Teeth Grinding and Occlusal Splints: Your Questions Answered - Dentistry

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Bruxism and occlusal splints!?


I've lived for so long and only recently discovered that I have a teeth grinding problem.
I've worn down some enamel, and my canine teeth are no longer sharp.
This has also caused a clicking sound in the joint on the right side of my jaw, and sometimes I have difficulty opening my mouth.
I visited the dentist, who advised me to wear a night guard.
Q1: Will wearing a night guard improve the issues mentioned above?
Q2: Can the worn enamel regenerate, or are there other solutions?
Q3: What should I do about the joint issues?
Q4: Is the night guard covered by insurance, and what is the approximate cost?
Q5: What can I do to reduce my teeth grinding?
I have quite a few questions; thank you for your help!

Xiao Dou, 20~29 year old female. Ask Date: 2010/07/20

Dr. Zhuang Suhui reply Dentistry


Hello: 1.
Most people experience improvement after wearing an occlusal splint.
2.
Worn enamel cannot regenerate; if there are no symptoms, no treatment is necessary.
3.
For joint issues, please visit a dental clinic specializing in temporomandibular joint disorders (usually found in major hospitals).
4.
Occlusal splints are not covered by health insurance, and the cost is approximately $300 to $600.
5.
Currently, there is no definitive method.

Reply Date: 2010/07/20

More Info


Teeth grinding, also known as bruxism, is a common condition that can lead to various dental and jaw problems. It often occurs unconsciously during sleep or even while awake, and it can result in significant wear on the teeth, jaw pain, and other complications. Let's address your questions one by one.

Q1: Will wearing an occlusal splint improve my issues?
Yes, wearing an occlusal splint can significantly help manage the symptoms associated with bruxism. The splint acts as a protective barrier between your upper and lower teeth, preventing them from grinding against each other. This can reduce wear on the enamel, alleviate jaw pain, and minimize the sounds associated with jaw movement. However, it is essential to follow up with your dentist regularly to ensure that the splint is fitting correctly and to monitor any changes in your condition.

Q2: Can the worn enamel regenerate, or are there other solutions?
Unfortunately, once enamel is worn away, it cannot regenerate. However, there are restorative dental options available. Your dentist may recommend treatments such as dental bonding, crowns, or veneers to restore the appearance and function of your teeth. These procedures can help protect the underlying tooth structure and improve aesthetics. Additionally, maintaining good oral hygiene and regular dental check-ups can help prevent further damage.

Q3: What should I do about the joint issues?
The clicking or popping sounds in your jaw joint (temporomandibular joint, or TMJ) can be a sign of TMJ disorder, which is often associated with bruxism. Treatment options may include physical therapy, stress management techniques, or medications to relieve pain and inflammation. In some cases, a dentist may recommend specific exercises to strengthen the jaw muscles or improve joint function. If the problem persists, a referral to a specialist, such as an oral surgeon or a TMJ specialist, may be necessary for further evaluation and treatment.

Q4: Is there insurance coverage for occlusal splints, and what is the cost?
Insurance coverage for occlusal splints varies by provider and plan. Some dental insurance plans may cover a portion of the cost, while others may not. It is advisable to check with your insurance provider to understand your benefits. The cost of an occlusal splint can range from $300 to $800, depending on the complexity of the case and the materials used. Your dentist can provide you with a detailed estimate based on your specific needs.

Q5: How can I reduce my teeth grinding?
Managing bruxism often involves a combination of lifestyle changes and professional interventions. Here are some strategies that may help reduce teeth grinding:
1. Stress Management: Since stress and anxiety are common triggers for bruxism, practicing relaxation techniques such as meditation, yoga, or deep breathing exercises can be beneficial.

2. Avoid Stimulants: Reducing or eliminating caffeine and alcohol intake, especially in the evening, can help decrease the likelihood of grinding at night.

3. Sleep Hygiene: Establishing a calming bedtime routine and ensuring adequate sleep can help reduce nighttime grinding.

4. Jaw Exercises: Your dentist or a physical therapist can recommend specific exercises to relax and strengthen your jaw muscles.

5. Awareness: Being mindful of your jaw position during the day can help. Try to keep your teeth slightly apart and your jaw relaxed when not chewing.

In conclusion, addressing bruxism and its associated symptoms requires a comprehensive approach involving both preventive measures and restorative treatments. Regular dental visits and open communication with your dentist are crucial for managing this condition effectively. If you have further questions or concerns, don't hesitate to reach out to your dental care provider for personalized advice and treatment options.

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