Bruxism

Treatment

Treatment of bruxism aims to reduce any associated pain and to prevent further damage to a patient's teeth. Treatment depends upon the underlying cause, which is sometimes difficult to determine.

Some patients brux because of dental problems, such as abnormal alignment of the upper and lower teeth (malocclusion). These patients may require oral surgery or other dental work to correct the problems or may be fitted with a protective mouth guard.

Many patients may brux due to stress, anxiety or anger and may be helped by professional counseling, psychotherapy, physical therapy, stress management, exercise or meditation. A muscle relaxant medication might also be prescribed to temporarily relieve tension or pain from a clenched jaw.

Some antidepressant medications may actually cause bruxism and patients may need to switch medications or add one to counteract the bruxism.

Stimulants such as tobacco and caffeine may also worsen bruxism and patients should limit their use.

Bruxism can also be a side effect of a brain injury or neuromuscular illness. This problem can be difficult to treat, though a mouth guard may help these patients.