Treatment teeth grinding
Symptoms consistent with bruxism are a common chief complaint in dental practice. There is a case of bruxism likely induced by the antidepressant venlafaxine and successfully treated with gabapentin.
A case of bruxism, anxiety, insomnia and tremor is reported in a man with bipolar disorder that developed a few days after he initiated venlafaxine therapy for depression. The patient's psychiatrist prescribed gabapentin for anxiety symptoms and shortly thereafter the man experienced a complete resolution of his bruxism.
Bruxism secondary to antidepressant therapy may be common. Thus, dentists should inquire about the use of these medications in patients who have teeth grinding. Gabapentin may offer promise in the treatment of teeth grinding. Scientists do not know how gabapentin counteracts bruxism. The drug gabapentin (Neurontin) may successfully treat bruxism caused by antidepressant therapy.
A bruxism guard or teeth grinding splint can reduce tooth abrasion. Bruxisml guards are typically made of plastic and fit over some or all of upper and/or lower teeth. The teeth grinding guard protects the teeth from abrasion and can reduce muscle strain by allowing the upper and lower jaw to move easily with respect to each other. Treatment goals include: constraining the bruxing pattern to avoid damage to the temporomandibular joints; stabilizing the occlusion by minimizing gradual changes to the positions of the teeth, preventing tooth damage and revealing the extent and patterns of bruxism through examination of the markings on the splint's surface. A bruxism guard is typically worn during every night's sleep on a long-term basis. Bruxism guards do not cure the condition.
A repositioning splint is designed to change the patient's occlusion or bite. Another option is an NTI-tss (nociceptive trigeminal inhibitor) dental guard. Nociceptor nerves sense and respond to pressure. The trigeminal nerve supplies the face and mouth. The NTI appliance snaps onto the front teeth. Normally when the mouth is closed, the upper and lower front teeth overlap: The NTI prevents this overlap and translates the bite force from attempts to close the jaw normally into a forward twisting of the lower front teeth. The intent is for the brain to interpret the nerve sensations as undesirable, automatically and subconsciously reducing clenching force. Unfortunately, for patients who do not subconsciously clench less using an NTI devce, the NTI can lead to more severe damage from clenching. The NTI device must be fitted by a dentist.
The efficacy of such devices is debated. Some writers propose that irreversible complications can result from the long-term use of mouthguards and repositioning splints. Randomly controlled trials with these type devices generally show no benefit over other therapies. Clenching hard while wearing an NTI device may cause worse damage, because the NTI changes the forces on the teeth and the tempormandibular joint. NTI patients require ongoing monitoring by a dentist.
The use of mouthguards can protect the skull from ongoing deterioration and damage. Some studies have found inter sutural bleeding occurs while grinding at night. The mouthguard may not entirely prevent the clenching or grinding motion but it can lessen the impact the TMJ impact has on the rest of the skull. Craniosacral therapy is said to both alleviate these inter sutural imbalances as well as alleviate the internal stress which is at the source of the grinding.
A look at gingivitis and bruxism. Gum disease, also known as gingivitis, is a serious condition that results in tooth loss. With adults gingivitis is a common forms of gum disease. You should always brush your teeth and remove as much plaque as possible to prevent gingivitis.
Gingivitis is an inflammation in the tissues of the gums. When you brush your teeth, youíll notice that your gums have become very sore and they will start to bleed with little to no pressure.
If you have gingivitis and you donít do something about it, it could lead to periodontal disease. Periodontal disease is a condition in which the bone and surrounding structures are destroyed.
No association has been shown between bruxism and periodontitis or gingivitis .