Skip to main content

Are Your Teeth Grinding All Night? What To Do?

Most of us only want to "bite the bullet" occasionally, but a disturbing number of people bite the bullet, or their own teeth, all night long.
The common medical opinion is that grinding your teeth is all in your mind. It's called bruxism, and the Mayo Clinic defines it as " when you grind, gnash or clench your teeth." I love it when we give something a Latin name and pretend that means we know anything about it.
In the same breath that the Mayo clinic says bruxism is due to stress,they also say it can be associated with a whole host of medical conditions. So don't worry, or really worry, and grind your teeth some more. At any rate, there isn't much to be done for it besides seeing a shrink, getting a dental guard (a plastic bullet to bite instead), or trying out botox injections. So much for conventional treatments.
We need another plan for treating teeth grinding. Let's start by asking if bruxism, grinding, is the same as chewing or sucking. This is a behavior we develop in childhood, called rhythmic masticatory muscle activity (RMMA). Isn't it great when you can make thumb sucking sound clinical? According to researchers,"No relationships were found between RMMA (presence/absence) and clinically assessed tooth wear or reports of tooth clenching or grinding or craniofacial complaints." Except that by the time we get to be adults with bruxism, more RMMA is associated with more tooth wear. Keep in mind that most adults have RMMA, 60%, and only 8% have bruxism. So suck away, or gurgle and coo to your heart's content. Just don't bite down.
If mouth movements don't necessarily cause grinding, what does? Maybe micro-arousals? Someone jostling you in your sleep, a noise that partially wakes you, these are micro-arousals. "Although post-arousal RMMA occurred in all SB (sleep bruxism) patients, it was seen in only one normal subject. Moreover, tooth-grinding occurred during 71% of the evoked RMMA in SB patients." Other researchers playing around in brains found that during sleep RMMA does not occur, so the process is associated with waking.
Since bruxism has nothing to do with sleep, but with waking, my thoughts for possible treatments would include some obvious things like melatonin. In uncontrolled epileptic children, adding melatonin reduced bruxism. Another herb, Lemon balm, didn't help with muscle movements, and the researchers didn't measure if the bruxism was worse or better.
There are various drugs that have been tried for bruxism, and most decrease it while sedating the person. But most have side effects from that sedation. One "drug" listed was L-tryptophan, which again was measured against motion rather than grinding.
Massage combined with splinting was more effective than splinting alone. In patients who received counseling and massage, "After 6 weeks, a mean of 60% pain decrease was reported."
So, in the end, the alternative approach to bruxism would be, get better sleep, get counseling and massage, and use a mouth guard if you can.

Comments

Popular posts from this blog

What Is the Deal With Fopobiacne Secrets? Scam? Sadly, Yes.

I just had another "random" person mention Fopobiacne Secrets on my comments page today. Since it seemed spammy, I deleted the comment. But it made me think that Fopobiacne Secrets is paying people to spam the internet with this product. So I decided to go looking and see what's going on. First, going directly to their official website is a weird experience. It's not a secure site, and hasn't been verified online, so it feels sketchy (I know, I use google, and I do so because they're verified and have the best security on the planet).  Most product pages feature a one page click through process. You see the product, read the reviews, and buy or pass on the product. Not on the Fopoiacne Secrets page. The top of the page warns "This is not for everyone!" then in the text they say, " Fopobiacne Secrets  is the best choice for you." So which is it? Not for everyone or the best choice for everyone? If you press the continue button, you...

Godaddy and the Russian Mob, or why maloneymedical.com is now a scam.

I apologize to those of you who have been confused by my sudden interest in promoting Viagra. It’s not me. It’s the Russian Mob using maloneymedical.com to rip people off. Yes, I’m taking legal action. But the law is slow and people are getting hurt and confused. (My current website is naturopathicmaine.com , but if you’re confused, just email me. Or use your phone for what it was intended and give me a call.) Please don’t assume I’ve decided that erectile dysfunction is my guiding passion going forward. Sometimes the truth is stranger than fiction. In November of 2017, I stopped paying on maloneymedical.com . It was an old domain, and I foolishly thought because it had my own name in the title it would be worthless to anyone else. How wrong I was. Godaddy auctioned off my domain to the highest bidder. He took maloneymedical.com , added a fake copy of my old website using Wordpress, hosted the new fake website on Amazon, and tried to hide himself by using Godaddy’s evil twin D...

Notes and research for Marijuana and Cancer Pain Talk.

I spoke at the Alfond Cancer Center at 6 pm on Tuesday, October 25, 2016 on pain and marijuana use. These are my extended notes including studies I cited. Casket joke: What would you want them to say? Doctor, Teacher, realist. Discussing Pain  Who I am. Naturopathic Doctor Colon Cancer Survivor? (I prefer the term “careful person”) Researcher Does marijuana help with cancer pain? No. -side note on politics and medicine. Maybe. -nausea research. What is pain? A definition of pain. Unpleasant sensation. “physical suffering or discomfort caused by illness or injury” a) Dental work b) broken arm c) vagovasal response to needles d) “gas pains” post-surgery. Tolerance is based on predictability, expectation, and duration. Uncontrolled, random, unending pain Torture is “the action or practice of inflicting severe pain on someone as a punishment or to force them to do or say something” it’s horrible but at least you know when and why. What ca...