusion can contribute to obstructive sleep apnea (OSA), a condition where the airway becomes blocked during sleep, leading to pauses in breathing. While not everyone with malocclusion will develop OSA, certain bite patterns can increase the risk. For instance, a misaligned jaw can affect the position of the tongue and soft tissues in the throat, potentially leading to airway obstruction. OSA is characterized by loud snoring, gasping for air during sleep, and excessive daytime sleepiness, all of which can severely impact overall health and well-being.

In terms of your specific situation, where you describe a slight misalignment of your lower jaw, it may not seem severe, but even minor malocclusions can have cumulative effects over time. Factors such as stress, lifestyle, and overall health can exacerbate these issues. If you are experiencing symptoms like jaw pain, headaches, or sleep disturbances, it may be worth consulting with a dentist or orthodontist. They can assess your bite and recommend appropriate treatments, which may include orthodontic interventions, night guards to prevent teeth grinding, or other therapies to alleviate TMJ discomfort.

In summary, while malocclusion may not have affected your sleep when you were younger, it can certainly impact sleep quality as you age. The potential for bruxism, TMJ disorders, and even sleep apnea highlights the importance of addressing any dental misalignments. Improving your bite alignment not only benefits your oral health but can also lead to better sleep quality and overall well-being. If you have concerns about your bite and its impact on your sleep, seeking professional advice is a proactive step towards improving both your dental health and sleep quality.

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